MED SURG HESI EXIT EXAM/Latest 2022/Test Bank

MED SURG HESI EXIT EXAM/Latest 2022/Test BankFollowing discharge teaching, a male client with duodenal ulcer tells the nurse thehe will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse? (ANS- Review with the client the need to avoid foods that are rich in milk andcream A male client with hypertension, who received new antihypertensive prescriptionsat his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits that he has not been taking the prescribed medication because the drugs make him "feel bad". In explaining the need for hypertension control, the nurse should stress that an elevated BP places the client at risk for which pathophysiological condition? (ANS- Stroke secondary to hemorrhage The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who has a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. What action should the nurse implement? (ANS- Instruct the UAP to obtain soft blankets to secure to the side rails instead ofpillows. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 days. Which assessment finding requires immediatefollow-up? (ANS- Describes life without purpose A+ MED SURG HESI EXIT EXAM/Latest 2022/Test Bank MED SURG HESI EXIT EXAM/Latest 2022/Test Bank A client who recently underwear a tracheostomy is being prepared for discharge tohome. Which instructions is most important for the nurse to include in the discharge plan? (ANS- Teach tracheal suctioning techniques In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen reservoir bag does not deflate completely during inspiration and the client'srespiratory rate is 14 breaths / minute. What action should the nurse implement? (ANS- Document the assessment data Rationale: reservoir bag should not deflate completely during inspiration and theclient's respiratory rate is within normal limits. During shift report, the central electrocardiogram (EKG) monitoring systemalarms. Which client alarm should the nurse investigate firs? (ANS- Respiratory apnea of 30 seconds During a home visit, the nurse observed an elderly client with diabetes slip andfall. What action should the nurse take first? (ANS- Check the client for lacerations or fractures At 0600 while admitting a woman for a schedule repeat cesarean section (C- Section), the client tells the nurse that she drank a cup a coffee at 0400 because shewanted to avoid getting a headache. Which action should the nurse take first? (ANS- Inform the anesthesia care provider After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2heart sounds. To determine if an S3 heart sound is present, what action should thenurse take first?