HESI Version 2 Exam with Complete Solutions

HESI Version 2 Exam with Complete Solutions The nurse assumes care of a postoperative adult client with diabetes mellitus and learns that the client has a current blood glucose level of 720 mg. When assessing the client what is the priority? A. Assess for vital signs of fluid volume deficit. B. Observe wound drainage characteristics. C. Measure the level of acute pain. D. Determine when the client last ate. A. Assess for vital signs of fluid volume deficit. A male client tells the nurse that he is concerned that he may have a stomach ulcer because he is experiencing heartburn and a dull gnawing pain. Which is the *best* response by the nurse? A. Encourage the client to obtain a complete physical exam since these symptoms are consistent with an ulcer. B. Assure the client that his symptoms may only reflect reflux, since ulcer pain is not relieved with food. C. Instruct the client that these mild symptoms can generally be controlled with changes in his diet. D. Advise the client that he needs to seek immediate medical evaluation and treatment for these symptoms. A. Encourage the client to obtain a complete physical exam since these symptoms are consistent with an ulcer