Medical –Surgical (Adult Health) Exit HESI

Medical –Surgical (Adult Health) Exit HESI Client developed syndrome of inappropriate antidiuretic hormone (SIADH) assoc with small cell CA of lung and preparing for DC. When teaching about self-management with demeclocycline (declomycin), instruct to report what? Determining the client position for insertion of indwelling catheter, Most important? Nurse teaching male with multiple sclerosis (MS) how to empty bladder using creude method. When performing return demonstration pt applies pressure to the umbilical area of his abdomen. What instruction? 35 yr old female client admitted to post anesthesia recovery unit following a partial thyroidectomy. What statement reflects accurate understanding of expected outcome for client? Following insertion of a LeVeen shunt in client with cirrhosis, which assessment finding indicates the shunt is effective? Finding a client sitting on the floor, nurse calls for help from UAP. Which task can ask to do? Client diagnosed with frontal lobe Glioma, benign tumor. Teaching about tumor what information? Greatest benefit for the client with which problem related to DM to change from the use of insulin syringes to using an insulin pen for med administration? Nurse evaluating asthmatic client’s response to an inhaled corticosteroid med. What assess finding indicates the med has been effective in controlling asthma symptoms. Planning care for client with diagnosis of “impaired mobility” nurse instructs the UAP to assist client with ambulation. HCP has prescription for bed rest. Action Nurse is preparing DC client from hosp who has aphasia secondary to CVA. What instruction to family to help communicate? When assessing a restless, intubated client on mechanical ventilation, nurse auscultates breath sounds on right side only. Action Nurse is assessing a client following a thoracotomy and left lung pneumonectomy. What assess finding anticipate? Male client with type 1 DM takes a combination of short-acting and intermediate-acting insulin. Client complains of headache when awakening, blood glucose average for the past week has been 210ng/dl. Nurse recognizes client is experiencing a daily or rebound effect. Which dosing method Which condition would likely cause secondary polycythemia Nurse caring for 42 year old male excreting less sodium than consuming. If continues, what complication? What instruction is most important for the nurse to provide a client with neutropenia Client with acute laryngitis reports feeling “SOB”. Nurse assesses RR and it has increased from 16 to 28. What intervention? When caring for client who had craniotomy yesterday for removal of pituitary tumor, which finding indicates further info is needed? Nursing action has highest priority in preventing post-op bleeding following a sub-mucosal resection for deviated septum? Female client chooses prophylactic mastectomy for positive BRCA1, mother died of breast CA at age 30, cousin diagnosed at age 28. Intervention ............................................continued..............................................