MEDSURG_HESI.

Medical-Surgical A 1.ID: Which milestone indicates to the nurse successful achievement of young adulthood? A. Demonstrates a conceptualization of death and dying. B. Completes education and becomes self-supporting. C. Creates a new definition of self and roles with others. D. Develops a strong need for parental support and approval. 2.ID: The nurse working on a telemetry unit finds a client unconscious and in pulseless ventricular tachycardia (VT). The client has an implanted automatic defibrillator. What action should the nurse implement? A. Prepare the client for transcutaneous pacemaker. B. Shock the client with 200 joules per hospital policy. C. Use a magnet to deactivate the implanted pacemaker. D. Observe the monitor until the onset of ventricular fibrillation. 3.ID: How should the nurse position the electrodes for modified chest lead one (MCL I) telemetry monitoring? A. Positive polarity right shoulder, negative polarity left shoulder, ground left chest nipple line. B. Positive polarity left shoulder, negative polarity right chest nipple line, ground left chest nipple line. C. Positive polarity right chest nipple line, negative polarity left chest nipple line, ground left shoulder. D. Negative polarity left shoulder, positive polarity right chest nipple line, ground left chest nipple line. 4.ID: Based on the analysis of the client's atrial fibrillation, the nurse should prepare the client for which treatment protocol? A. Diuretic therapy. B. Pacemaker implantation. C. Anticoagulation therapy. D. Cardiac catheterization. 5.ID: In preparing to administer intravenous albumin to a client following surgery, what is the priority nursing intervention? (Select all that apply.) A. Set the infusion pump to infuse the albumin within four hours. B. Compare the client's blood type with the label on the albumin. C. Assign a UAP to monitor blood pressure q15 minutes. D. Administer through a large gauge catheter. E. Monitor hemoglobin and hematocrit levels. F. Assess for increased bleeding after administration.