MED SURG HESI - NUR 311
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1. The nurse is planning care for a client with newly diag- Willingness of the client to
nosed diabetes mellitus that requires insulin. Which learn the injection sites
assessment should the nurse identify before begin-
ning the teaching session?
Present knowledge related to the skill of injection.
Intelligence and developmental level of the client.
Willingness of the client to learn the injection sites.Fi-
nancial resources available for the equipment.
2. When providing discharge teaching for a client with Elimination of hazards to
osteoporosis, the nurse should reinforce which home home safety.!!!
care activity?
A diet low in phosphates.
Skin inspection for bruising.
Exercise regimen, including swimming.
Elimination of hazards to home safety
3. Which postmenopausal client's complaint should the Episodes of vaginal bleed-
nurse refer to the healthcare provider? ing.!!!!
Breasts feel lumpy when palpated.
History of white nipple discharge.
Episodes of vaginal bleeding .Excessive diaphoresis
occurs at night.
4. A client with a completed ischemic stroke has a blood Give an antihypertensive
pressure of 180/90 mm Hg. Which action should the medication.!!!!
nurse implement?
Position the head of the bed (HOB) flat.
, MED SURG HESI - NUR 311
Study online at https://quizlet.com/_d219ps
Withhold intravenous fluids.
Administer a bolus of IV fluids.
Give an antihypertensive medication.
5. A client who is HIV positive asks the nurse, "How will "AIDS is diagnosed when
I know when I have AIDS?" Which response is best for a specific opportunistic in-
the nurse to provide? fection is found in an
otherwise healthy individ-
"Diagnosis of AIDS is made when you have 2 positive ual.!!!
ELISA test results."
"Diagnosis is made when both the ELISA and the West-
ern Blot tests are positive."
"I can tell that you are afraid of being diagnosed with
AIDS. Would you like for me to call your minister?"
"AIDS is diagnosed when a specific opportunistic in-
fection is found in an otherwise healthy individual
6. Despite several eye surgeries, a 78-year-old client who .
lives alone has persistent vision problems. The visit- Medium yellow.!!!
ing nurse is discussing home safety hazards with the
client. The nurse suggests that the edges of the steps
be painted which color?
Black.
White.
Light green.
Medium yellow.
7. The nurse would be correct in withholding a dose of serum potassium level is
digoxin in a client with congestive heart failure with- 3.!!!
out specific instruction from the healthcare provider if
the client's
, MED SURG HESI - NUR 311
Study online at https://quizlet.com/_d219ps
serum digoxin level is 1.5.
blood pressure is 104/68.
serum potassium level is 3.
apical pulse is 68/min.
8. When teaching diaphragmatic breathing to a client Place a small book or
with chronic obstructive pulmonary disease (COPD), magazine on the ab-
which information should the nurse provide? domen and make it rise
while inhaling deeply.!!!!
Place a small book or magazine on the abdomen and
make it rise while inhaling deeply.
Purse the lips while inhaling as deeply as possible and
then exhale through the nose.
Wrap a towel around the abdomen and push against
the towel while forcefully exhaling.
Place one hand on the chest, one hand the abdomen
and make both hands move outward.
9. A male client receives a local anesthetic during Evaluate his blood pres-
surgery. During the post-operative assessment, the sure, pulse, and respirato-
nurse notices the client is slurring his speech. Which ry status.!!!
action should the nurse take?
Determine the client is anxious and allow him to
sleep.
Evaluate his blood pressure, pulse, and respiratory
status.
Review the client's pre-operative history for alcohol
abuse.
Continue to monitor the client for reactivity to anes-
thesia.
Submit
, MED SURG HESI - NUR 311
Study online at https://quizlet.com/_d219ps
10. A splint is prescribed for nighttime use by a client with Prevention of deformi-
rheumatoid arthritis. Which statement by the nurse ties.!!!
provides the most accurate explanation for use of the
splints?
Prevention of deformities
Avoidance of joint trauma.
Relief of joint inflammation.
Improvement in joint strength.
Submit
11. The nurse is planning to initiate a socialization group The usual activity patterns
for older residents of a long-term facility. Which in- of each member of the
formation would be most useful to the nurse when group.
planning activities for the group?
he length of time each group member has resided at
the nursing home.
A brief description of each resident's family life.
The age of each group member.
The usual activity patterns of each member of the
group.
12. During a health fair, a 72-year-old male client tells Productive cough with
the nurse that he is experiencing shortness of breath. grayish-white sputum.
Auscultation reveals crackles and wheezing in both
lungs. Suspecting that the client might have chronic
bronchitis, which classic symptom would the nurse
expect this client to have?
Racing pulse with exertion.
Study online at https://quizlet.com/_d219ps
1. The nurse is planning care for a client with newly diag- Willingness of the client to
nosed diabetes mellitus that requires insulin. Which learn the injection sites
assessment should the nurse identify before begin-
ning the teaching session?
Present knowledge related to the skill of injection.
Intelligence and developmental level of the client.
Willingness of the client to learn the injection sites.Fi-
nancial resources available for the equipment.
2. When providing discharge teaching for a client with Elimination of hazards to
osteoporosis, the nurse should reinforce which home home safety.!!!
care activity?
A diet low in phosphates.
Skin inspection for bruising.
Exercise regimen, including swimming.
Elimination of hazards to home safety
3. Which postmenopausal client's complaint should the Episodes of vaginal bleed-
nurse refer to the healthcare provider? ing.!!!!
Breasts feel lumpy when palpated.
History of white nipple discharge.
Episodes of vaginal bleeding .Excessive diaphoresis
occurs at night.
4. A client with a completed ischemic stroke has a blood Give an antihypertensive
pressure of 180/90 mm Hg. Which action should the medication.!!!!
nurse implement?
Position the head of the bed (HOB) flat.
, MED SURG HESI - NUR 311
Study online at https://quizlet.com/_d219ps
Withhold intravenous fluids.
Administer a bolus of IV fluids.
Give an antihypertensive medication.
5. A client who is HIV positive asks the nurse, "How will "AIDS is diagnosed when
I know when I have AIDS?" Which response is best for a specific opportunistic in-
the nurse to provide? fection is found in an
otherwise healthy individ-
"Diagnosis of AIDS is made when you have 2 positive ual.!!!
ELISA test results."
"Diagnosis is made when both the ELISA and the West-
ern Blot tests are positive."
"I can tell that you are afraid of being diagnosed with
AIDS. Would you like for me to call your minister?"
"AIDS is diagnosed when a specific opportunistic in-
fection is found in an otherwise healthy individual
6. Despite several eye surgeries, a 78-year-old client who .
lives alone has persistent vision problems. The visit- Medium yellow.!!!
ing nurse is discussing home safety hazards with the
client. The nurse suggests that the edges of the steps
be painted which color?
Black.
White.
Light green.
Medium yellow.
7. The nurse would be correct in withholding a dose of serum potassium level is
digoxin in a client with congestive heart failure with- 3.!!!
out specific instruction from the healthcare provider if
the client's
, MED SURG HESI - NUR 311
Study online at https://quizlet.com/_d219ps
serum digoxin level is 1.5.
blood pressure is 104/68.
serum potassium level is 3.
apical pulse is 68/min.
8. When teaching diaphragmatic breathing to a client Place a small book or
with chronic obstructive pulmonary disease (COPD), magazine on the ab-
which information should the nurse provide? domen and make it rise
while inhaling deeply.!!!!
Place a small book or magazine on the abdomen and
make it rise while inhaling deeply.
Purse the lips while inhaling as deeply as possible and
then exhale through the nose.
Wrap a towel around the abdomen and push against
the towel while forcefully exhaling.
Place one hand on the chest, one hand the abdomen
and make both hands move outward.
9. A male client receives a local anesthetic during Evaluate his blood pres-
surgery. During the post-operative assessment, the sure, pulse, and respirato-
nurse notices the client is slurring his speech. Which ry status.!!!
action should the nurse take?
Determine the client is anxious and allow him to
sleep.
Evaluate his blood pressure, pulse, and respiratory
status.
Review the client's pre-operative history for alcohol
abuse.
Continue to monitor the client for reactivity to anes-
thesia.
Submit
, MED SURG HESI - NUR 311
Study online at https://quizlet.com/_d219ps
10. A splint is prescribed for nighttime use by a client with Prevention of deformi-
rheumatoid arthritis. Which statement by the nurse ties.!!!
provides the most accurate explanation for use of the
splints?
Prevention of deformities
Avoidance of joint trauma.
Relief of joint inflammation.
Improvement in joint strength.
Submit
11. The nurse is planning to initiate a socialization group The usual activity patterns
for older residents of a long-term facility. Which in- of each member of the
formation would be most useful to the nurse when group.
planning activities for the group?
he length of time each group member has resided at
the nursing home.
A brief description of each resident's family life.
The age of each group member.
The usual activity patterns of each member of the
group.
12. During a health fair, a 72-year-old male client tells Productive cough with
the nurse that he is experiencing shortness of breath. grayish-white sputum.
Auscultation reveals crackles and wheezing in both
lungs. Suspecting that the client might have chronic
bronchitis, which classic symptom would the nurse
expect this client to have?
Racing pulse with exertion.
