MED SURG II HESI (Elsevier)
Study online at https://quizlet.com/_8enxto
MED SURG II HESI (Elsevier) 2022\2023
1. A client is admitted for dehydration, and an intravenous (IV) infusion of
normal saline at 125 mL/hr has been started. One hour after the IV initiation
the client begins screaming, "I can't breathe!" The nursing priority action
is:
1. Discontinue the IV site and contact the primary health care provider
2. Elevate the head of the bed and obtain vital signs
3. Contact the primary health care provider to obtain a prescription for a
sedative
4. Assess for allergies and change the IV to an intermittent infusion device:
Elevate the head of the bed and obtain vital signs
, MED SURG II HESI (Elsevier)
Study online at https://quizlet.com/_8enxto
2. A nurse is assessing a client with a diagnosis of early left ventricular
heart failure. Specific to this type of heart failure, the nurse expects the
client to state:
1. "My ankles are swollen."
2. "I am tired at the end of the day."
3. "When I eat a large meal, I feel bloated."
4. "I have trouble breathing when I walk rapidly: 4. "I have trouble breathing
when I walk rapidly
3. A client who had a myocardial infarction asks the nurse, "What's the
chance of my having another heart attack if I carefully watch my diet and
stress levels?" What is the nurse's most appropriate initial response?
Study online at https://quizlet.com/_8enxto
MED SURG II HESI (Elsevier) 2022\2023
1. A client is admitted for dehydration, and an intravenous (IV) infusion of
normal saline at 125 mL/hr has been started. One hour after the IV initiation
the client begins screaming, "I can't breathe!" The nursing priority action
is:
1. Discontinue the IV site and contact the primary health care provider
2. Elevate the head of the bed and obtain vital signs
3. Contact the primary health care provider to obtain a prescription for a
sedative
4. Assess for allergies and change the IV to an intermittent infusion device:
Elevate the head of the bed and obtain vital signs
, MED SURG II HESI (Elsevier)
Study online at https://quizlet.com/_8enxto
2. A nurse is assessing a client with a diagnosis of early left ventricular
heart failure. Specific to this type of heart failure, the nurse expects the
client to state:
1. "My ankles are swollen."
2. "I am tired at the end of the day."
3. "When I eat a large meal, I feel bloated."
4. "I have trouble breathing when I walk rapidly: 4. "I have trouble breathing
when I walk rapidly
3. A client who had a myocardial infarction asks the nurse, "What's the
chance of my having another heart attack if I carefully watch my diet and
stress levels?" What is the nurse's most appropriate initial response?
