HESI Med Surg BSN 266 Latest
nn nn nn nn nn nn
Update 2024/2025 (Questions With
nn nn nn nn
nn 100% Correct Answers) Verified By
nn nn nn nn
Experts nn
nn
Client nnis nnrecovering nnfrom nna nntransurethral nnprostatectomy. nnWhich nnactivity nnshould
nnbe nnlimited nn
nn
until nnafter nnthe nnfirst nnpostoperative nnvisit nnwith nnthe nnhealthcare nnprovider? nn-
nnDrink nn3L
nn
A nnclient nnwith nnstage nnIV nnbone nncancer nnis nnadmitted nnto nnthe nnhospital nnfor nna nn1-10
nnscale. nnWhich nn
nn
intervention nnshould nnthe nnnurse nnimplement? nn- nnAdminister nnopioid nnand
nnnon-opioid
nn
medications
nnsimultaneously
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A nnclient nnexperiences nnan nnAOB nnincompatibility nnreaction nnafter nnmultiple nnblood
nntransfusions. nn
nn
Which nnfinding nnshould nnthe nnnurse nnreport nnimmediately nnto nnthe nnhealth nncare
nnprovider?
nn
a. low nnback nnpain nnand nnhypotension nn
nn
b. rhinitis nnand nnnasal nnstuffiness nn
nn
c. delayed nnpainful nnrash nnwith nnurticarial nn
nn
d. arthritic nnjoint nnchanges nnand nnchronic nnpain nn- nna. nnlow nnback nnpain nnand nnhypotension
nn
nn
ANSWER: nn(A) nnLOW nnBACK nnPAIN nnAND
nnHYPOTENSTION nn nn
nn
When nnconducting nndischarge nnteaching nnfor nna
nnclient
diagnosed nnwith nndiverticulosis, nnwhich nndiet nninstruction nnshould nnthe nnnurse
nninclude?
nn
a. Have nnsmall nnfrequent nnmeals nnand nnsit nnup nnfor nnat nnleast nntwo nnhours nnafter nnmeals. nn
nn
b. Eat nna nnbland nndiet nnand nnavoid nnspicy nnfoods. nn
nn
c. Eat nna nnhigh nnfiber nndiet nnand nnincrease nnfluid nnintake. nn
nn
,d. nnEat nna nnsoft nndiet nnwith nnincreased nnintake nnof nnmilk nnand nnmilk nnproducts nn- nnc. nnEat nna
nnhigh nnfiber nndiet nn
nn
and nnincrease nnfluid
nnintake.
nn
ANSWER nn(C) nnEAT nnA nnHIGH-FIBER nnDIET nnAND nnINCREASE nnFLUID nnINTAKE nn
nn
The nnnurse nnobserves nnan nnincreased nnnumber nnof nnblood nnclots nnin nnthe nndrainage
nntubing nnof nna nn
nn
client nnwith nncontinuous nnbladder nnirrigation nnfollowing nna nntransurethral
nnresection nnof nnthe
nn
prostate nn(TURP). nnWhat nnis nnthe nnbest nninitial nnnursing
nnaction?
nn
a. Provide nnadditional nnoral nnfluid nnintake nn
nn
b. Measure nnthe nnclient's nnintake nnand nnoutput. nn
nn
c. Increase nnthe nnflow nnof nnthe nnbladder nn
irrigation nn
nn
d. Administer nna nnPRN nndose nnof nnan nnantispasmodic nnagent nn- nnc. nnIncrease nnthe nnflow
nnof nnthe nnbladder nn
irrigation nn
nn
nn
ANSWER nn(C) nnIncrease nnthe nnflow nnof nnthe nnbladder nnirrigation nn
nn
A nnclient nnwit nnlung nncancer nnwho nnwears nna nnsubcutaneous nnmorphine nnsulfate nnpatch
nnfor nnpain nnis nn
nn
short nnof nnbreath nnand nndifficult nnto nnarouse. nnWhen nnperforming
nna nnhead
nn
-to-toe nnassessment, nnthe nnnurse nndiscovers nnfour nnanalgesic nnpatches nnon nn-
nnRemove nnall
nn
morphine
nnpatches
nn
Coming nndown nnthe nnbasement nnsteps, nna nnclient nnis nnbrought nnto nnthe nnemergency
nnroom nnX-ray nn... nn
nn
cast, nnwhich nnassessment nnfinding nnwarrants
nnimmediate
nn
Intervention nnby nnthe nnnurse? nn- nnRight nnfoot nnpale nnwith nnsluggish
nncapillary nnrefill
nn
An nnoverweight, nnyoung nnadult nnwho nnwas nnrecently nnCheck nnfinger nnstick nnglucose
nndiagnosed nnwith nntype nn2 nndiabetes nnmellitus nnis nnadmitted nnfor nna nnhernia nnrepair. nnHe
nntells nnthe nnnurse nnthat nnhe nnis nnfeeling nnvery nnweak nnand nnjittery. nn
nn
, Which nnactions nnshould the
nn nn nurse
nnimplement?
nn
(Select nnall nnthat
nnapply.)
nn
a. nnCheck nn finger
nnstick
nn
glucose
nn
b. nnAssess nn skin
nntemperature
nn
and
nnmoisture
nn
c. nnMeasure nnpulse nnand nnblood
nnpressure nn- nna. nnCheck nnfinger nnstick
nn
glucose nn
nn
b. nnAssess nn skin
nntemperature
nn
and
nnmoisture
nn
c. nnMeasure nn pulse nn and
nnblood
nn
pressure
nn
ANSWER: nn(CAM) nn
nn
A nnclient nnwho nnunderwent nncardiac nnstent nnplacement nnfour nndays nnago
nnarrives nnto nnthe
nn
emergency nndepartment nnreporting nna nnsudden nnonset nnof nnchest
nnpressure nnand
nn
shortness nnof nnbreath. nnWhich nnaction nnshould nnthe nnnurse
nntake nnnext?
nn
a. nnListen nnfor nnextra nnheart nnsounds, nnmurmurs,
nnand nnr
nn
hythm nnwith nnthe nnbell
nnof
nn
the
nnstethoscope.
nn
b. nnEvaluate nnupper nnand nnlower nnextremities nnfor nnperfusion, nnpulse
nnvolume,
nn
and nnpitting
nnedema.
nn nn nn nn nn nn
Update 2024/2025 (Questions With
nn nn nn nn
nn 100% Correct Answers) Verified By
nn nn nn nn
Experts nn
nn
Client nnis nnrecovering nnfrom nna nntransurethral nnprostatectomy. nnWhich nnactivity nnshould
nnbe nnlimited nn
nn
until nnafter nnthe nnfirst nnpostoperative nnvisit nnwith nnthe nnhealthcare nnprovider? nn-
nnDrink nn3L
nn
A nnclient nnwith nnstage nnIV nnbone nncancer nnis nnadmitted nnto nnthe nnhospital nnfor nna nn1-10
nnscale. nnWhich nn
nn
intervention nnshould nnthe nnnurse nnimplement? nn- nnAdminister nnopioid nnand
nnnon-opioid
nn
medications
nnsimultaneously
nn
A nnclient nnexperiences nnan nnAOB nnincompatibility nnreaction nnafter nnmultiple nnblood
nntransfusions. nn
nn
Which nnfinding nnshould nnthe nnnurse nnreport nnimmediately nnto nnthe nnhealth nncare
nnprovider?
nn
a. low nnback nnpain nnand nnhypotension nn
nn
b. rhinitis nnand nnnasal nnstuffiness nn
nn
c. delayed nnpainful nnrash nnwith nnurticarial nn
nn
d. arthritic nnjoint nnchanges nnand nnchronic nnpain nn- nna. nnlow nnback nnpain nnand nnhypotension
nn
nn
ANSWER: nn(A) nnLOW nnBACK nnPAIN nnAND
nnHYPOTENSTION nn nn
nn
When nnconducting nndischarge nnteaching nnfor nna
nnclient
diagnosed nnwith nndiverticulosis, nnwhich nndiet nninstruction nnshould nnthe nnnurse
nninclude?
nn
a. Have nnsmall nnfrequent nnmeals nnand nnsit nnup nnfor nnat nnleast nntwo nnhours nnafter nnmeals. nn
nn
b. Eat nna nnbland nndiet nnand nnavoid nnspicy nnfoods. nn
nn
c. Eat nna nnhigh nnfiber nndiet nnand nnincrease nnfluid nnintake. nn
nn
,d. nnEat nna nnsoft nndiet nnwith nnincreased nnintake nnof nnmilk nnand nnmilk nnproducts nn- nnc. nnEat nna
nnhigh nnfiber nndiet nn
nn
and nnincrease nnfluid
nnintake.
nn
ANSWER nn(C) nnEAT nnA nnHIGH-FIBER nnDIET nnAND nnINCREASE nnFLUID nnINTAKE nn
nn
The nnnurse nnobserves nnan nnincreased nnnumber nnof nnblood nnclots nnin nnthe nndrainage
nntubing nnof nna nn
nn
client nnwith nncontinuous nnbladder nnirrigation nnfollowing nna nntransurethral
nnresection nnof nnthe
nn
prostate nn(TURP). nnWhat nnis nnthe nnbest nninitial nnnursing
nnaction?
nn
a. Provide nnadditional nnoral nnfluid nnintake nn
nn
b. Measure nnthe nnclient's nnintake nnand nnoutput. nn
nn
c. Increase nnthe nnflow nnof nnthe nnbladder nn
irrigation nn
nn
d. Administer nna nnPRN nndose nnof nnan nnantispasmodic nnagent nn- nnc. nnIncrease nnthe nnflow
nnof nnthe nnbladder nn
irrigation nn
nn
nn
ANSWER nn(C) nnIncrease nnthe nnflow nnof nnthe nnbladder nnirrigation nn
nn
A nnclient nnwit nnlung nncancer nnwho nnwears nna nnsubcutaneous nnmorphine nnsulfate nnpatch
nnfor nnpain nnis nn
nn
short nnof nnbreath nnand nndifficult nnto nnarouse. nnWhen nnperforming
nna nnhead
nn
-to-toe nnassessment, nnthe nnnurse nndiscovers nnfour nnanalgesic nnpatches nnon nn-
nnRemove nnall
nn
morphine
nnpatches
nn
Coming nndown nnthe nnbasement nnsteps, nna nnclient nnis nnbrought nnto nnthe nnemergency
nnroom nnX-ray nn... nn
nn
cast, nnwhich nnassessment nnfinding nnwarrants
nnimmediate
nn
Intervention nnby nnthe nnnurse? nn- nnRight nnfoot nnpale nnwith nnsluggish
nncapillary nnrefill
nn
An nnoverweight, nnyoung nnadult nnwho nnwas nnrecently nnCheck nnfinger nnstick nnglucose
nndiagnosed nnwith nntype nn2 nndiabetes nnmellitus nnis nnadmitted nnfor nna nnhernia nnrepair. nnHe
nntells nnthe nnnurse nnthat nnhe nnis nnfeeling nnvery nnweak nnand nnjittery. nn
nn
, Which nnactions nnshould the
nn nn nurse
nnimplement?
nn
(Select nnall nnthat
nnapply.)
nn
a. nnCheck nn finger
nnstick
nn
glucose
nn
b. nnAssess nn skin
nntemperature
nn
and
nnmoisture
nn
c. nnMeasure nnpulse nnand nnblood
nnpressure nn- nna. nnCheck nnfinger nnstick
nn
glucose nn
nn
b. nnAssess nn skin
nntemperature
nn
and
nnmoisture
nn
c. nnMeasure nn pulse nn and
nnblood
nn
pressure
nn
ANSWER: nn(CAM) nn
nn
A nnclient nnwho nnunderwent nncardiac nnstent nnplacement nnfour nndays nnago
nnarrives nnto nnthe
nn
emergency nndepartment nnreporting nna nnsudden nnonset nnof nnchest
nnpressure nnand
nn
shortness nnof nnbreath. nnWhich nnaction nnshould nnthe nnnurse
nntake nnnext?
nn
a. nnListen nnfor nnextra nnheart nnsounds, nnmurmurs,
nnand nnr
nn
hythm nnwith nnthe nnbell
nnof
nn
the
nnstethoscope.
nn
b. nnEvaluate nnupper nnand nnlower nnextremities nnfor nnperfusion, nnpulse
nnvolume,
nn
and nnpitting
nnedema.
