Med Surg Exam 2023 (2) - HESI Questions

Med Surg Exam 2023 1 1. A client is admitted to the hospital with symptoms consistent with right hemisphere stroke. With Neurovascular assessment requires immediate intervention by the nurse? A. Pupillary changes to ipsilateral dilation B. Orientation to person and place only. C. Left Sided Facial dropping and dysphagia D. Unequal bilateral hand grip strengths 2. Achieve maximum mobility and independence for a client multiple sclerosis (MS). Which intervention is most important for the nurse to implement? A. Provide a walker for ambulation B. Frequently assist client to the bathroom C. Apply alternating patches over the eyes D. Teach strengthing exercises 3. The Nurse is teaching a client with glomerulonephritis about self-care. Which dietary recommendations should the nurse recommend the client to follow? A. Limit oral Fluid intake to 500 mL per day B. Restrict protein intake by including meats and other high protein foods C. Increase intake of potassium-rich foods such as bananas or cantaloupe D. Increase intake of high fiber foods, such as bran cereal. 4. The nurse Is caring for a client with herpes zoster who reports painful blisters that align from the back along the chest curvature to the anterior chest. Which intervention is the highest priority for the nurse? A. Place the client on contact precaution B. Administer antiviral medication C. Place wet compresses to ruptured vesicles D. Administer narcotic analgesics 5. A young adult who suffered a severe brain injury in an automobile collision has been mechanically ventilated for the past three days and has no spontaneous respiratory effort. After serial electroencephalograms (EEG) reveal no brain activity, the healthcare provider discusses end-of-life options with family who agree to discontinue life support. Which intervention should the nurse implement? A. Ask the family if they wish would remain at bedside during withdrawal B. Request a living will be placed in the client's medical record C. Discuss the withdrawal procedure with the family and offer support D. Turn off the mechanical ventilator and note the time of death....................................................