hesi medsurg questions and answers

1. A client with chronic kidney disease (CKD) arrives at the emergency department reporting of shortness of breath upon exertion and extreme weakness. The client tells the nurse of normally receiving dialysis 3 times a week but missed the last treatment, the client serum potassium is 4.8 mEg/L and creatinine is 14 mg/dL accompanied with blood pressure of 200/120 mmHg. The client has salt crystals present on the skin. Which finding is most important for the nurse to bring to the attention of the healthcare provider? A. Blood pressure B. Potassium level C. Creatinine results D. Uremic Frost 2. The nurse is caring for a client admitted to the hospital with a tentative diagnosis of bacterial meningitis. Which diagnostic procedure should the nurse prepare the client for the healthcare provider? Lumbar puncture 3. The nurse is assessing a client’s arteriovenous (AV) fistula. Which finding provides evidence of its normal function? Enlarged vein 4. A client is hospitalized after experiencing a myocardial infarction (MI). To reduce cardiac workload, which intervention should the nurse include in the client’s plan of care? Provide a bedside commode for toileting 5. An older adult client with long term type 2 diabetes mellitus (DM) is seen in the clinic for a routine health assessment. Which assessments would the nurse complete to determine if a patient with type 2 diabetes mellitus (DM) is experiencing long term complications? (Select all that apply) Serum creatinine and blood urea nitrogen (BUN) Sensation in feet and legs Skin condition of lower extremities Visual acuity 6. A client with cushing’s syndrome is recovering from an elective laparoscopic procedure. Which assessment finding warrants immediate intervention by the nurse? Irregular apical pulse 7. The home health nurse is evaluating a male client who manages his asthma and measures his peak expiratory flow rate (PEFR). Today he is experiencing an acute exacerbation and tells the nurse his PEFR is 60% of his personal-best reading. He is experiencing expiratory and inspiratory wheezes and has a RR of 24 breaths/minute, and oxygen saturation rate of 94% on room air. Which PRN medication should the nurse instruct the client to use? Albuterol 2.5 to 5 mg per nebulization hesi medsurg questions and answers This study source was downloaded by from CourseH on :52:16 GMT -05:00 8. An older client has been diagnosed with chronic venous insufficiency. To promote venous return, which actions should the nurse encourage the client to take? 9. After assisting in a left lateral thoracentesis for a client with pleural diffusion, the nurse labels the pleural fluid samples and sends them to the lab. When monitoring the client post procedure, which finding warrants immediate intervention by the nurse? 10. A client with heart failure is receiving intravenous fluids at 125ml/hr. The nurse observes an increase in jugular vein distention and pedal edema. Which additional assessment should the nurse make before reporting to the healthcare provider? 11.A client