BSN HESI 266 MED SURG EXAM
Terms in this set (79)
Client is recovering from a Drink 3L
transurethral prostatectomy.
Which activity should be
limited until after the first
postoperative visit with the
healthcare provider?
A client with stage IV bone Administer opioid and non-opioid medications
cancer is admitted to the simultaneously
hospital for a 1-10 scale.
Which intervention should
the nurse implement?
A client experiences an a. low back pain and hypotension
AOB incompatibility
reaction after multiple ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
blood transfusions. Which
finding should the nurse
report immediately to the
health care provider?
a. low back pain and
hypotension
b. rhinitis and nasal
stuffiness
c. delayed painful rash with
urticarial
d. arthritic joint changes
and chronic pain
,When conducting c. Eat a high fiber diet and increase fluid intake.
discharge teaching for a
client ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE
diagnosed with FLUID INTAKE
diverticulosis, which diet
instruction should the nurse
include?
a. Have small frequent
meals and sit up for at least
two hours after meals.
b. Eat a bland diet and
avoid spicy foods.
c. Eat a high fiber diet and
increase fluid intake.
d. Eat a soft diet with
increased intake of milk and
milk products
,The nurse observes an c. Increase the flow of the bladder
increased number of blood irrigation
clots in the drainage tubing
of a client with continuous
bladder irrigation following ANSWER (C) Increase the flow of the bladder irrigation
a transurethral resection of
the prostate (TURP). What is
the best initial nursing
action?
a. Provide additional oral
fluid intake
b. Measure the client's
intake and output.
c. Increase the flow of the
bladder
irrigation
d. Administer a PRN dose of
an antispasmodic agent
A client wit lung cancer Remove all morphine patches
who wears a subcutaneous
morphine sulfate patch for
pain is short of breath and
difficult to arouse. When
performing a head
-to-toe assessment, the
nurse discovers four
analgesic patches on
, Coming down the Right foot pale with sluggish capillary refill
basement steps, a client is
brought to the emergency
room X-ray ... cast, which
assessment finding warrants
immediate
Intervention by the nurse?
An overweight, young adult a. Check finger stick
who was glucose
recently Check finger stick
glucose diagnosed with b. Assess skin temperature
type 2 diabetes mellitus is and moisture
admitted for a hernia repair.
He tells the nurse that he is c. Measure pulse and blood
feeling very weak and pressure
jittery.
ANSWER: (CAM)
Which actions should the
nurse implement?
(Select all that apply.)
a. Check finger stick
glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure
Terms in this set (79)
Client is recovering from a Drink 3L
transurethral prostatectomy.
Which activity should be
limited until after the first
postoperative visit with the
healthcare provider?
A client with stage IV bone Administer opioid and non-opioid medications
cancer is admitted to the simultaneously
hospital for a 1-10 scale.
Which intervention should
the nurse implement?
A client experiences an a. low back pain and hypotension
AOB incompatibility
reaction after multiple ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
blood transfusions. Which
finding should the nurse
report immediately to the
health care provider?
a. low back pain and
hypotension
b. rhinitis and nasal
stuffiness
c. delayed painful rash with
urticarial
d. arthritic joint changes
and chronic pain
,When conducting c. Eat a high fiber diet and increase fluid intake.
discharge teaching for a
client ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE
diagnosed with FLUID INTAKE
diverticulosis, which diet
instruction should the nurse
include?
a. Have small frequent
meals and sit up for at least
two hours after meals.
b. Eat a bland diet and
avoid spicy foods.
c. Eat a high fiber diet and
increase fluid intake.
d. Eat a soft diet with
increased intake of milk and
milk products
,The nurse observes an c. Increase the flow of the bladder
increased number of blood irrigation
clots in the drainage tubing
of a client with continuous
bladder irrigation following ANSWER (C) Increase the flow of the bladder irrigation
a transurethral resection of
the prostate (TURP). What is
the best initial nursing
action?
a. Provide additional oral
fluid intake
b. Measure the client's
intake and output.
c. Increase the flow of the
bladder
irrigation
d. Administer a PRN dose of
an antispasmodic agent
A client wit lung cancer Remove all morphine patches
who wears a subcutaneous
morphine sulfate patch for
pain is short of breath and
difficult to arouse. When
performing a head
-to-toe assessment, the
nurse discovers four
analgesic patches on
, Coming down the Right foot pale with sluggish capillary refill
basement steps, a client is
brought to the emergency
room X-ray ... cast, which
assessment finding warrants
immediate
Intervention by the nurse?
An overweight, young adult a. Check finger stick
who was glucose
recently Check finger stick
glucose diagnosed with b. Assess skin temperature
type 2 diabetes mellitus is and moisture
admitted for a hernia repair.
He tells the nurse that he is c. Measure pulse and blood
feeling very weak and pressure
jittery.
ANSWER: (CAM)
Which actions should the
nurse implement?
(Select all that apply.)
a. Check finger stick
glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure
