BSN HESI 266 Med Surg Exams (New 2024 Updates BUNDLED
TOGETHER WITH COMPLETE SOLUTIONS) Questions and Verified
Answers|100% Correct
1. The nurse observes an increased number of blood clots in the drainage
tubing of a client with continuous bladder irrigation following 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: c. Increase the flow of the
bladder
irrigation
ANSWER (C) Increase the flow of the bladder irrigation
2. A client wit lung cancer 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: Remove
all morphine patches
3. Coming down the basement steps, a client is brought to the emergency
room X-ray ... cast, which assessment finding warrants immediate
,Intervention by the nurse?: Right foot pale with sluggish capillary refill
4. An overweight, young adult who was
recently Check finger stick glucose diagnosed with type 2 diabetes mellitus
is admitted for a hernia repair. He tells the nurse that he is feeling very weak
and jittery.
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: a. Check finger stick
glucose
b. Assess skin temperature
and moisture
TOGETHER WITH COMPLETE SOLUTIONS) Questions and Verified
Answers|100% Correct
1. The nurse observes an increased number of blood clots in the drainage
tubing of a client with continuous bladder irrigation following 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: c. Increase the flow of the
bladder
irrigation
ANSWER (C) Increase the flow of the bladder irrigation
2. A client wit lung cancer 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: Remove
all morphine patches
3. Coming down the basement steps, a client is brought to the emergency
room X-ray ... cast, which assessment finding warrants immediate
,Intervention by the nurse?: Right foot pale with sluggish capillary refill
4. An overweight, young adult who was
recently Check finger stick glucose diagnosed with type 2 diabetes mellitus
is admitted for a hernia repair. He tells the nurse that he is feeling very weak
and jittery.
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: a. Check finger stick
glucose
b. Assess skin temperature
and moisture
