HESI RN Med-Surg Exam
VERSION 21
A nurse is reinforcing discharge teaching with a client who has a new diagnosis of systemic lupus erythematosus (SLE). which of the following statements by the client indicates an understanding of the teaching?“I should take ibuprofen for my joint pain.A nurse is monitoring a client following a thyroidectomy. Which of the following findings should the nurse identify as an indication of hypoparathyroidism?Involuntary muscle spasms A nurse is reinforcing discharge teaching with a client who has a new permanent pacemaker. Which of the following statements by the client indicates an understanding of the teaching?“I should check my heart rate each day.” A nurse is reinforcing discharge teaching about improving gas exchange with a client who has emphysema. Which of the following information to the nurse including that eating?Use pursed lip breathing during periods of dyspnea In nurses reinforcing teaching with a client who has a new diagnosis of multiple sclerosis (MS). the client asked the nurse about the usual course of MS. which of the following responses should the nurse make?“Acute episodes are usually followed by remissions, which can last varying lengths of time.” A nurse is preparing to administer timolol eye drops for a client who has glaucoma. When installing the medication, which of the following action should the nurse take?Apply pressure to the bridge of the nose after installation of the medication.A nurse is caring for a client who has stage three pressure ulcer on his heel. When preparing to irrigate the wound, which of the following action should the nurse take first?Check the clients pain level A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in the chair at the bedside. Which of the following action should the nurse take first?Lower the client to the floor A nurse is caring for a client who has type one diabetes mellitus in a capillary blood glucose reading of 48 mg/dL. which of the following findings should the nurse expect?Diaphoresis A nurse is reinforcing teaching with a client who is scheduled for sigmoid: resection with colostomy. Which of the following statements by the client indicates a need for further teaching?“My diet will have to change to a soft diet after surgery.” A nurse is reviewing the clients laboratory report. The clients ABG levels are pH 7.5, PA CO2 32 mm HG, and HCO3-24 mEq/L. the nurse had determined the client has which of the following assets imbalances?Respiratory alkalosis
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A nurse in an urgent care clinic is collecting data from a client who sustained a fall.Which of the following findings should the nurse identify as an indication of the skull fracture?Clear fluid coming from the nares.A nurse is reinforcing teaching with a client about preventing the transmission of hepatitis A period the nurse identify that hepatitis A is transmitted by which of the following routes?Fecal-oral contamination A nurse is reinforcing teaching with a client who has tuberculosis (TB) and a prescription for isoniazid. Which of the following instructions should the nurse include?“You provider will monitor Your liver function while you were taking this medication.” A nurse is collecting data from a client who develops a fruity breath odor, dry mouth, and extreme thirst. Which of the following additional data should the nurse collect?Blood glucose using a glucometer a nurse is contributing to the plan of care for a client who is 72 hours postoperative following an above the knee amputation. Which of the following action should the nurse recommend?Assist the client to a point position every four hours a nurse is assisting with the care of a client who has a chest tube in place falling a thoracotomy. Which of the following action should the nurse take?place the drainage unit below the clients chest level a nurse is contributing to the plan of care for a client who has thrombocytopenia due to chemotherapy. Which of the following intervention should the nurse include?Avoid IM Injections.A nurse is reinforcing teaching about a low cholesterol diet with a client who had a myocardial infraction. Which of the following middle selections by the client indicates an understanding of the teaching?Chicken breast and corn on the cob a nurse is caring for a client who is to have his chest tube removed. Which of the following action should the nurse take?Auscultate the lungs after removal a nurse is reinforcing teaching with a client about how to perform a breast self exam (BSE). then you should identify which of the following findings as an indication of breast cancer?a nontender, hard lump that is palpated in one breast a nurse in an urgent care clinic is collecting data from a client who has extensive burns, including on her face. Which of the following data should the nurse collect for his?Respiratory rate a nurse is contributing to the plan of care for a client during a sickle cell crisis. Which of the following intervention should the nurse recommend?Administer oxygen via nasal cannula
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