Hesi Medsurg Final Exam

1. A client with a productive cough has obtained a sputum specimen for culture as instructed. What is the best initial nursing action? • Administer the first dose of antibiotic therapy • Observe the color, consistency, and amount of sputum • Encourage the client to consume plenty of warm liquids • Send the specimen to the lab for analysis: B. Observe the color, consistency, and amount of sputum 2. A client is brought to the ED by ambulance in cardiac arrest with cardiopulmonary resuscitation (CPR) in progress. The client is intubated and is receiving 100% oxygen per selfinflating (ambu) bag. The nurse determines that the client is cyanotic, cold, and diaphoretic. Which assessment is most important for the nurse to obtain? • Breath sounds over bilateral lung fields. • Carotid pulsation during compressions • Deep tendon reflexes • Core body temperature: A. Breath sounds over bilateral lung fields. 3. After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a client develops pontine myselinolysis. Which intervention should the nurse implement first? • Reorient client to his room • Place a patch on one eye • Evaluate client's ability to swallow • Perform range of motion exercises: A. Reorient client to his room 4. A male client with heart failure (HF) calls the clinic and reports that he cannot put his shoes on because they are too tight. Which additional information should the nurse obtain? • What time did he take his last medications? • Has his weight changed in the last several days? • Is he still able to tighten his belt buckle? • How many hours did he sleep last night?: B. Has his weight changed in the last several days? 5. An older adult woman with a long history of chronic obstructive pulmonary disease (COPD) is admitted with progressive shortness of breath and a persistent cough. She is anxious and is complaining of a dry mouth. Which intervention should the nurse implement? • A