SATISFACTION GUARANTEED HESI ADV MED SURG 2022/2023 review 2 STUDY GUIDE Q&AS BEST EXAM SOLUTION SUCCESS LATESTUPDATE 2022/2023 GRADED A+

• *After a transurethral resection of the prostate (TURP), a client has bloody urine output with large clots. The nurse implements the postoperative prescription to irrigate the indwelling catheter PRN to maintain the catheter’s patency. Which action should the nurse implement? Clamp the catheter for 30 minutes prior to irrigating with saline • *A male client with a history of asthma reports having episodes of bronchoconstriction and increased mucous production while exercising. Which action should the nurse implement? (me salio) a. Teach client to use pursed lip breathing when episodes occur b. Assess client for signs and symptoms of upper airway infection c. Determine if the client is using an inhaler before exercising d. Review the client's routine asthma management prescriptions. Determine if the client is using an inhaler before exercising (Using a prescribed bronchodilator inhaler 10 minutes before participating in aerobic activity can control exercise-induced asthma (EIA). The nurse should assess if the client is using their inhaler before initiating exercise) • *A client with unstable asthma had an emergent cardiac catheterization. Which complication should the nurse monitor for in the initial 24 hours after the procedure? a. angina at rest b. thrombus formation c. dizziness d. falling blood pressure Thrombus formation • *A client with chronic kidney disease (CDK) arrives at the clinic reporting shortness of breath on exertion and extreme weakness. Vital signs are temperature 100.4 F (38 C), heart rate 110 beats/minute, respirations 28 breaths/minute, and blood pressure 175/98 mmHg. The client usually receives dialysis three times a week but missed the last treatment. STAT blood specimens are sent to the laboratory for analysis. Which laboratory results should the nurse report to the healthcare provider immediately? Potassium 6.5 mEq/L (mmol/L) • *The healthcare provider prescribes an IV solution of regular insulin (Hummulin-R) 100 units in 250 ml of 0.45% saline to infuse at 12 units/hour. The nurse should program the infusion pump to deliver how many ml/hour? 30 • *A client with ulcerative colitis is admitted to the medical unit during an acute exacerbation. The nurse should instruct the unlicensed assistive personnel (UAP) to report which finding related to the client’s bowel movements? a. Hard pellets of stool b. Clay-colored stool c. Stool with fatty streaks d. Blood in the stool Blood in the stool • *Which food is most important for the nurse to encourage a male client with osteomalacia to include in his daily diet? Me salio a. red meats and eggs b. fortified milk and cereals c. citrus fruits and juices d. green leafy vegetables Fortified milk and cereals • *The nurse assists a male client with Parkinson’s disease (PD) to ambulate in the hallway. The client appears to “freeze” and then carefully lifts one leg and steps forward. He tells the nurse that he is pretending to step over a crack on the floor. How should the nurse respond?