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Exam (elaborations)

NURS NGN HESI Med-Surg Exam Questions and Answers Graded A+ latest update 2023/2024 A+

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Which assessment is most important for the nurse to perform on a client who is hospitalized for Guillain-Barre syndrome that is rapidly progressing? •Respiratory effort. •Unsteady gait. •Intensity of pain. •Ability to eat. Guillain-Barre syndrome causes paralysis or weakness that typically starts at the feet and progresses upwards. As the condition progresses, the nurse must ensure that the client is able to breathe effectively. Heuther, Understanding Pathophysiology, 6th ed. p. 412 A male client comes into the clinic with a history of penile discharge with painful, burning urination. Which action should the nurse implement? •Collect a culture of the penile discharge. •Palpate the inguinal lymph nodes gently. •Observe for scrotal swelling and redness. •Express the discharge to determine color.

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NURS NGN HESI Med-Surg
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NURS NGN HESI Med-Surg

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December 4, 2023
Number of pages
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Written in
2023/2024
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NURSNGNHESIMed-SurgExamQuestionsand
AnswersGradedA+latestupdate2023/2024A+
NURS21000HESIMed-SurgExamQuestionsand
AnswersGradedA+latestupdate2022/2023
Whichassessmentismostimportantforthenursetoperformonaclient
whoishospitalizedforGuillain-Barresyndromethatisrapidly
progressing?
•Respiratoryeffort.
•Unsteadygait.
•Intensityofpain.
•Abilitytoeat.
Guillain-Barresyndromecausesparalysisorweaknessthattypicallystarts
atthefeetandprogressesupwards.Astheconditionprogresses,thenurse
mustensurethattheclientisabletobreatheeffectively.
Heuther,UnderstandingPathophysiology,6thed.p.412
Amaleclientcomesintotheclinicwithahistoryofpeniledischarge
withpainful,burningurination.Whichactionshouldthenurse
implement?
•Collectacultureofthepeniledischarge.
•Palpatetheinguinallymphnodesgently.
•Observeforscrotalswellingandredness. NURSNGNHESIMed-SurgExamQuestionsand
AnswersGradedA+latestupdate2023/2024A+
NURS21000HESIMed-SurgExamQuestionsand
AnswersGradedA+latestupdate2022/2023
•Expressthedischargetodeterminecolor. NURSNGNHESIMed-SurgExamQuestionsand
AnswersGradedA+latestupdate2023/2024A+
NURS21000HESIMed-SurgExamQuestionsand
AnswersGradedA+latestupdate2022/2023
Peniledischargewithpainfulurinationiscommonlyassociatedwith
gonorrhea.Thenurseshouldcollectacultureofthepeniledischargeto
determinethecauseofthesesymptoms.Thecausemustbedeterminedor
confirmedthroughculturetoidentifytheorganismandensureeffective
treatment.
JarvisPhysicalExaminationandHealthAssessment,
6thedition3
Aclientwithhistoryofatrialfibrillationisadmittedtothetelemetryunit
withsudden
onsetofshortnessofbreath.Thenurseobservesanewirregularheart
rhythmandshouldperformwhichassessmentatthistime?
•Checkforapulsedeficit.
•Palpatetheapicalimpulse.
•Inspectjugularveinpulse.
•Examineforacarotidbruit.
Aclientwithapasthistoryofatrialfibrillationmayreturntothat
rhythm.Anysignsofatrialfibrillation,suchassuddenonsetshortness
ofbreath,requiresfurtherinvestigation.Thenurseshouldassessthis
clientforapulsedeficitbecausethisconditionoccurswithatrial
fibrillation. NURSNGNHESIMed-SurgExamQuestionsand
AnswersGradedA+latestupdate2023/2024A+
NURS21000HESIMed-SurgExamQuestionsand
AnswersGradedA+latestupdate2022/2023
Jarvis.(2016);PhysicalExaminationandHealthAssessment,(Chap19)
7thed.,p.481
4.
Whichclientshouldbefurtherassessedforanectopicpregnancy?
•A24-year-oldwithshoulderandlowerabdominalquadrantpain.
•A33-year-oldwithintermittentlowerabdominalcramping.
•A20-year-oldwithfeverandrightlowerabdominalcolic.
•A40-year-oldwithjaundiceandrightlowerabdominalpain.
A24-year-oldwithsuddenonsetoflowerabdominalquadrantpain
shouldbeassessedforanectopicpregnancy.Thepaincanalsobe
referredtotheshoulderandmaybeassociatedwithvaginalbleeding.
HealthAssessmentforNursingPractice,Wilsonand
Giddens.p.2695.
Whichdietaryassessmentfindingismostimportantforthenurseto
addresswhen
caringforaclientwithdiabeticnephropathy?
•Drinksasixpackofbeereveryday.
•Enjoysahamburgeronceamonth.
•Eatsfortifiedbreakfastcerealdaily.
•Consumesbeansandriceeveryday.

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