Med Surg Hesi2024 / Test Review Questions & Certified Solutions / 100% Correct / Already Graded A+ Terms in this set (53) A client is admitted to the hospital with symptoms consistent with right hemisphere stroke. With Neurovascular assessment requires immediate intervention by the nurse?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?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?Restrict protein intake by including meats and other high protein foods 1 / 3
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?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-oflife options with family who agree to discontinue life support. Which intervention should the nurse implement?Discuss the withdrawal procedure with the family and offer support 2 / 3
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?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?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?Apply Ice intermittently for the first 24 hours
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