BSN HESI 266
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BSN HESI 266 BSN 266 HESI V2 med surg
79 terms 54 terms 85 terms
EEEYAHHHH Preview dopeygh0ul Preview jackieorozco02
Client is recovering from a Drink 3L
transurethral prostatectomy.
Which activity should be limited
until after the first postoperative
visit with the healthcare
provider?
A client with stage IV bone Administer opioid and non-opioid medications simultaneously
cancer is admitted to the
hospital for a 1-10 scale. Which
intervention should the nurse
implement?
A client experiences an AOB a. low back pain and hypotension
incompatibility reaction after
multiple blood transfusions. ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
Which finding should the nurse
report immediately to the health
care provider?
a. low back pain and
hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with
urticarial
d. arthritic joint changes and
chronic pain
See an expert-written answer!
,When conducting discharge c. Eat a high fiber diet and increase fluid intake.
teaching for a client
diagnosed with diverticulosis, ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID
which diet instruction should the INTAKE
nurse include?
a. Have small frequent meals
and sit up for at least two hours
after meals.
b. Eat a bland diet and avoid
spicy foods.
c. Eat a high fiber diet and
increase fluid intake.
d. Eat a soft diet with increased
intake of milk and milk products
The nurse observes an c. Increase the flow of the bladder
increased number of blood irrigation
clots in the drainage tubing of a
client with continuous bladder
irrigation following a ANSWER (C) Increase the flow of the bladder irrigation
transurethral resection of the
prostate (TURP). What is the best
initial nursing action?
a. Provide additional oral fluid
intake
b. Measure the client's intake
and output.
c. Increase the flow of the
bladder
irrigation
d. Administer a PRN dose of an
antispasmodic agent
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A client wit lung cancer who Remove all morphine patches
wears a subcutaneous morphine
sulfate patch for pain is short of
breath and difficult to arouse.
When performing a head
-to-toe assessment, the nurse
discovers four analgesic patches
on
, Coming down the basement Right foot pale with sluggish capillary refill
steps, a client is brought to the
emergency room X-ray ... cast,
which assessment finding
warrants immediate
Intervention by the nurse?
An overweight, young adult who a. Check finger stick
was glucose
recently Check finger stick
glucose diagnosed with type 2 b. Assess skin temperature
diabetes mellitus is admitted for and moisture
a hernia repair. He tells the
nurse that he is feeling very c. Measure pulse and blood
weak and jittery. pressure
Which actions should the nurse ANSWER: (CAM)
implement?
(Select all that apply.)
a. Check finger stick
glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure