Med Surg RN HESI EXIT
Terms in this set (140)
A 70-year-old male client Check the insides and linings of all enclosed shoes
with type 2 diabetes before putting the shoes on
mellitus (DM) is hospitalized
with an infected ulcer on his
great right toe. Which
instruction should the nurse
emphasize during discharge
teaching?
An adult client is admitted Potassium of 2.5 mEq/L
with diabetic ketoacidosis
(DKA) and a urinary tract
infection (UTI). Prescriptions
for intravenous antibiotics
and an insulin infusion are
initiated. Which serum
laboratory value warrants
the most immediate
intervention by the nurse?
An adult client is admitted Administer IV antibiotics as prescribed
with flank pain and is
diagnosed with acute
pyelonephritis. What is the
priority nursing action?
,An adult female client is Serum iron and ferritin
diagnosed with restless leg
syndrome and is referred to
the sleep clinic. The
healthcare provider
prescribes ferrous sulfate
(Feosol) 325 mg PO daily.
Which laboratory values
should the nurse monitor?
An adult female with Complete head to toe neurological assessment.
multiple sclerosis (MS) fells
while walking to the
bathroom. On transfer to
the intensive care unit, she
is confused and has had
projectile vomiting twice.
Which intervention should
the nurse implement first?
An adult male client is It will be necessary to continue prophylactic doses of IV
admitted for Pneumocystis or aerosol pentamidine every month
carinal pneumonia (PCP)
secondary to AIDSs. 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?
,An adult woman with Continue to monitor the fingers until color returns to
primary Raynaud normal
phenomenon develops
pallor and then cyanosis of
her fingers. After warming
her hands, the fingers turn
red and the client reports a
burning sensation. What
action should the nurse
take?
After a computer Prepare a dose of epinephrine aka Adrenalin
tomography (CT) scan with
intravenous contrast
medium, a client returns to
the room complaining of
shortness of breath and
itching. Which intervention
should the nurse
implement?
After a hospitalization for Reorient client to his room
Syndrome of Inappropriate
Antidiuretic Hormone
(SIADH), a client develops
pontine myselinolysis.
Which intervention should
the nurse implement first?
, After a transurethral Clamp the catheter for 30 minutes prior to irrigating with
resection of the prostate saline
(TURP), a client has bloody
urine output with large
clots. The nurse implements
the postoperative
prescription to irrigate the
indwelling catheter PRN to
maintain the catheter's
patency. Which action
should the nurse
implement?
A cardiac catherterization Three main arteries have major blockages, with only 1 to
of a client with heart 5% of blood flow getting through to the heart muscle.
disease indicates the
following blockages: 95%
proximal left anterior
descending (LAD), 99%
proximal circumflex, and ?
% proximal right coronary
artery (RCA). The client later
asks the nurse "what does
all this mean for me?" What
information should the
nurse provide?
Terms in this set (140)
A 70-year-old male client Check the insides and linings of all enclosed shoes
with type 2 diabetes before putting the shoes on
mellitus (DM) is hospitalized
with an infected ulcer on his
great right toe. Which
instruction should the nurse
emphasize during discharge
teaching?
An adult client is admitted Potassium of 2.5 mEq/L
with diabetic ketoacidosis
(DKA) and a urinary tract
infection (UTI). Prescriptions
for intravenous antibiotics
and an insulin infusion are
initiated. Which serum
laboratory value warrants
the most immediate
intervention by the nurse?
An adult client is admitted Administer IV antibiotics as prescribed
with flank pain and is
diagnosed with acute
pyelonephritis. What is the
priority nursing action?
,An adult female client is Serum iron and ferritin
diagnosed with restless leg
syndrome and is referred to
the sleep clinic. The
healthcare provider
prescribes ferrous sulfate
(Feosol) 325 mg PO daily.
Which laboratory values
should the nurse monitor?
An adult female with Complete head to toe neurological assessment.
multiple sclerosis (MS) fells
while walking to the
bathroom. On transfer to
the intensive care unit, she
is confused and has had
projectile vomiting twice.
Which intervention should
the nurse implement first?
An adult male client is It will be necessary to continue prophylactic doses of IV
admitted for Pneumocystis or aerosol pentamidine every month
carinal pneumonia (PCP)
secondary to AIDSs. 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?
,An adult woman with Continue to monitor the fingers until color returns to
primary Raynaud normal
phenomenon develops
pallor and then cyanosis of
her fingers. After warming
her hands, the fingers turn
red and the client reports a
burning sensation. What
action should the nurse
take?
After a computer Prepare a dose of epinephrine aka Adrenalin
tomography (CT) scan with
intravenous contrast
medium, a client returns to
the room complaining of
shortness of breath and
itching. Which intervention
should the nurse
implement?
After a hospitalization for Reorient client to his room
Syndrome of Inappropriate
Antidiuretic Hormone
(SIADH), a client develops
pontine myselinolysis.
Which intervention should
the nurse implement first?
, After a transurethral Clamp the catheter for 30 minutes prior to irrigating with
resection of the prostate saline
(TURP), a client has bloody
urine output with large
clots. The nurse implements
the postoperative
prescription to irrigate the
indwelling catheter PRN to
maintain the catheter's
patency. Which action
should the nurse
implement?
A cardiac catherterization Three main arteries have major blockages, with only 1 to
of a client with heart 5% of blood flow getting through to the heart muscle.
disease indicates the
following blockages: 95%
proximal left anterior
descending (LAD), 99%
proximal circumflex, and ?
% proximal right coronary
artery (RCA). The client later
asks the nurse "what does
all this mean for me?" What
information should the
nurse provide?
