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Followingmdischargemteaching,mammalemclient mwithmduodenalmulcermtellsmthemnursemthemhemwill mdr
inkmplentymof mdairymproducts,msuchmasmmilk,mtomhelpmcoat mand mprotect mhismulcer.mWhat mismthembest
follow-upmactionmbymthemnurse?
m
(ANS-mReview mwithmthemclient mthemneed mtomavoid mfoodsmthat maremrichminmmilkmand mcream
Ammalemclient mwithmhypertension,mwhomreceived mnew mantihypertensivemprescriptionsmat mhismlast m
visit mreturnsmtomthemclinicmtwomweeksmlatermtomevaluatemhismblood mpressurem(BP).mHis mBPmism158/
106mand mhemadmitsmthat mhemhasmnot mbeenmtakingmthemprescribed mmedicationmbecausemthemdrugsmm
akemhimm"feelmbad".mInmexplainingmthemneed mformhypertensionmcontrol,mthemnursemshould mstressmt
hat manmelevated mBPmplacesmthemclient mat mriskmformwhichmpathophysiologicalmcondition?
(ANS-mStrokemsecondarymtomhemorrhage
Themnursemobservesmanmunlicensed massistive mpersonnelm(UAP)mpositioningmamnewly madmitted mcli
ent mwhomhasmamseizuremdisorder.mThemclient mismsupinemand mthemUAPmismplacingmsoft mpillowsmalong
themsidemrails.mWhat mactionmshould mthemnursemimplement?m(ANS-
m
Instruct mthemUAPmtomobtainmsoft mblanketsmtomsecuremtomthemsidemrailsminstead mof mpillows.
m
Anmadolescent mwithmmajormdepressivemdisordermhasmbeenmtakingmduloxetinem(Cymbalta)mf
ormthempast m12mdays.mWhichmassessment mfindingmrequiresmimmediatemfollow-up?
(ANS-mDescribesmlifemwithout mpurpose
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Amclient mwhomrecentlymunderwearmamtracheostomymismbeingmprepared mformdischargemtomho
me.mWhichminstructionsmismmost mimportant mformthemnursemtomincludeminmthemdischarge mplan
?m(ANS-mTeachmtrachealmsuctioningmtechniques
Inmassessingmanmadult mclient mwithmampartialmrebreathermmask,mthemnursemnotesmthat mthemoxygenmres
ervoirmbagmdoesmnot mdeflatemcompletelymduringminspirationmand mthemclient'smrespiratorymratemism14m
breathsm/mminute.mWhat mactionmshould mthemnursemimplement?m(ANS-
Document mthemassessment mdata
m
Rationale:mreservoirmbagmshould mnot mdeflatemcompletelymduringminspirationmand mthemclien
t'smrespiratorymratemismwithinmnormalmlimits.
Duringmshift mreport,mthemcentralmelectrocardiogramm(EKG)mmonitoringmsystemmalarms.mWhi
chmclient malarmmshould mthemnurseminvestigatemfirs?
(ANS-mRespiratorymapneamof m30mseconds
Duringmamhomemvisit,mthemnursemobserved manmelderlymclient mwithmdiabetesmslipmand mfall.mW
hat mactionmshould mthemnursemtakemfirst?
(ANS-mCheckmthemclient mformlacerationsmormfractures
At m0600mwhilemadmittingmamwomanmformamschedulemrepeat mcesareanmsectionm(C-
Section),mthemclient mtellsmthemnursemthat mshemdrankmamcupmamcoffeemat m0400mbecausemshemwanted mt
m
omavoid mgettingmamheadache.mWhichmactionmshould mthemnursemtakemfirst?m(ANS-
Informmthemanesthesiamcaremprovider
m
Aftermplacingmamstethoscopemasmseenminmthempicture,mthemnursemauscultatesmS1mand mS2mheart msoun
ds.mTomdeterminemif manmS3mheart msound mismpresent,mwhat mactionmshould mthemnursemtakemfirst?
(ANS-mListenmwithmthembellmat mthemsamemlocation
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Am66-year-
old mwomanmismretiringmand mwillmnomlongermhavemamhealthminsurancemthroughmhermplacemof memploy
ment.mWhichmagencymshould mthemclient mbemreferred mtombymthememployeemhealthmnursemformhealthmi
nsurancemneeds?
(ANS-mMedicare
Am60-year-
old mfemalemclient mwithmampositivemfamilymhistorymof movarianmcancermhasmdeveloped manmabdomi
nalmmassmand mismbeingmevaluated mformpossiblemovarianmcancer.mHermPapanicolau m(Pap) msmearmr
esultsmaremnegative.mWhat minformationmshould mthemnursemincludeminmthemclient'smteachingmplan
?
(ANS-mFurthermevaluationminvolvingmsurgerymmaymbemneeded
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Followingmdischargemteaching,mammalemclient mwithmduodenalmulcermtellsmthemnursemthemhemwill mdr
inkmplentymof mdairymproducts,msuchmasmmilk,mtomhelpmcoat mand mprotect mhismulcer.mWhat mismthembest
follow-upmactionmbymthemnurse?
m
(ANS-mReview mwithmthemclient mthemneed mtomavoid mfoodsmthat maremrichminmmilkmand mcream
Ammalemclient mwithmhypertension,mwhomreceived mnew mantihypertensivemprescriptionsmat mhismlast m
visit mreturnsmtomthemclinicmtwomweeksmlatermtomevaluatemhismblood mpressurem(BP).mHis mBPmism158/
106mand mhemadmitsmthat mhemhasmnot mbeenmtakingmthemprescribed mmedicationmbecausemthemdrugsmm
akemhimm"feelmbad".mInmexplainingmthemneed mformhypertensionmcontrol,mthemnursemshould mstressmt
hat manmelevated mBPmplacesmthemclient mat mriskmformwhichmpathophysiologicalmcondition?
(ANS-mStrokemsecondarymtomhemorrhage
Themnursemobservesmanmunlicensed massistive mpersonnelm(UAP)mpositioningmamnewly madmitted mcli
ent mwhomhasmamseizuremdisorder.mThemclient mismsupinemand mthemUAPmismplacingmsoft mpillowsmalong
themsidemrails.mWhat mactionmshould mthemnursemimplement?m(ANS-
m
Instruct mthemUAPmtomobtainmsoft mblanketsmtomsecuremtomthemsidemrailsminstead mof mpillows.
m
Anmadolescent mwithmmajormdepressivemdisordermhasmbeenmtakingmduloxetinem(Cymbalta)mf
ormthempast m12mdays.mWhichmassessment mfindingmrequiresmimmediatemfollow-up?
(ANS-mDescribesmlifemwithout mpurpose
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mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
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m m m m
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Amclient mwhomrecentlymunderwearmamtracheostomymismbeingmprepared mformdischargemtomho
me.mWhichminstructionsmismmost mimportant mformthemnursemtomincludeminmthemdischarge mplan
?m(ANS-mTeachmtrachealmsuctioningmtechniques
Inmassessingmanmadult mclient mwithmampartialmrebreathermmask,mthemnursemnotesmthat mthemoxygenmres
ervoirmbagmdoesmnot mdeflatemcompletelymduringminspirationmand mthemclient'smrespiratorymratemism14m
breathsm/mminute.mWhat mactionmshould mthemnursemimplement?m(ANS-
Document mthemassessment mdata
m
Rationale:mreservoirmbagmshould mnot mdeflatemcompletelymduringminspirationmand mthemclien
t'smrespiratorymratemismwithinmnormalmlimits.
Duringmshift mreport,mthemcentralmelectrocardiogramm(EKG)mmonitoringmsystemmalarms.mWhi
chmclient malarmmshould mthemnurseminvestigatemfirs?
(ANS-mRespiratorymapneamof m30mseconds
Duringmamhomemvisit,mthemnursemobserved manmelderlymclient mwithmdiabetesmslipmand mfall.mW
hat mactionmshould mthemnursemtakemfirst?
(ANS-mCheckmthemclient mformlacerationsmormfractures
At m0600mwhilemadmittingmamwomanmformamschedulemrepeat mcesareanmsectionm(C-
Section),mthemclient mtellsmthemnursemthat mshemdrankmamcupmamcoffeemat m0400mbecausemshemwanted mt
m
omavoid mgettingmamheadache.mWhichmactionmshould mthemnursemtakemfirst?m(ANS-
Informmthemanesthesiamcaremprovider
m
Aftermplacingmamstethoscopemasmseenminmthempicture,mthemnursemauscultatesmS1mand mS2mheart msoun
ds.mTomdeterminemif manmS3mheart msound mismpresent,mwhat mactionmshould mthemnursemtakemfirst?
(ANS-mListenmwithmthembellmat mthemsamemlocation
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mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
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m m m m
2022/Test Bank m
Am66-year-
old mwomanmismretiringmand mwillmnomlongermhavemamhealthminsurancemthroughmhermplacemof memploy
ment.mWhichmagencymshould mthemclient mbemreferred mtombymthememployeemhealthmnursemformhealthmi
nsurancemneeds?
(ANS-mMedicare
Am60-year-
old mfemalemclient mwithmampositivemfamilymhistorymof movarianmcancermhasmdeveloped manmabdomi
nalmmassmand mismbeingmevaluated mformpossiblemovarianmcancer.mHermPapanicolau m(Pap) msmearmr
esultsmaremnegative.mWhat minformationmshould mthemnursemincludeminmthemclient'smteachingmplan
?
(ANS-mFurthermevaluationminvolvingmsurgerymmaymbemneeded
MED SURG HESI EXIT EXAM/Latest
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Downloadedmby:mNURSINGGRADER01m| Wantmto mearn
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