Med Surg

MED SURG A A nurse is caring for a client who has a closed head injury and has an intraventricular catheter placed. Which of the following findings indicates that the client is experiencing increased intracranial pressure (ICP)? (Select all that apply.) A. Flat jugular veins B. A Glasgow Coma Scale score of 15 C. Sleepiness exhibited by the client D. Widening pulse pressure E. Decerebrate posturing ANS - C, D, E A nurse is preparing a client who has supraventricular tachycardi...

Med-Surg exam ONE (18+19+20) Correct Answer: 1 The client will be in the hospital for a few days. This is not a day-surgery procedure. The client needs more teaching. The nurse requests the client to sign a surgical informed consent form for an emergency appendectomy. Which statement by the client indicates further teaching is needed? 1."I will be glad when this is over so I can go home today." 2."I will not be able to eat or drink anything prior to my surgery." 3."I can practice...

A nurse is assisting with the care of a client who is receiving 0.9% sodium chloride by continuous IV infusion. The client reports pain and swelling at the IV site. In which order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) Check the IV site. Stop the infusion. Withdraw the IV catheter. Elevate the affected arm. Notify the charge nurse. A nurse is reviewing the laboratory results ...

1. Nurse in ED caring for a client who is having an acute asthma attack. How can she tell the client in in respiratory distress (Select all) A. 95% O2 B. Wheezing C. Retraction of sternal muscles D. Pink mucous membranes E. Premature ventricular complexes (PVCs) 2. Morning 3. Newly admitted patient w/diagnosis of ascites. What order would the nurse question? (select all) a. High sodium b. Spironolactone c. Paracentesis d. Administration of salt-poor albumin e. Assisted ambulation...

The nurse is providing care to a client after a percutaneous transluminal coronary angioplasty (PTCA). What actions will the nurse include in the client's plan of care? (Select all that apply.) A.Frequent vital signs. B.Determine if the client is allergic to aspirin. D.Offer fluids of choice. F.Monitor infusion of IV nitroglycerine. In assessing a client diagnosed with primary aldosteronism, the nurse expects the laboratory test results to indicate a decreased serum level of which subs...

Med surg HESI EXIT EXAMUpdated (June 2022) Test Bank.

Advanced Medical-Surgical HESI Study Guide Work Cited: All information was found in HESI book & Junior Med Surg book The difference between open & closed angle glaucoma  Chronic open-angle glaucoma is also known as simple adult primary glaucoma and as primary open-angle glaucoma. Description: Condition characterized by increased intraocular pressure (IOP) A. Glaucoma involves gradual, painless vision loss B. Glaucoma may lead to blindness if untreated C. Glaucoma is the se...

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A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? a. Heart rate 90/min b. Absent bowel sounds c. Hgb 8.2 g/dl d. Gastric pH of 3.0 Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging. 2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer? a. Desmopressin b. Re...

A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of the following actions should the nurse take? 1) Loosen the knots on the ropes if the client is experiencing pain. 2) Ensure the client’s weights are hanging freely from the bed. 3) Check the client’s bony prominences every 12 hr. 4) Cleanse the client’s pin sites with povidone-iodine. A nurse in a provider’s office is reinforcing teaching with a client who has anemia a...