HESI Med Surg AUGUST 2022 questions and answers 100% verified.

HESI Med Surg AUGUST 2022 questions and answers 100% verified. While completing a health assessment for a young adult female with acute appendicitis, the client informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to take the client to surgery. Which intervention should the nurse implement immediately? - correct answers.Perform a bedside pregnancy test. A client is admitted to the medical unit during an exacerbation of systemic lupus erythematosus (SLE). It is most important to report which assessment finding to the health care provider? - correct answers.Hematuria The nurse is providing teaching to a client with type 2 diabetes mellitus about managing care at home. Which information provided by the client indicates understanding? - correct answers.Include no more than 1-2 alcoholic beverages in diet per day A client is recovering from a transurethral prostatectomy. Which activity should we limited until the first postoperative visit with his health care provider? - correct answers.Driving in a car. The home health nurse provides teaching about insulin self injection to a client who was recently diagnosed with diabetes mellitus. When the client begins to perform a return demonstration of an insulin injection into the abdomen as seen in the video which instruction should the nurse provide? - correct answers.Continue with the insulin injection The family suspects that acquired immune deficiency syndrome (AIDS) dementia is occurring in their son who is human immunodeficiency virus (HIV) positive. Which symptom confirms their suspicious? - correct answers.A change has recently occurred in his handwriting The nurse is caring for a client in the post anesthesia care unit (PACU) who underwent a thoracotomy two hours ago. The nurse observes the following vital signals, heart rate 140 beats/minute, respirations 26 breaths/minute, and blood pressure 140/90 mmHg. Which intervention is most important for the nurse to implement? - correct answers.Encourage the client to splint the incision with a pillow to cough and deep breathe After three days of persistent epigastric pain, a female client presents to the clinic. She has been taking oral antacids without reflux. Her vital signs are heart rate 122 beats/minute, respiration 16 breaths/minute, oxygen saturation 96% and blood pressure 116/70 mmHg. The nurse obtains a 12 lead electrocardiogram. Which assessment finding is most critical? - correct answers.ST elevation in three leads A client with cholelithiasis is admitted with jaundice due to obstruction of the common bile duct. Which finding is most important for the nurse to report to the healthcare provider? - correct answers.Distended, hard, and rigid abdomen A client with hyperparathyroidism reports a sudden onset of severe flank pain. Which intervention should the nurse include in the clients plan of care? - correct answers.Begin straining all urine . A client with chronic kidney disease is started on hemodialysis. During the first dialysis treatment, the clients blood pressure drops mmHg to 80/30 mmHg. Which action should the nurse take first? - correct answers.Lower the head of the chair and elevate feet The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing abdominal pain. To help the client manage the pain, which assessment data is most important for the nurse to obtain? - correct answers.Eating patterns of dietary intake A client who had a C5 spinal cord injury 2 years ago is admitted to the emergency department with the diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment finding should the nurse expect this client to exhibit? - correct answers.Profuse diaphoresis and severe, pounding headache A client tells the clinic nurse about experiencing burning on urination and assessment reveals that the client had sexual intercourse four days ago with a person who has casually met. Which action should the nurse implement? - correct answers.Obtain a specimen of urethral drainage for culture A client is hospitalized with heart failure (HF). Which intervention should the nurse implement to improve ventilation and reduce venous return? - correct answers.Place the client in high Fowler position An older adult client with a long history of chronic obstructive pulmonary disease (COPD) is admitted with progressive shortness of breath and a persistent cough. The client is anxious and is complaining of a dry mouth. Which intervention should the nurse implement? - correct answers.Assist client to an upright position The nurse is obtaining a health history from a new client who has a history of kidney stones. Which statement by the client indicates an increased risk for renal calculi? - correct answers.Eats a vegetarian diet with cheese 2 to 3 times a day Which client has the highest risk for developing skin cancer? - correct answers.A 65 year old fair skinned client who is a construction worker When providing care for an unconscious client who has seizures, which nursing intervention is most essential? - correct answers.Ensure oral suction is available. A client who had colon surgery 3 days ago is anxious and requesting assistance to reposition. While the nurse is turning the client, the wound dehiscence's and eviscerates. The nurse moistens an available sterile dressing and places it over the wound. Which intervention should the nurse implement next? - correct answers.Prepare the client to return to the operating room . An adult who was recently diagnosed with glaucoma tells the nurse, "it feels like I am driving through a tunnel." The client expresses great concern about going blind. Which nursing instruction is most important for the nurse to provide this client? - correct answers.Maintain prescribed eye drop regimen. The nurse has conducted a cancer prevention community education program. In evaluating the participants understanding of the carcinogens, which statement indicates an accurate understanding? - correct answers.Substances that change a cell so that it becomes cancerous are potential sources of cancer .A client receives a prescription for 1 liter of lacted ringers intravenously to be infused over 6 hours. How many ml/hr should the nurse program the infusion pump to deliver? - correct answers.167 mL Two hours after the nurse administration penicillin 2.4 million units IM to a client a syphilis infection, the client describes feeling achy, pain at the injection site, and exhibits a flushed appearance. The client has a low grade temperature and a blood pressure measurement of 98/60 mmHg compared to a baseline assessment of 134/86 mmHg. Which intervention should the nurse implement? - correct answers.Administer PRN prescription for acetaminophen A client reporting chest pain and shortness of breath receives an electrocardiogram which shows ST elevation. The nurse notes the clients troponin level is 1.1 ng/mL. Which complication should the nurse recognize the client is at risk for developing? - correct answers.Prerenal kidney injury A hospitalized client with peripheral arterial disease (PAD) is instructed regarding leg and foot care. Which statement by the client indicates to the nurse that learning has occurred? - correct answers."I can use a mirror to check the bottoms of my feet for any sings of breakdown" A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions. How should the nurse respond? - correct answers.Describes the use of an elimination diet to find trigger foods Four days following an abdominal aortic aneurysm repair, the client is exhibiting edema of both lower extremities, and pedal pulses are not palpable. Which action should the nurse implement first? - correct answers.Assess pulses with a vascular doppler A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath, productive cough with thickened, tenacious mucous and the inability to walk up a flight of stairs without experiencing breathlessness. Which action is most important for the nurse to instruct the client about self care? - correct answers.Increase the daily intake of oral fluids to liquefy secretions The healthcare provider prescribes penicillin 200,000 units intramuscularly for a client with pneumonia. The available vial is labeled "penicillin 500,00 units/mL" how many ml should the nurse administer to this client? - correct answers.0.4mL A client with herpes zoster (shingles) on the thorax tells the nurse of having difficulty sleeping. Which is the probable etiology of this problem? - correct answers.Nocturia The nurse assesses a client with petechia and ecchymosis scattered across the arms and legs. Which laboratory results should the nurse review? - correct answers.Platelet count A client with eczema is applying 10% urea cream onto the affected skin areas. Which finding reflections the expected therapeutic response? - correct tion of affected dry skin areas A client with lung cancer who wears a subcutaneous morphine sulfate patch for pain is short of breath and is difficult to arouse. When performing a head to toe assessment, the nurse discovers four analgesic patches on the clients body. Which intervention should the nurse implement first? - correct answers.Remove all of the morphine patches A client with orthopnea expresses concern about the ability to "get enough air" during a scheduled thoracentesis. On which information should the nurse's response be based on? - correct answers.The procedure is performed with the client in an upright position Two weeks after returning home from travelling, a client presents to the clinic with conjunctivitis and describes a recent loss in the ability to taste and smell. The nurse obtains a nasal swab to test for COVID19. Which action is most important for the nurse