Study online at https://quizlet.com/_fwhc73
1. What information should the nurse include in the teaching plan of a client
diagnosed with GERD?
A. Sleep without pillows
B. Adjust food intake to three full meals per day with no snacks
C. Minimize symptoms by wearing loose comfortable clothing
D. Avoid participation in any aerobic exercise program: Minimize symptoms by
wearing loose comfortable clothing
2. After hospitalization for SIADH, a client develops pontine myelinolysis.
Which intervention should the nurse implement first?
A. Reorient client to room
B. Place a patch on one eye
C. Evaluate clients ability to swallow
D. Perform range of motion exercises: Reorient client to room
3. A male client with heart failure calls the clinic and reports that he cannot put
his shoes on because they are too tight. Which additional information should
the nurse obtain?
A. What time did he take his medication?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night?: Has his weight changed in the last
several days?
4. An older adult woman with a long history of COPD is admitted with pro-
gressive shortness of breath and a persistent cough, is anxious, and is
complaining of dry mouth. which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high flow Venturi mask
D. Assist her to an upright position: Assist her to an upright position
5. A client with a history of asthma and bronchitis arrives at the clinic with
shortness of breath, productive cough with thickening mucous and the inabil-
ity to walk up a flight of stairs without experiencing breathlessness. Which
action is most important for the nurse to instruct the client about self care?
A. Increase the daily intake of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to reduce pathogens exposure
, MED SURG HESI V2 - 2024/2025
Study online at https://quizlet.com/_fwhc73
C. Call the clinic if undesirable side effects or medications: Increase the daily
intake of oral fluids to liquify secretions
6. A cardiac catherization of a client with heart disease indicates the following
blockages: 95% proximal left anterior descending (LAD), 99% proximal circum-
flex, and 95% proximal right coronary artery (RCA) the client later asks the
nurse "What does all of that mean for me?" What information should the nurse
provide.
B. Three main arteries have major blockages, with only 1-5% of the blood flow
getting through to the heart muscles: Three main arteries have major blockages,
with only 1-5% of the blood flow getting through to the heart muscles
7. The nurse is caring for a client with a lower left lobe pulmonary abscess.
what position should the nurse instruct the client to maintain?
A. Left lateral
B. Supine, knees flexed.
C. Dorsal recumbent
D. Knee-chest: Left lateral
8. A client with Cholelithiasis has a gallstone lodged in the common bile duct
and is unable to eat or drink without becoming nauseous and vomiting. Which
finding should the nurse report to the healthcare provider?
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence: Yellow sclera
9. While caring for a client with Amyotrophic lateral sclerosis (ALS) a nurse
performs a neurological assessment every 4 hours. Which assessment finding
warrants immediate intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
D. Asymmetrical weakness: Asymmetrical weakness
10. The nurse is providing preoperative education for a Jewish client sched-
uled to receive a xenograft to promote burn healing. Which information should
the provider this client?
A. Grafting increase the risk for bacterial infections
B. The xenograft is taken from a non-human source.
C. Grafts are later removed by a debriding procedure
D. As the burns heals, the graft permanently: The xenograft is taken from a
non-human source