Medical Surgical Hesi
Study online at https://quizlet.com/_7bcjtr
The nurse is teaching a female client
- do not leave the diaphragm in place
who uses a contraceptive diaphragm
longer than 8 hours after intercourse
about reducing the risk for toxic shock
- replace the old diaphragm every 3
syndrome (TSS). Which information
months
should the nurse include?
Which findings should the nurse identify
as most significant for a client diagnosed 3+ bacteria in urine
with polycystic kidney disease (PKD)?
A client taking a thiazide diuretic for the
past 6 months has a serum potassium
a potassium supplement will be pre-
level of 3 (normal 3.5-5). The nurse antic-
scribed
ipates which changes in prescription for
the client?
A client has been taking oral corticos-
teroids for the past 5 days because of
purulent sputum (indication of infection)
seasonal allergies. Which assessment
finding is of most concern to the nurse?
A client is admitted to the medical ICU
with a dx of myocardial infarction. The
Elevated CK-MB
clients history indicates the infarction oc-
(peaks within 12-20 hours post MI. Indi-
curred ten hours ago. Which laboratory
cates myocardial damage)
test result would the nurse expect this
client to exhibit?
Healthcare workers must protect them-
selves against becoming infected with
HIV. The Center for Disease Control has
Wear gloves when coming in contact with
issued guidelines for healthcare workers
the blood or body fluids of any pt.
in relation to protection from HIV. These
guidelines include which recommenda-
tion?
The nurse is planning to initiate a so-
cialization group for older residents of
the usual activity patterns of each mem-
a long-term facility. Which information
ber of the group
would be most useful to the nurse when
planning activities for the group?
1/8
, Medical Surgical Hesi
Study online at https://quizlet.com/_7bcjtr
A male client receives a local anesthetic
during surgery. During the post-opera-
Evaluate his bp, pulse, and respiratory
tive assessment, the nurse notices the
status
client is slurring his speech. Which action
should the nurse take?
An adult client is admitted to the hospi-
tal burn unit with partial-thickness and
full-thickness burns over 40% of the body Regenerative function of the skin is ab-
surface area. In assessing the poten- sent because the dermal layer has been
tial for skin regeneration, what should destroyed
the nurse remember about full-thickness
burns?
A client with a 16 year hx of DM is having
renal function tests because of recent Nocturia (in early stages polyuria is pre-
fatigue, weakness, elevated BUN, and sent from the inability of the kidneys to
serum creatinine levels. Which finding concentrate urine and contributes to noc-
should the nurse conclude as an early turia)
symptom of renal insufficiency?
A client is admitted to the hospital with Lower left quadrant pain and a low grade
a dx of severe acute diverticulitis. Which fever (because the sigmoid colon is the
assessment finding should the nurse ex- most common area and inflammation
pect this client to exhibit? causes the fever)
A client with DM is experiencing polypha-
gia. Which outcome statement is the pri- adequate cellular nutrition
ority for this client?
During a health fair, a 72-year-old male
client tells the nurse that he is experi-
encing shortness of breath. Auscultation
reveals crackles and wheezing in both Productive cough with grayish-white spu-
lungs. Suspecting that the client might tum
have chronic bronchitis, which classic
symptom should the nurse expect this
client to have?
How should the nurse position the elec- Negative polarity left shoulder, positive
trodes for modified chest lead one (MCL polarity right chest nipple line, ground left
I) telemetry monitoring? chest nipple line
2/8
Study online at https://quizlet.com/_7bcjtr
The nurse is teaching a female client
- do not leave the diaphragm in place
who uses a contraceptive diaphragm
longer than 8 hours after intercourse
about reducing the risk for toxic shock
- replace the old diaphragm every 3
syndrome (TSS). Which information
months
should the nurse include?
Which findings should the nurse identify
as most significant for a client diagnosed 3+ bacteria in urine
with polycystic kidney disease (PKD)?
A client taking a thiazide diuretic for the
past 6 months has a serum potassium
a potassium supplement will be pre-
level of 3 (normal 3.5-5). The nurse antic-
scribed
ipates which changes in prescription for
the client?
A client has been taking oral corticos-
teroids for the past 5 days because of
purulent sputum (indication of infection)
seasonal allergies. Which assessment
finding is of most concern to the nurse?
A client is admitted to the medical ICU
with a dx of myocardial infarction. The
Elevated CK-MB
clients history indicates the infarction oc-
(peaks within 12-20 hours post MI. Indi-
curred ten hours ago. Which laboratory
cates myocardial damage)
test result would the nurse expect this
client to exhibit?
Healthcare workers must protect them-
selves against becoming infected with
HIV. The Center for Disease Control has
Wear gloves when coming in contact with
issued guidelines for healthcare workers
the blood or body fluids of any pt.
in relation to protection from HIV. These
guidelines include which recommenda-
tion?
The nurse is planning to initiate a so-
cialization group for older residents of
the usual activity patterns of each mem-
a long-term facility. Which information
ber of the group
would be most useful to the nurse when
planning activities for the group?
1/8
, Medical Surgical Hesi
Study online at https://quizlet.com/_7bcjtr
A male client receives a local anesthetic
during surgery. During the post-opera-
Evaluate his bp, pulse, and respiratory
tive assessment, the nurse notices the
status
client is slurring his speech. Which action
should the nurse take?
An adult client is admitted to the hospi-
tal burn unit with partial-thickness and
full-thickness burns over 40% of the body Regenerative function of the skin is ab-
surface area. In assessing the poten- sent because the dermal layer has been
tial for skin regeneration, what should destroyed
the nurse remember about full-thickness
burns?
A client with a 16 year hx of DM is having
renal function tests because of recent Nocturia (in early stages polyuria is pre-
fatigue, weakness, elevated BUN, and sent from the inability of the kidneys to
serum creatinine levels. Which finding concentrate urine and contributes to noc-
should the nurse conclude as an early turia)
symptom of renal insufficiency?
A client is admitted to the hospital with Lower left quadrant pain and a low grade
a dx of severe acute diverticulitis. Which fever (because the sigmoid colon is the
assessment finding should the nurse ex- most common area and inflammation
pect this client to exhibit? causes the fever)
A client with DM is experiencing polypha-
gia. Which outcome statement is the pri- adequate cellular nutrition
ority for this client?
During a health fair, a 72-year-old male
client tells the nurse that he is experi-
encing shortness of breath. Auscultation
reveals crackles and wheezing in both Productive cough with grayish-white spu-
lungs. Suspecting that the client might tum
have chronic bronchitis, which classic
symptom should the nurse expect this
client to have?
How should the nurse position the elec- Negative polarity left shoulder, positive
trodes for modified chest lead one (MCL polarity right chest nipple line, ground left
I) telemetry monitoring? chest nipple line
2/8
