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HESI Med Surg Practice Questions Evolve/Elsevier | Latest 2023/24 | Updated & Verified | Guaranteed Success | 36 Pages

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A client experiencing uncontrolled atrial fibrillation is admitted to the telemetry unit. Which initial medication should the nurse anticipate administering to the client? Xylocaine. Procainamide. Phenytoin. Digoxin. - Digoxin. Digoxin is administered for uncontrolled, symptomatic atrial fibrillation resulting in a decreased cardiac output. Digoxin slows the rate of conduction by prolonging the refractory period of the AV node, thus slowing the ventricular response, decreasing the heart rate, and effecting cardiac output. Which condition should the nurse suspect when a client reports vaginal dryness during intercourse? Obstructed Bartholin's glands. Hyperactive sebaceous glands. Infected bulbourethral glands. Strangulated prostate gland. - Obstructed Bartholin's glands. Bartholin's glands are located posteriorly on each side of the vaginal opening; they secrete lubrication fluid during sexual excitement. The nurse should suspect obstructed Bartholin's glands when a client reports vaginal dryness during intercourse.Ignatavicius, (2016). Medical-surgical nursing: Patientcentered collaborative care, eight edition., Ch. 69, p. 1450. Which physical assessment finding should the nurse anticipate in a client with long-term gastroesophagealreflux disease (GERD)?Hoarseness. Dry mouth. Mouth ulcers. Weight loss. - Hoarseness. Dyspepsia and regurgitation are the main symptoms of gastroesophageal reflux disease (GERD); however, hoarseness is one of the most common long-term symptoms of GERD due to the irritation of the reflux of gastric secretions. A client who is fully awake after a gastroscopy asks the nurse for something to drink. After confirming that liquids are allowed, which assessment action should the nurse consider a priority? Listen to bilateral lung and bowel sounds. Obtain the client's pulse and blood pressure. Assist the client to the bathroom to void. Check the client's gag and swallow reflexes

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