BSNl 266l HESIl Medl Surgl Examl (2025/l 2026l Update)l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Nightingale
Q:l Thel nursel isl planningl carel forl anl olderl adultl clientl whol experiencedl al cerebrovascularl accidentl severall weeksl ago.l Thel clientl hasl expressivel aphasial andl becomesl frustratedl withl thel nursingl staff.l Whichl interventionl shouldl thel nursel implement?A.l Teachl thel clientl usel ofl basicl signl language B.l Speakl slowlyl tol thel clientl C.l Encouragel clientl usel ofl picturel charts D.l Askl thel clientl simplel questions
Answer:
C.l Encouragel clientl usel ofl picturel charts
Q:l Afterl threel daysl ofl persistentl epigastricl pain,l al femalel clientl presentsl tol thel clinic.l Shel hasl beenl takingl orall antacidsl withoutl relief.l Herl vitall signsl arel heartl ratel 122l beats/min.l respirationl 16l breaths/min.l oxygenl saturationl 96%,l andl bloodl pressurel 116/70l mmhg.l Thel nursel obtainsl al 12-leadl electrocardiograml (ECG).l Whichl assessmentl findingl isl mostl crucial?a.l Irregularl pulsel rate b.l Bilel coloredl emesis c.l STl elevationl inl threel leads d.l Complaintl ofl radiatingl jawl pain
Answer:
c.l STl elevationl inl threel leads
Rememberl STEMI
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Q:l Al clientl withl acutel renall injuryl (AKI)l weighsl 50l kgl andl hasl al potassiuml levell ofl 6.7l mEq/Ll (6.7l mmol/L)l isl admittedl tol thel hospital.l Whichl prescribedl medicationl shouldl thel nursel administerl first?A.l Calciuml acetate,l onel tabletl byl mouth B.l Sodiuml polystyrenel sulfonatel 15l gl byl mouth C.l Epoetinl alpha,l recombinantl 2,500l unitsl subcutaneously D.l Seveamerl tabletl byl mouth
Answer:
B.l Sodiuml polystyrenel sulfonatel 15l gl byl mouth
(thisl isl geneicl Kayexelate)
Q:l enteredl twicel #16l isl missing
Answer:
Q:l Al clientl receivesl al prescriptionl forl 1l literl ofl Ringer'sl intravenouslyl tol bel infusedl overl 6l hours.l Howl manyl mL/hrl shouldl thel nursel programl thel infusionl pumpl tol deliver?l (Enterl numericall valuel only.l Ifl roundingl isl required,l roundl tol thel nearestl wholel number.)
Answer:
167
l mL1000mL/6(hours)l =166.6=167mL
Q:l Al clientl withl al historyl ofl pepticl ulcerl diseasel (PUD)l isl admittedl afterl vomitingl brightl redl bloodl severall timesl overl thel coursel ofl twol hours.l Inl reviewingl thel laboratoryl results,l thel nursel findsl thel client'sl hemoglobinl isl 12l g/dLl (120l g/L)l andl thel hematocritl isl 35%l (0.35).l Whichl actionl shouldl thel nursel preparel tol take?A.l Continuel tol monitorl forl bloodl loss B.l Administerl 1,000l mLl (1l L)l normall saline C.l Transfusel twol unitsl ofl platelets 2 / 3
D.l Preparel thel clientl forl emergencyl surgery
Answer:
B.l Administerl 1,000l mLl (1l L)l normall saline
Thel nursel shouldl preparel tol administerl 1,000l mLl (1l L)l normall salinel becausel thel clientl isl likelyl experiencingl al gastrointestinall bleedl duel tol theirl historyl ofl pepticl ulcerl diseasel andl thel symptoml ofl vomitingl brightl redl blood.l Thisl canl leadl tol al significantl lossl ofl bloodl volume,l whichl canl causel hypovolemicl shockl ifl notl treatedl promptly.l Thel client'sl hemoglobinl andl hematocritl levelsl arel withinl normall ranges,l butl thesel valuesl canl remainl normall inl thel earlyl stagesl ofl al bleedl becausel theyl reflectl thel concentrationl ofl redl bloodl cellsl inl thel blood,l notl thel totall volumel ofl bloodl inl thel body.l Administeringl normall salinel isl al commonl initiall treatmentl forl hypovolemial becausel itl canl quicklyl increasel bloodl volumel andl helpl maintainl bloodl pressurel untill thel sourcel ofl thel bleedingl canl bel identifiedl andl treated.l Thisl isl al criticall interventionl tol preventl furtherl complicationsl suchl asl organl damagel froml reducedl bloodl flow.
Q:l Anl obesel clientl withl emphysemal whol smokesl atl leastl al packl ofl cigarettesl dailyl isl admittedl afterl experiencingl al suddenl increasel inl dyspneal andl activityl intolerance.l Oxygenl therapyl isl initiated,l andl itl isl determinedl thatl thel clientl willl bel dischargedl withl oxygen.l Whichl informationl isl mostl importantl forl thel nursel tol emphasizel inl thel dischargel teachingl plan?l
A:l Strategiesl forl smokingl cessation.l
B:l Approachesl tol conservel energy.l
C:l Methodsl forl weightl loss.l
D:l Guidelinesl forl oxygenl use.
Answer:
D:l Guidelinesl forl oxygenl use.
Q:l Whichl foodl isl mostl importantl forl thel nursel tol encouragel al clientl withl osteomalacial tol includel inl al dailyl diet?a.l Citrusl fruitsl andl juices b.l Fortifiedl milkl andl cereall c.l Redl mealsl andl eggs d.l Greenl leafyl vegetables
Answer:
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