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BSN 266 HESI MED SURG PROCTORED EXAM A
AND STUDY GUIDE COMPLETE 500 QUESTIONS
WITH CORRECT DETAILED ANSWERS LATEST
UPDATE THIS YEAR - JUST RELEASED
BSN 266 HESI Med Surg Proctored Exam The home health nurse provides teaching about insulin self injection to a client who was recently dx with diabetes mellitus. When the client begins to perform a return demonstration of an insulin injection into the abdomen as seen in the video, which instruction should the nurse provide?
- select a different injection site
- Continue with the insulin injection
- keep the skin flat rather than bunched
- lie down flat for better skin exposure
B The nurse observes an increased number of blood clots in the drainage tubing of a client with continuous bladder irrigation following a trans-urethral resection of the prostate (TURP).What is the best initial nursing action?
- provide additional oral fluid intake
- measure the client's intake and output 1 / 4
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- increase the flow of the bladder irrigation
- administer a PRN dose of an antispasmodic agent
C Four days following an abdominal aortic aneurysm repair, the client is exhibiting edema of both lower extremities, and pedal pulses are not palpable. Which action should the nurse implement first?
- elevate extremities on pillows
- evaluate edema for pitting
- Assess pulses with a vascular doppler
- wrap the feet with warmed blankets
C A client arrives to the medical-surgical unit 4 hours after a transurethral resection of the prostate. A triple lumen catheter for continuous bladder irrigation with NS is infusing and the nurse observes dark, pink-tinged outflow with blood clots in the tubing and collection bag.Which action should the nurse take?
- monitor catheter drainage
- decrease the flow rate
- irrigating the catheter manually
- discontinuing infusing solution
A 2 / 4
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3 A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most immediate intervention by the nurse?
- serum sodium of 185 mEq/L
- Dry skin with inelastic skin turgor
- Apical rate of 100 beats per minute
- Polyuria and excessive thirst
A The nurse is obtaining the admission hx for a client with suspected peptic ulcer disease (PUD).Which subjective data reported by the client supports this medical diagnosis?
A)Frequent use of chewable and liquid antacids for indigestion
- Severe abdominal cramps and diarrhea after eating spicy foods
- Upper mid-abdominal pain described as gnawing and burning
- Marked loss of weight and appetite over the last 3-4 months
C The nurse assess a client who is newly diagnosed with hyperthyroidism and observes that the client's eyeballs are protuberant, causing a wide-eyed appearance and eye discomfort. Based on this finding, which action should the nurse include in this client's plan of care?
- Assess for signs of increased intracranial pressure
- prepare to administer intravenous levothyroxine
- Review the client's serum electrolyte value
- obtain a prescription for artificial tear drops 3 / 4
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4 D To reduce the risk of pulmonary complication for a client with Amyotrophic Lateral Sclerosis (ALS), which interventions should the nurse implement? (Select all that apply)
- perform chest physiotherapy
- teach the client breathing exercise
- initiate passive ROM exercises
- establish a regular bladder routine
- Encourage use of incentive spirometer
A,B,E A client is hospitalized with heart failure (HF). Which intervention should the nurse implement to improve ventilation and reduce venous return?
- Perform passive ROM exercises
- Place the client in high fowler position
- Administer oxygen per NC
- Increase the client's activity level
B A client who was involved in a MVA is admitted with a fractured left femur which is immobilized using a fracture traction splint in preparation for an open reduction internal fixation (ORIF). The nurse determines that the client's distal pulses are diminished in the left foot. Which interventions should the nurse implement? Select all that apply
- Verify pedal pulses using a doppler pulse device
- / 4