Hesi Final Study Questions: LATEST 2023 UPDATE FOR Med Surg II FINAL STUDY COMPLETE GUIDE

Hesi Final Study Questions: LATEST 2023 UPDATE FOR Med Surg II FINAL STUDY COMPLETE GUIDE A nurse is caring for a client who is learning how to take care of a newly created colostomy. When observing a return demonstration of the colostomy irrigation, the nurse evaluates that more teaching is required when the client: - ANS Hangs the irrigation bag on the door clothes hook during fluid insertion Following surgery, a client asks the nurse if he or she can help measure intake and output. What is the best nursing response? - ANS Assess the client's ability to measure the intake and output A client with cancer of the pancreas has a pancreaticoduodenectomy (Whipple procedure). The nurse expects that the client will have which tube after surgery? - ANS Nasogastric A nurse is assessing a client with a diagnosis of early left ventricular heart failure. Specific to this type of heart failure, the nurse expects the client to state: - ANS "I have trouble breathing when I walk rapidly." A client with a spontaneous pneumothorax asks, "Why did they put this tube into my chest?" The nurse explains that the purpose of the chest tube is to: - ANS Remove air from the pleural space Following surgery in the inguinal area, the client complains of pain on the right side of the chest, becomes dyspneic, and begins to cough violently. The nurse suspects that a pulmonary embolus has occurred. What is the priority nursing action? - ANS Elevate the head of the bed