HESI MEDSURGE RN BRAND NEW QUESTIONS WITH NGN STYLE 55 Q&A V

HESI MEDSURGE RN BRAND NEW QUESTIONS WITH NGN STYLE 55 Q&A V1 27. A client with cancer develops tumor lysis syndrome (TLS) following chemotherapy. Which nursing action has the highest priority in responding symptoms of this syndrome? A. Identify potential sources of infection. B. Maintain intravenous therapy. C. Instruct the client to take analgesics on a regular scheduled. D. Encourage the client to verbalize anxiety and grief. ANSWERE: B 28. A client with hepatitis A is complaining of weakness and chronic fatigue. Which intervention is most important for the nurse to implement? A. Provide liberal fluids for hydration and excretion of metabolic waste products. B. Place belongings withing clients reach so that bed rest can be maintained. C. Encourage dietary selections that are high in essential vitamins and iron. D. Ensure the client has scheduled rest periods every 4 to 6 hours during the day. ANSWERE: A 29. A client who had a cast applied yesterday to the lower left arm comes to the clinic complaining of pain the casted arm. Which assessment finding is most important for the nurse to identify? A. Pain level of 8 on scale of 1 to 10. B. Presence of a pressure ulcer under the cast C. Location of burning pain below the cast D. Circulatory impairment distal to the cast. ANSWERE: D 30. The nurse reviews the laboratory values of a female client with metastatic breast cancer and nodes that the client’s serum calcium levels is 14 mg/dL (3.5 mmol/L) The client is weak fatigued, and depressed. New prescriptions include increasing the rate of intravenous fluids. Which actions should the nurse take first? A. Increase the intravenous fluids as prescribed. B. Offer to provide privacy so the client can rest. C. Encourage verbalization for the clients’ feelings. D. Provide a nutritional supplement for a snack. ANSWERE: A