Med Surg Hesi 2025 A client is admitted to the hospital with symptoms consistent with right hemisphere stroke. With Neurovascular assessment requires immediate intervention by the nurse? - ANSWER Pupillary changes to ipsilateral dilation Achieve maximum mobility and independence for a client multiple sclerosis (MS).Which intervention is most important for the nurse to implement? - ANSWER Teach strengthing exercises The Nurse is teaching a client with glomerulonephritis about self-care. Which dietary recommendations should the nurse recommend the client to follow? - ANSWER Restrict protein intake by including meats and other high protein foods The nurse Is caring for a client with herpes zoster who reports painful blisters that align from the back along the chest curvature to the anterior chest. Which intervention is the highest priority for the nurse? - ANSWER Place the client on contact precaution A young adult who suffered a severe brain injury in an automobile collision has been mechanically ventilated for the past three days and has no spontaneous respiratory effort. After serial electroencephalograms (EEG) reveal no brain activity, the healthcare provider discusses end-of-life options with family who agree to discontinue life support. Which intervention should the nurse implement?
- ANSWER Discuss the withdrawal procedure with the family and offer
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Following a transurethral resection of the prostate (TURP), a client is discharged from the hospital with an indwelling urinary catheter. Which instruction is most important for the nurse to include in the discharge teaching plan? - ANSWER Drink 3 liters of water each day On the first postoperative day, the nurse finds an older male client disoriented and trying to climb over the bed railing. Previously he was oriented to person, place, and time on admission. Which intervention should the nurse implement first? - ANSWER Asses the client for pain Acute soft-tissue injuries (I.e. sprains, strains) provide the nurse with a variety of teaching opportunities. Which instruction should the nurse provide to a client with a soft tissue injury? - ANSWER Apply Ice intermittently for the first 24 hours A male client is admitted to the rehabilitation unit following a cerebrovascular (CVA), which resulted in paralysis of his right arm. When the nurse enters the room, he is struggling to put on a shirt, and he curses at the nurse. What is the best response from the nurse? - ANSWER Dressing must be a frustrating experience for you A client returns to unit following a craniotomy for removal of brain tumor and is obtunded but arouses to painful stimuli. Which assessment is most important for the nurse to obtain? - ANSWER Last administration of analgesia An older client who is agitated, dyspneic, orthopneic, and using accessory muscle to breathe is admitted for further treatment. Initial assessment indicates
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