HESI MEDSURGE BRAND NEW QUESTIONS WITH NGN STYLE 55 Q&A V

7. 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? A. Eliminate all spicy foods from your diet. B. Drink 3 liters of water each day C. Clamp the catheter when taking a shower. D. Avoid driving a car for 2 weeks. ANSWERE: B 8. 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? A. Apply wrist restrains. B. Determine the client’s blood pressure. C. Administer a mild sedative. D. Assess the client for pain. ANSWERE: D 9. Acute soft-tissue injuries (i.e., sprains, strains) provide the nurse with a variety of teaching opportunities. Which instructions should the nurse provide to a client with a soft- tissue injury? A. Watch for shortness of breath which may indicated a fat embolus. B. Begin range of motion exercise within the first 24 hours. C. Apply ice intermittently for the first 24 hours. D. After edema subsides, apply heat continuously. ANSWERE: C 10. A client returns to the unit following a craniotomy for removal of a brain tumor and is obtunded but arouses to painful stimuli. Which assessment is most important for the nurse to obtain? A. Drainage or dressing. B. Last administration of analgesia C. Body temperature D. Serial Blood pressure and pulse ANSWERE: B 11. A male client is admitted to the rehabilitation unit following a cerebrovascular accident (CVA) which resulted in paralysis of his right arm. When the nurse enters the room, he is struggling to put on a shirt, and he curses at the nurse. What is the best first response by the nurse? A. “We will give you a class on dressing tomorrow.” B. “The unit has a policy against staff harassment.” C. “Dressing must be a frustrating experience for you.” D. “It is important to dress the right arm first.” ANSWERE: C