MED SURG HESI BSN 266
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1. A male client with Type 1 diabetes mellitus Move the PM intermediate- acting
takes a combination of short acting and inter- dose to bedtime.
mediate acting insulin. The client complains
of headaches when awakening and his blood
glucose average for the past week has been
210. The nurse recognizes the client is expe-
riencing a daily Somogyi, or rebound effect.
Which dosing method is likely to relieve these
symptoms?
2. When obtaining a throat culture from a 6 Swab the child's erythematous
year old with possible strepococcal infection, oropharyngeal surfaces or tonsilar
which action is most important for the nurse pustules.
to implement?
3. The nurse is caring for a 42-year-old male edema
client who is excreting less sodium than he is
consuming. If this condition continues, what
complication can the nurse expect this client
to exhibit?
4. Which condition would likely cause secondary High altitude exposure.
polycythemia?
5. An infant is treated for intussusception s/s of reocurrence
with hydrostatic reduction. What instruction
should the nurse include in the parents' teach-
ing plan?
6. A client with type 1 diabetes mellitus is pre- dawn phenomenon
scribed 10 units of
intermediate acting insulin to be adminis-
tered at bedtime. For which health
, MED SURG HESI BSN 266
Study online at https://quizlet.com/_fema1e
problem is the insulin being administered at
this time of day?
7. The nurse is obtaining a throat culture of a strep throat
client's posterior
oropharyngeal region. For which health prob-
lem will this specimen be used to diagnose?
8. A middle-aged male client is being evaluated serum sodium
for lower extremity edema.
Which laboratory value will be used to aid in
determining the cause of this
client's manifestation?
9. A client is diagnosed with secondary poly- hypovolemia
cythemia. Which health
condition contributed to the development of
this secondary problem?
10. A client in the oliguric phase of acute renal fail- limit oral intake to 900. to 1000ml
ure (ARF) has a 24 hour urine output of 400ml.
nurse should allow this client to have how
much oral intake during the next 24 hours?
11. A female client on the mental health unit tells take the client to a room for supervi-
the nurse that her roommate is sitting on sion by staff
the bathroom floor with superficial cuts on
her wrists. The nurse cleans and assesses the
client's wrists and asks her what happened.
She doesn't respond. Next?
12. inspection of the mouth
, MED SURG HESI BSN 266
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What assessment technique should the nurse
use to monitor a client for a common unto-
ward effect of phenytoin (Dilantin)?
13. The nurse is preparing to administer an IM "This shot will help relieve the pain in
dose of Vitamin B1 (thiamine) to a male client your feet
experiencing acute alcohol withdrawal and
peripheral neuritis. The client belligerently
states, "what do you think you're doing?" Re-
sponse?
14. When administering an intramuscular injec- select a large, deep muscle mass
tion containing 3 ml of a painful medication,
Intervention?
15. Locate the optic disk the really light area on the right
16. When completing a mental health assess- have the client describe what should
ment, the nurse wishes to obtain information be done if a child was observed alone
about a client's insight and judgment. Which in a locked car on a hot day
interview technique is most useful in assess-
ing these mental abilities
17. An adult Muslim client with ulcerative colitis assign a care provider of the same
was admitted to the post-surgical unit earlier gender
today following a bowel resection with tem-
porary colostomy. Which intervention is most
important for the nurse to implement?
18. The parents of a 6-year-old recently diag- encourage the parents to allow the
nosed with Duchene muscular dystrophy tell child to continue attending swimming
the nurse that their child wants to continue lessons with supervision
, MED SURG HESI BSN 266
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attending swimming classes. How should the
nurse respond?
19. The nurse initiates a one-to-one relationship ensure that scheduled appointments
with a 35-year-old depressed female client begin according to the schedule
who was recently admitted to the psychiatric
facility. Which nursing action is most effective
in promoting the development of a therapeu-
tic relationship?
20. An 18-year-old female client is admitted to the respiratory acidosis, uncompensated
unit after ingesting an overdose of Phenobar-
bital (Luminal). She is unresponsive and ABG
results are: pH 7.18, PaCO2 60 mmHg, and
HCO3 26 mEq/L. Which interpretation of the
client's ABG results by the nurse is accurate?
21. A male client with multiple myeloma is admit- avoid intramuscular injections
ted with pneumonia and pancytopenia. The
nurse reviews the complete blood cell count
findings and identifies a platelet count of
20,000 cells/mm3. Which intervention should
the nurse include in the client's plan of care?
22. The nurse is planning care for a 48-year-old tardive dyskinesia
client, diagnosed with schizophrenia at age
25, who has been taking antipsychotic drugs
since diagnosis. Long-term use of these drugs
is associated with which side effect?
23. What instruction is most important for the avoid sources of potential infection
nurse to provide a client with neutropenia?
Study online at https://quizlet.com/_fema1e
1. A male client with Type 1 diabetes mellitus Move the PM intermediate- acting
takes a combination of short acting and inter- dose to bedtime.
mediate acting insulin. The client complains
of headaches when awakening and his blood
glucose average for the past week has been
210. The nurse recognizes the client is expe-
riencing a daily Somogyi, or rebound effect.
Which dosing method is likely to relieve these
symptoms?
2. When obtaining a throat culture from a 6 Swab the child's erythematous
year old with possible strepococcal infection, oropharyngeal surfaces or tonsilar
which action is most important for the nurse pustules.
to implement?
3. The nurse is caring for a 42-year-old male edema
client who is excreting less sodium than he is
consuming. If this condition continues, what
complication can the nurse expect this client
to exhibit?
4. Which condition would likely cause secondary High altitude exposure.
polycythemia?
5. An infant is treated for intussusception s/s of reocurrence
with hydrostatic reduction. What instruction
should the nurse include in the parents' teach-
ing plan?
6. A client with type 1 diabetes mellitus is pre- dawn phenomenon
scribed 10 units of
intermediate acting insulin to be adminis-
tered at bedtime. For which health
, MED SURG HESI BSN 266
Study online at https://quizlet.com/_fema1e
problem is the insulin being administered at
this time of day?
7. The nurse is obtaining a throat culture of a strep throat
client's posterior
oropharyngeal region. For which health prob-
lem will this specimen be used to diagnose?
8. A middle-aged male client is being evaluated serum sodium
for lower extremity edema.
Which laboratory value will be used to aid in
determining the cause of this
client's manifestation?
9. A client is diagnosed with secondary poly- hypovolemia
cythemia. Which health
condition contributed to the development of
this secondary problem?
10. A client in the oliguric phase of acute renal fail- limit oral intake to 900. to 1000ml
ure (ARF) has a 24 hour urine output of 400ml.
nurse should allow this client to have how
much oral intake during the next 24 hours?
11. A female client on the mental health unit tells take the client to a room for supervi-
the nurse that her roommate is sitting on sion by staff
the bathroom floor with superficial cuts on
her wrists. The nurse cleans and assesses the
client's wrists and asks her what happened.
She doesn't respond. Next?
12. inspection of the mouth
, MED SURG HESI BSN 266
Study online at https://quizlet.com/_fema1e
What assessment technique should the nurse
use to monitor a client for a common unto-
ward effect of phenytoin (Dilantin)?
13. The nurse is preparing to administer an IM "This shot will help relieve the pain in
dose of Vitamin B1 (thiamine) to a male client your feet
experiencing acute alcohol withdrawal and
peripheral neuritis. The client belligerently
states, "what do you think you're doing?" Re-
sponse?
14. When administering an intramuscular injec- select a large, deep muscle mass
tion containing 3 ml of a painful medication,
Intervention?
15. Locate the optic disk the really light area on the right
16. When completing a mental health assess- have the client describe what should
ment, the nurse wishes to obtain information be done if a child was observed alone
about a client's insight and judgment. Which in a locked car on a hot day
interview technique is most useful in assess-
ing these mental abilities
17. An adult Muslim client with ulcerative colitis assign a care provider of the same
was admitted to the post-surgical unit earlier gender
today following a bowel resection with tem-
porary colostomy. Which intervention is most
important for the nurse to implement?
18. The parents of a 6-year-old recently diag- encourage the parents to allow the
nosed with Duchene muscular dystrophy tell child to continue attending swimming
the nurse that their child wants to continue lessons with supervision
, MED SURG HESI BSN 266
Study online at https://quizlet.com/_fema1e
attending swimming classes. How should the
nurse respond?
19. The nurse initiates a one-to-one relationship ensure that scheduled appointments
with a 35-year-old depressed female client begin according to the schedule
who was recently admitted to the psychiatric
facility. Which nursing action is most effective
in promoting the development of a therapeu-
tic relationship?
20. An 18-year-old female client is admitted to the respiratory acidosis, uncompensated
unit after ingesting an overdose of Phenobar-
bital (Luminal). She is unresponsive and ABG
results are: pH 7.18, PaCO2 60 mmHg, and
HCO3 26 mEq/L. Which interpretation of the
client's ABG results by the nurse is accurate?
21. A male client with multiple myeloma is admit- avoid intramuscular injections
ted with pneumonia and pancytopenia. The
nurse reviews the complete blood cell count
findings and identifies a platelet count of
20,000 cells/mm3. Which intervention should
the nurse include in the client's plan of care?
22. The nurse is planning care for a 48-year-old tardive dyskinesia
client, diagnosed with schizophrenia at age
25, who has been taking antipsychotic drugs
since diagnosis. Long-term use of these drugs
is associated with which side effect?
23. What instruction is most important for the avoid sources of potential infection
nurse to provide a client with neutropenia?
