NUR 2311 Medical –Surgical (Adult Health) Exit HESI.

NUR 2311 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 Nurse is preparing DC client from hosp who has aphasia secondary to CVA. What instruction to family to help communicate? Be consistent in using the same words each time a Q is asked When assessing a restless, intubated client on mechanical ventilation, nurse auscultates breath sounds on right side only. Action Reposition the depth of the ET tube FrmRN2u Nurse is assessing a client following a thoracotomy and left lung pneumonectomy. What assess finding anticipate? Absent breath sounds on the left side of the chest Male client with type 1 DM takes a combination of short-acting and intermediate-acting insulin. Client complains of headache when awakening, blood glucose average for the past week has been 210ng/dl. Nurse recognizes client is experiencing a daily or rebound effect. Which dosing method Move the PM intermediate-acting dose to bedtime Which condition would likely cause secondary polycythemia High altitude exposure Nurse caring for 42 year old male excreting less sodium than consuming. If continues, what complication? Edema What instruction is most important for the nurse to provide a client with neutropenia Avoid sources of potential infection.