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med surg evolve hesi exam Questions and
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An adult client who is hospitalized after surgery reports sudden onset of
chest pain and dyspnea. the client appears anxious, restless, and mildly
cyanotic. the nurse should further assess the client for which condition?
Ans: Pulmonary embolism
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which information should the nurse obtain when performing an initial
assessment of a client who presents to the emergency department with
a painful ankle injury? (select all that apply) Ans: Quality of the pain
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Signs of inflammation
Ankle range of motion
Visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid
arthritis? Ans: Joint pain is worse in the morning and involves symmetric
joints
Which physical assessment finding should the nurse anticipate in a client
with long-term gastroesophagealreflux disease (GERD)? Ans: Hoarseness
A client presents with chronic venous insufficiency. Which assessment
finding should the nurse anticipate? Ans: Bilateral lower leg stasis
dermatitis
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A client has been hospitalized with a femur fracture and is being treated
with traction. which action by the nurse is the priority when caring for this
client? Ans: Assess neurovascular status
Which statement made by a client with chronic pancreatitis indicates
that further education is needed? Ans: I will cut back on smoking
cigarettes daily
The nurse is teaching a female client who uses a contraceptive
diaphragm about reducing the risk for toxic shock syndrome (TSS). Which
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information should the nurse include? (Select all that apply) Ans: Do not
leave the diaphragm in place longer than 8 hours after intercourse
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Replace the old diaphragm every 3 months
A male client who smokes two packs of cigarettes a day states he
understands that smoking cigarettes is contributing to the difficulty that
he and his wife are having in getting pregnant and wants to know if
other factors could be contributing to their difficulty. Which information is
best for the nurse to provide? (Select all that apply). Ans: Alcohol
consumption can cause erectile dysfunction
Low testosterone levels affect sperm production
Cessation of smoking improves general health and fertility
Twenty four hours after a client returns from surgical gastric bypass, the
registered nurse (RN) observes large amounts of blood in the nasogastric
tube (NGT) cannister. Which assessment finding should the RN report as
early signs of hypovolemic shock? Ans: lethargy
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the registered nurse (RN) is assessing a male client who arrives at the
clinic with severe abdominal cramping, pain, tenesmus, and
dehydration. the RN discovers that the client has had 14 to 20 loose
stools with rectal bleeding. When taking the client's medical history,
which information is most for the nurse to obtain? Ans: Ulcerative colitis
A client is newly diagnosed with diverticulosis. The registered nurse (RN) is
assessing the client's basic knowledge about the disease process. Which
statement by the client conveys an understanding of the etiology of
diverticula? Ans: Chronic constipation causes weakening of colon wall
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which results in out pouching sacs
The registered nurse (RN) is assessing a client who was discharged home
after management of chronic hypertension. Which equipment should
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the RN instruct the client to use at home? Ans: Sphygmomanometer
A young adult mail is diagnosed with stage 4 Hodgkin's lymphoma in the
abdominopelvic region and is scheduled for radiation therapy (RT). The
client expresses concern about becoming infertile. How should the nurse
respond? Ans: Propose sperm banking before RT then artificial
insemination is an option
A client's susceptibility to ulcerative colitis is most likely due to which
aspect in the client's history? Ans: Jewish European ancestry
Small bowl obstruction is a condition characterized by which finding?
Ans: Severe fluid and electrolyte imbalances
Which client should the nurse recognize as most likely to experience
sleep apnea? Ans: Obese older male client with a short, thick neck