1 bb/ bb38 MED SURG HESI BSN 266 exam questi ons with verified answers 1. A bbmale bbclient bbwith bbType bb1 bbdiabetes bbmellitus bbtakes bba bbcombination bbof bbshort bbacting bband bbintermediate bbacting bbinsulin. bbThe bbclient bbcomplains bbof bbheadaches bbwhen bbawakening bband bbhis bbblood bbglucose bbaverage bbfor bbthe bbpast bbweek bbhas bbbeen bb210. bbThe bbnurse bbrecognizes bbthe bbclient bbis bbexperiencing bba bbdaily bbSomogyi, bbor bbrebound bbeffect. bbWhich bbdosing bbmethod bbis bblikely bbto bbrelieve bbthese bbsymptoms?: bbMove bbthe bbPM bbintermediate - bbacting bbdose bbto bbbedtime. 2. When bbobtaining bba bbthroat bbculture bbfrom bba bb6 bbyear bbold bbwith bbpossible bbstrepococcal bbinfection, bbwhich bbaction bbis bbmost bbimportant bbfor bbthe bbnurse bbto bbimplement?: bbSwab bbthe bbchild's bberythematous bboropharyngeal bbsurfaces bbor bbtonsilar bbpustules. 3. The bbnurse bbis bbcaring bbfor bba bb42-year-old bbmale bbclient bbwho bbis bbexcreting bbless bbsodium bbthan bbhe bbis bbconsuming. bbIf bbthis bbcondition bbcontinues, bbwhat bbcomplication bbcan bbthe bbnurse bbexpect bbthis bbclient bbto bbexhibit?: bbedema 4. Which bbcondition bbwould bblikely bbcause bbsecondary bbpolycythemia?: bbHigh bbaltitude bbexposure. 5. An bbinfant bbis bbtreated bbfor bbintussusception bbwith bbhydrostatic bbreduction. bbWhat bbinstruction bbshould bbthe bbnurse bbinclude bbin bbthe bbparents' bbteaching bbplan?: bbs/s bbof bbreocurrence 6. A bbclient bbwith bbtype bb1 bbdiabetes bbmellitus bbis bbprescribed bb10 bbunits bbof bbintermediate bbacting bbinsulin bbto bbbe bbadministered bbat bbbedtime. bbFor bbwhich bbhealth bbproblem bbis bbthe bbinsulin bbbeing bbadministered bbat bbthis bbtime bbof bbday?: bbdawn bbphenomenon 7. The bbnurse bbis bbobtaining bba bbthroat bbculture bbof bba bbclient's bbposterior bboropharyngeal bbregion. bbFor bbwhich bbhealth bbproblem bbwill bbthis bbspecimen bbbe bbused bbto bbdiagnose?: bbstrep bbthroat 8. A bbmiddle -aged bbmale bbclient bbis bbbeing bbevaluated bbfor bblower bbextremity bbedema. bbWhich bblaboratory bbvalue bbwill bbbe bbused bbto bbaid bbin bbdetermining bbthe bbcause bbof bbthis bbclient's bbmanifestation?: bbserum bbsodium 9. A bbclient bbis bbdiagnosed bbwith bbsecondary bbpolycythemia. bbWhich bbhealth bbcondition bbcontributed bbto bbthe bbdevelopment bbof bbthis bbsecondary bbproblem?: bbhypovolemia 10. A bbclient bbin bbthe bboliguric bbphase bbof bbacute bbrenal bbfailure bb(ARF) bbhas bba bb24 bbhour bburine bboutput bbof bb400ml. bbnurse bbshould bballow bbthis bbclient bbto bbhave bbhow . bb 2 bb/ bb38 bbmuch bboral bbintake bbduring bbthe bbnext bb24 bbhours?: bblimit bboral bbintake bbto bb900. bbto bb1000ml 11. A bbfemale bbclient bbon bbthe bbmental bbhealth bbunit bbtells bbthe bbnurse bbthat bbher bbroommate bbis bbsitting bbon bbthe bbbathroom bbfloor bbwith bbsuperficial bbcuts bbon bbher bbwrists. bbThe bbnurse bbcleans bband bbassesses bbthe bbclient's bbwrists bband bbasks bbher bbwhat bbhappened. bbShe bbdoesn't bbrespond. bbNext?: bbtake bbthe bbclient bbto bba bbroom bbfor bbsupervision bbby bbstaff 12. What bbassessment bbtechnique bbshould bbthe bbnurse bbuse bbto bbmonitor bba bbclient bbfor bba bbcommon bbuntoward bbeffect bbof bbphenytoin bb(Dilantin)?: bbinspection bbof bbthe bbmouth 13 bbThe bbnurse bbis bbpreparing bbto bbadminister bban bbIM bbdose bbof bbVitamin bbB1 bb(thiamine) bbto bba bbmale bbclient bbexperiencing bbacute bbalcohol bbwithdrawal bband bbperipheral bbneuritis. bb The bbclient bbbelligerently bbstates, bb"what bbdo bbyou bbthink bbyou're bbdoing?" bbResponse? - : bb"This bbshot bbwill bbhelp bbrelieve bbthe bbpain bbin bbyour bbfeet 14. When bbadministering bban bbintramuscular bbinjection bbcontaining bb3 bbml bbof bba bbpainful bbmedication, bbIntervention?: bbselect bba bblarge, bbdeep bbmuscle bbmass 15. Locate bbthe bboptic bbdisk: bbthe bbreally bblight bbarea bbon bbthe bbright 16. When bbcompleting bba bbmental bbhealth bbassessment, bbthe bbnurse bbwishes bbto bbobtain bbinformation bbabout bba bbclient's bbinsight bband bbjudgment. bbWhich bbinterview bbtechnique bbis bbmost bbuseful bbin bbassessing bbthese bbmental bbabilities: bbhave bbthe bbclient bbdescribe bbwhat bbshould bbbe bbdone bbif bba bbchild bbwas bbobserved bbalone bbin bba bblocked bbcar bbon bba bbhot bbday 17. An bbadult bbMuslim bbclient bbwith bbulcerative bbcolitis bbwas bbadmitted bbto bbthe bbpost -surgical bbunit bbearlier bbtoday bbfollowing bba bbbowel bbresection bbwith bbtemporary bbcolostomy. bbWhich bbintervention bbis bbmost bbimportant bbfor bbthe bbnurse bbto bbimplement?: bbassign bba bbcare bbprovider bbof bbthe bbsame bbgender 18. The bbparents bbof bba bb6-year-old bbrecently bbdiagnosed bbwith bbDuchene bbmuscular bbdystrophy bbtell bbthe bbnurse bbthat bbtheir bbchild bbwants bbto bbcontinue bbattending bbswimming bbclasses. bbHow bbshould bbthe bbnurse bbrespond?: bbencourage bbthe bbparents bbto bballow bbthe bbchild bbto bbcontinue bbattending bbswimming bblessons bbwith bbsupervision 19. The bbnurse bbinitiates bba bbone-to-one bbrelationship bbwith bba bb35-year-old bbdepressed bbfemale bbclient bbwho bbwas bbrecently bbadmitted bbto bbthe bbpsychiatric bbfacility. bbWhich bbnursing bbaction bbis bbmost bbeffective bbin bbpromoting bbthe . bb 3 bb/ bb38 MED bbSURG bbHESI bbBSN bb266 Study bbonline bbat bbhttps://quizlet.com/_crxqpy bbdevelopment bbof bba bbtherapeutic bbrelationship?: bbensure bbthat bbscheduled bbappointments bbbegin bbaccording bbto bbthe bbschedule 20. An bb18-year-old bbfemale bbclient bbis bbadmitted bbto bbthe bbunit bbafter bbingesting bban bboverdose bbof bbPhenobarbital bb(Luminal). bbShe bbis bbunresponsive bband bbABG bbresults bbare: bbpH bb7.18, bbPaCO2 bb60 bbmmHg, bband bbHCO3 bb26 bbmEq/L. bbWhich bbinterpretation bbof bbthe bbclient's bb ABG bbresults bbby bbthe bbnurse bbis bbaccurate?: bbrespiratory bbacidosis, bbuncompensated bb21. bbA bbmale bbclient bbwith bbmultiple bbmyeloma bbis bbadmitted bbwith bbpneumonia bband bbpancytopenia. bbThe bbnurse bbreviews bbthe bbcomplete bbblood bbcell bbcount bbfindings bband bbidentifies bba bbplatelet bbcount bbof bb20,000 bbcells/mm3. bbWhich bbintervention bbshould bbthe bbnurse bbinclude bbin bbthe bbclient's bbplan bbof bbcare?: bbavoid bbintramuscular bbinjections 22. The bbnurse bbis bbplanning bbcare bbfor bba bb48-year-old bbclient, bbdiagnosed bbwith bbschizophrenia bbat bbage bb25, bbwho bbhas bbbeen bbtaking bbantipsychotic bbdrugs bbsince bbdiagnosis. bbLong -term bbuse bbof bbthese bbdrugs bbis bbassociated bbwith bbwhich bbside bbeffect?: bbtardive bbdyskinesia 23. What bbinstruction bbis bbmost bbimportant bbfor bbthe bbnurse bbto bbprovide bba bbclient bbwith bbneutropenia?: bbavoid bbsources bbof bbpotential bbinfection 24 bbA bbclient bbwith bbacute bblaryngitis bbreports bbfeeling bb"short bbof bbbreath". bbThe bbnurse bbassesses bbthat bbthe bbclient's bbrespiratory bbrate bbhas bbincreased bbfrom bb16/minute bbto bb28/minute. bbWhat bbintervention bbshould bbthe bbnurse bbimplement?: bbassess bbthe bbclient bbfor bbstridor bband bbincreased bbrespiratory bbeffort 25. bbWhen bbcaring bbfor bba bbclient bbwho bbhad bba bbcraniotomy bbyesterday bbfor bbremoval bbof bba bbpituitary bbtumor, bbwhich bbfinding bbindicates bbto bbthe bbnurse bbthat bbfurther bbinformation bbis bbneeded?: bburine bboutput bbfor bb8 bbhours bbis bb2000 bbml bbwith bba bbspecific bbgravity bbof bb1.001 bb26. bbThe bbnurse bbis bbworking bbwith bban bbinterdisciplinary bbgroup bbto bbwrite bbprocedures bbfor bbassessment bbof bbclients bbfrom bba bbmultiracial bbinner bbcity bbpopulation. bbThe bbguidelines bbinclude bba bbstatement bbthat bbreads, bb"Remember bbthat bball bbHispanic bbclients bbmay bbnot bbwish bbto bbgive bbpersonal bbmedical bbinformation bbto bba bbstranger." bbWhich bbaction bbshould bbthe bbnurse bbtake?: bbrecommend bbchanging bbthe bblanguage bbthat bbstereotypes bbone bbethnic bbgroup 27. bbA bb6-month -old bbclient bbis bbdiagnosed bbwith bbintussusception. bbFor bbwhich bbmedical bbintervention bbwill bbthe bbnurse bbprepare bbthis bbclient?: bban bbenema bb28. bbThe bbnurse bbis bbreviewing bbthe bbmedication bbhistory bbof bba bbclient bbwho bbis bbdemonstrating bbtardive bbdyskinesia. bbWhich bbmedication bbclassification bbwill bbthe bbnurse bbfocus bbon bbduring bbthis bbreview?: bbantipsycotics . bb 4 bb/ bb38 29. A bbclient bbreceiving bbchemotherapy bbas bbpart bbof bbcancer bbtreatment bbhas bbdeveloped bban bbupper bbrespiratory bbinfection. bbThe bbnurse bbrealizes bbthe bbcause bbof bbthis bbinfection bbmay bbbe bbdue bbto:: bblow bbwbc bbcount 30. The bbnurse bbhas bbexplained bbsafety bbprecautions bband bbinfant bbcare bbto bba bbprimigravida bbmother bband bbobserves bbthe bbmother bbas bbshe bbgives bbcare bbto bbher bbnewborn bbduring bbthe bbfirst bbtwo bbdays bbof bbrooming -in. bbwhich bbaction bbindicates bbthe bbmother bbunderstands bbinstructions?: bbpositions bbthe bbinfant bbsupine bbin bbthe bbcrib bbto bbsleep 31. HCP bbprescribes bbamoxicillin bb(Amoxil) bb1.5 bbgrams bbPO bbdaily, bbin bbequally bbdivided bbdoses bbto bbbe bbadministered bbevery bb8 bbhours. bbThe bbmedication bbis bbavailable bbin bba bbbottle bblabeled, bb"Amoxicillin bb(Amoxil) bbsuspension bb200mg/5ml." bbHow bbmany bbml bbshould bbnurse bbadminister bbevery bb8 bbhours?: bb12.5 32. 20 bbyear bbold bbfemale bbclient bbtells bbnurse bbher bbmenstrual bbperiods bboccur bbabout bbevery bb28 bbdays, bband bbher bbbreasts bbare bbquite bbtender bbwhen bbher bbflow bbis bbheavy. bbShe bbalso bbstates bbthat bbshe bbperforms bbher bbbreast bbself-exam bbon bbthe bbfirst bbday bbof bbevery bbmonth. bbAction?: bbencourage bbthe bbclient bbto bbperform bbBSE bb2-
3 bbdays bbafter bbmenstrual bbperiod bbends 33. The bbnurse bbis bbplanning bbcare bbfor bban bbassigned bbgroup bbof bbclients bbin bba bbsmall bbnurse bbcare bbfacility, bbwhich bbclient bbshould bbthe bbnurse bbsee bbfirst?: bban bbolder bbclient bbwith bbaddison's bbdisease bband bb20 bbmmHg bbdecline bbin bbsystolic bbpressure 34 bbWhich bbself-care bbmeasure bbis bbmost bbimportant bbfor bbthe bbclinic bbnurse bbto bbemphasize bbwhen bbteaching bba bbclient bbwho bbwas bbrecently bbdiagnosed bbwith bbosteoporosis? - : bbinspect bbyour bbhome bbfor bbsafety bbhazards 35. A bbmother bbbrings bbher bb4 bbmonth bbold bbson bbto bbthe bbclinic bbwith bba bbquarter bbtaped bbover bbhis bbumbilicus bband bbtells bbthe bbnurse bbthe bbquarter bbis bbsupposed bbto bbfix bbher bbchild's bbhernia. bbWhich bbexplanation bbshould bbthe bbnurse bbprovide?: bbthe bbhernia bbis bbnormal bbvariation bbthat bbresolves bbwithout bbtreatment 36. The bbnurse bbbegins bban bboral bbmedication bbprescription bbto bbbe bbgiven bbdaily bbto bba bbmale bbclient bbwho bbtells bbthe bbnurse bbthat bbhe bbwill bbtake bbhis bbmedication bblater. bbWhat bbaction bbshould bbthe bbnurse bbimplement?: bbagree bbupon bbthe bbtime bbto bbreturn bbto bbthe bbclient's bbroom bbwith bbthe bbmedication 37. Following bba bbleft bbabove bbthe bbknee bbamputation, bbthe bbclient bbvoiced bbseveral bbcomplaints. bbWhat bbstatement bbshould serve bbas bba bbwarning bbto bbthe bbnurse bbthat bbthe bbclient bbmay bbbe bbexperiencing bbcomplications?: bbI've bbbeen bbfeeling bblight bbheaded
3 bbdays bbafter bbmenstrual bbperiod bbends 33. The bbnurse bbis bbplanning bbcare bbfor bban bbassigned bbgroup bbof bbclients bbin bba bbsmall bbnurse bbcare bbfacility, bbwhich bbclient bbshould bbthe bbnurse bbsee bbfirst?: bban bbolder bbclient bbwith bbaddison's bbdisease bband bb20 bbmmHg bbdecline bbin bbsystolic bbpressure 34 bbWhich bbself-care bbmeasure bbis bbmost bbimportant bbfor bbthe bbclinic bbnurse bbto bbemphasize bbwhen bbteaching bba bbclient bbwho bbwas bbrecently bbdiagnosed bbwith bbosteoporosis? - : bbinspect bbyour bbhome bbfor bbsafety bbhazards 35. A bbmother bbbrings bbher bb4 bbmonth bbold bbson bbto bbthe bbclinic bbwith bba bbquarter bbtaped bbover bbhis bbumbilicus bband bbtells bbthe bbnurse bbthe bbquarter bbis bbsupposed bbto bbfix bbher bbchild's bbhernia. bbWhich bbexplanation bbshould bbthe bbnurse bbprovide?: bbthe bbhernia bbis bbnormal bbvariation bbthat bbresolves bbwithout bbtreatment 36. The bbnurse bbbegins bban bboral bbmedication bbprescription bbto bbbe bbgiven bbdaily bbto bba bbmale bbclient bbwho bbtells bbthe bbnurse bbthat bbhe bbwill bbtake bbhis bbmedication bblater. bbWhat bbaction bbshould bbthe bbnurse bbimplement?: bbagree bbupon bbthe bbtime bbto bbreturn bbto bbthe bbclient's bbroom bbwith bbthe bbmedication 37. Following bba bbleft bbabove bbthe bbknee bbamputation, bbthe bbclient bbvoiced bbseveral bbcomplaints. bbWhat bbstatement bbshould serve bbas bba bbwarning bbto bbthe bbnurse bbthat bbthe bbclient bbmay bbbe bbexperiencing bbcomplications?: bbI've bbbeen bbfeeling bblight bbheaded