HESI WITH SURG BSN 266 2024

A male client with Type 1 diabetes mellitus takes a combination of short acting and intermediate acting insulin. The client complains of headaches when awakening and his blood glucose average for the past week has been 210. The nurse recognizes the client is experiencing a daily Somogyi, or rebound effect. Which dosing method is likely to relieve these symptoms? Move the PM intermediate- acting dose to bedtime. When obtaining a throat culture from a 6 year old with possible strepococcal infection, which action is most important for the nurse to implement? Swab the child's erythematous oropharyngeal surfaces or tonsilar pustules. The nurse is caring for a 42-year-old male client who is excreting less sodium than he is consuming. If this condition continues, what complication can the nurse expect this client to exhibit? edema Which condition would likely cause secondary polycythemia? High altitude exposure. An infant is treated for intussusception with hydrostatic reduction. What instruction should the nurse include in the parents’ teaching plan? s/s of reocurrence A client with type 1 diabetes mellitus is prescribed 10 units of intermediate acting insulin to be administered at bedtime. For which health problem is the insulin being administered at this time of day? dawn phenomenon The nurse is obtaining a throat culture of a client’s posterior oropharyngeal region. For which health problem will this specimen be used to diagnose? strep throat A middle-aged male client is being evaluated for lower extremity edema. Which laboratory value will be used to aid in determining the cause of this client’s manifestation? serum sodium A client is diagnosed with secondary polycythemia. Which health condition contributed to the development of this secondary problem? hypovolemia A client in the oliguric phase of acute renal failure (ARF) has a 24 hour urine output of 400ml. nurse should allow this client to have how much oral intake during the next 24 hours? limit oral intake to 900. to 1000ml A female client on the mental health unit tells the nurse that her roommate is sitting on the bathroom floor with superficial cuts on her wrists. The nurse cleans and assesses the client’s wrists and asks her what happened. She doesn’t respond. Next? take the client to a room for supervision by staff What assessment technique should the nurse use to monitor a client for a common untoward effect of phenytoin (Dilantin)? inspection of the mouth The nurse is preparing to administer an IM dose of Vitamin B1 (thiamine) to a male client experiencing acute alcohol withdrawal and peripheral neuritis. The client belligerently states, “what do you think you’re doing?” Response? "This shot will help relieve the pain in your feet When administering an intramuscular injection containing 3 ml of a painful medication, Intervention? select a large, deep muscle mass Locate the optic disk the really light area on the right When completing a mental health assessment, the nurse wishes to obtain information about a client’s insight and judgment. Which interview technique is most useful in assessing these mental abilities have the client describe what should be done if a child was observed alone in a locked car on a hot day An adult Muslim client with ulcerative colitis was admitted to the post-surgical unit earlier today following a bowel resection with temporary colostomy. Which intervention is most important for the nurse to implement? assign a care provider of the same gender The parents of a 6-year-old recently diagnosed with Duchene muscular dystrophy tell the nurse that their child wants to continue attending swimming classes. How should the nurs