Medical –Surgical (Adult Health) Exit HESI LATEST 2022

Medical –Surgical (Adult Health) Exit HESI Client developed syndrome of inappropriate antidiuretic hormone (SIADH) assoc with small cell CA of lung and preparing for DC. When teaching about self-management with demeclocycline (declomycin), instruct to report what? Muscle cramping Determining the client position for insertion of indwelling catheter, Most important? Orthopnea Nurse teaching male with multiple sclerosis (MS) how to empty bladder using creude method. When performing return demonstration pt applies pressure to the umbilical area of his abdomen. What instruction? Apply downward manual pressure at the suprapubic region 35 yr old female client admitted to post anesthesia recovery unit following a partial thyroidectomy. What statement reflects accurate understanding of expected outcome for client? Supplemental hormone therapy will probably be necessary Following insertion of a LeVeen shunt in client with cirrhosis, which assessment finding indicates the shunt is effective? Decreased abdominal girth Finding a client sitting on the floor, nurse calls for help from UAP. Which task can ask to do? Get a BP cuff Client diagnosed with frontal lobe Glioma, benign tumor. Teaching about tumor what information? Personality changes or expressive aphasia are likely Greatest benefit for the client with which problem related to DM to change from the use of insulin syringes to using an insulin pen for med administration? Diminished dexterity due to dinger paresthesias Nurse evaluating asthmatic client’s response to an inhaled corticosteroid med. What assess finding indicates the med has been effective in controlling asthma symptoms. Increased peak flow meter rates Planning care for client with diagnosis of “impaired mobility” nurse instructs the UAP to assist client with ambulation. HCP has prescription for bed rest. Action Change the planned interventions to include range of motion exercises rather than ambulation