HESI Med-Surg 2021 | Questions with 100% Correct Answers | Verified

What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? - Light housekeeping is permitted but avoid heavy lifting. A male adult comes to the urgent care clinic 5 days after being diagnosed with influenza. He is short of breath, febrile, and coughing green colored sputum. Which intervention should the nurse implement first? - Obtain a sputum sample for culture. An elder male client tells the nurse that he is loosing sleep because he has to get up several times at night to go to the bathroom that he has trouble starting his urinary stream and that he does not feel like his bladder is ever completely empty. Which intervention should the nurse implement? - Palpate the bladder above the symphysis pubis. An adult client is admitted with diabetic keto acidosis (DKA) and a urinary tract infection (UTI). Prescriptions for IV ABX and insulin infusion are initiated. Which serum laboratory value warrants the most immediate intervention by the nurse? - Potassium of 2.5 mEq/L A client with sickle cell anemia develops a fever during the last hour of administration of a unit of packed RBC. When notifying the HCP what information should the nurse provide first using the SBAR communication process? - explain specific reason for urgent notification. An adult male client is admitted for pneumocystis carinil pneumonia (PCP) secondary to AIDS. While hospitalized he receives IV pentamidine isethionate therapy. In preparing this client for discharge, what important aspect regarding his medication therapy should the nurse explain? - It will be necessary to continue prophylactic doses of IV or aerosol pentane every month. A client subjective data includes dysuria, urgency, and urinary frequency. Which action should the nurse implement next? - Collect a clean catch specimen. A client tells the nurse that her biopsy results indicate that the cancer cells are well differentiated. How should the nurse respond? - ask the client if the HCP has given her any information about the classification of her cancer.