BSN 266 Med surg hesi Exam Questions And And Answers

BSN 266 Med surg hesi Exam Questions And And Answers A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? - ANS A. Take temperature once a day. A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secre- tions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions? - ANS A. Provide humidified oxygen. Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the fol- lowing nursing actions should the nurse take to promote the client's comfort? - ANS B. Obtain a pair of slipper socks for the client A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the prostate (TURP). Which of the following is the priority finding for the nurse report to the provider? - ANS C. Thick, red-colored urine A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a prescription for a hy- pothermia blanket. The nurse should monitor the client for which of the following adverse effects of the hypothermia blanket? - ANS A. Shivering A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? - ANS D. "I will not exercise if my urine is positive for ketones." A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative. After calling for assistance, which of the following actions should the nurse take first - ANS A. Cover the client's wound with a moist, sterile dressing. A nurse is collecting data from a client who has alco- hol use disorder and is experiencing metabolic acidosis. Which of the following manifestations should the nurse expect? - ANS B. Hyperventilation A nurse is reinforcing discharge teaching with a client fol- lowing a cataract extraction. Which of the following should the nurse include in the teaching? - ANS A. Avoid bending at the waist. A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the following ac- tions should the nurse take first - ANS C. Check the client's vital signs. A nurse is caring for a client who is 3 days postoper- ative following a cholecystectomy. The nurse suspects the client's wound is infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as the type of drainage found? - ANS D. Purulent A nurse is reinforcing discharge teaching to a client follow- ing arthroscopic surgery. To prevent postoperative compli- cations which of the following actions should be reinforced during the teaching? - ANS Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises A nurse is collecting data from a client who has emphy- sema. Which of the following findings should the nurse expect? (Select all that apply.) - ANS 1) Dyspnea 2) Barrel chest 3) Clubbing of the fingers 4) Shallow respirations