2024|25 HESI RN EVOLVE
MEDICAL-SURGICAL
ASSIGNMENT EXAM-WITH 100%
VERIFIED SOLUTIONS | GRADED
A+ NEW!!!
1.
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
2.
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.
Penile discharge with painful urination is commonly associated with gonorrhea. The
nurse should collect a culture of the penile discharge to determine the cause of these
symptoms. The cause must be determined or confirmed through culture to identify the
organism and ensure effective treatment.
Jarvis Physical Examination and Health Assessment, 6th edition
3.
A client with history of atrial fibrillation is admitted to the telemetry unit with sudden
onset of shortness of breath. The nurse observes a new irregular heart rhythm and
,should perform which assessment at this time?
• Check for a pulse deficit.
, • Palpate the apical impulse.
• Inspect jugular vein pulse.
• Examine for a carotid bruit.
A client with a past history of atrial fibrillation may return to that rhythm. Any signs
of atrial fibrillation, such as sudden onset shortness of breath, requires further
investigation. The nurse should assess this client for a pulse deficit because this
condition occurs with atrial fibrillation.
, Jarvis. M(2016); MPhysical MExamination Mand MHealth MAssessment, M(Chap M19) M7th Med.,
Mp. M481
4.
Which Mclient Mshould Mbe Mfurther Massessed Mfor Man Mectopic Mpregnancy?
• A M24-year-old Mwith Mshoulder Mand Mlower Mabdominal Mquadrant Mpain.
• A M33-year-old Mwith Mintermittent Mlower Mabdominal Mcramping.
• A M20-year-old Mwith Mfever Mand Mright Mlower Mabdominal Mcolic.
• A M40-year-old Mwith Mjaundice Mand Mright Mlower Mabdominal Mpain.
A M24-year-old Mwith Msudden Monset Mof Mlower Mabdominal Mquadrant Mpain Mshould Mbe
Massessed Mfor Man Mectopic Mpregnancy. MThe Mpain Mcan Malso Mbe Mreferred Mto Mthe
Mshoulder Mand Mmay Mbe Massociated Mwith Mvaginal Mbleeding.
Health MAssessment Mfor MNursing MPractice, MWilson Mand MGiddens.
Mp.269 M5.
Which Mdietary Massessment Mfinding Mis Mmost Mimportant Mfor Mthe Mnurse Mto Maddress
Mwhen
caring Mfor Ma Mclient Mwith Mdiabetic Mnephropathy?
• Drinks Ma Msix Mpack Mof Mbeer Mevery Mday.
• Enjoys Ma Mhamburger Monce Ma Mmonth.
• Eats Mfortified Mbreakfast Mcereal Mdaily.
• Consumes Mbeans Mand Mrice Mevery Mday.
Drinking Msix Mbeers Mevery Mday Mis Mthe Mdietary Massessment Mfinding Mmost Mimportant
Mfor Mthe Mnurse Mto Maddress Mwhen Mcaring Mfor Ma Mclient Mwith Mdiabetic Mnephropathy.
MThe Musual Mcan Mof Mbeer Mis M12 Mounces M(355 MmL). MClients Mwith Mdiabetes Mare
Mrecommended Mto Mdrink Mno Mmore Mthan M12 Mounces Mof Mbeer Mper Mday Mbecause Mbeer
Mcontains Mcarbohydrates Mthat Mcan Mcreate Munhealthy Mfluctuations Min Mblood Mglucose
Mand Mpromote Mpoor Mglucose Mcontrol.
Nephropathy Mis Mexacerbated Mby Mpoor Mblood Mglucose
Mcontrol. M6.
Which Massessment Mfinding Mis Mof Mgreatest Mconcern Mto Mthe Mnurse Mwho Mis Mcaring Mfor Ma
Mclient Mwith Mstomatitis?
• Cough Mbrought Mon Mby Mswallowing.
• Sore Mthroat Mcaused Mby Mspeaking.
• Painful Mand Mdry Moral Mcavity.
• Unintended Mweight Mloss.
A Mcough Mbrought Mon Mby Mswallowing Mis Ma Msign Mof Mdysphagia, Mwhich Mis Ma Mfinding
Mof Mparticular Mconcern Min Ma Mclient Mwith Mstomatitis. MDysphagia Mcan Mcause
Mnumerous Mproblems, Mincluding Mairway Mobstruction, Mand Mshould Mbe Mreported Mto Mthe
Mhealthcare Mprovider Mimmediately.
MEDICAL-SURGICAL
ASSIGNMENT EXAM-WITH 100%
VERIFIED SOLUTIONS | GRADED
A+ NEW!!!
1.
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
2.
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.
Penile discharge with painful urination is commonly associated with gonorrhea. The
nurse should collect a culture of the penile discharge to determine the cause of these
symptoms. The cause must be determined or confirmed through culture to identify the
organism and ensure effective treatment.
Jarvis Physical Examination and Health Assessment, 6th edition
3.
A client with history of atrial fibrillation is admitted to the telemetry unit with sudden
onset of shortness of breath. The nurse observes a new irregular heart rhythm and
,should perform which assessment at this time?
• Check for a pulse deficit.
, • Palpate the apical impulse.
• Inspect jugular vein pulse.
• Examine for a carotid bruit.
A client with a past history of atrial fibrillation may return to that rhythm. Any signs
of atrial fibrillation, such as sudden onset shortness of breath, requires further
investigation. The nurse should assess this client for a pulse deficit because this
condition occurs with atrial fibrillation.
, Jarvis. M(2016); MPhysical MExamination Mand MHealth MAssessment, M(Chap M19) M7th Med.,
Mp. M481
4.
Which Mclient Mshould Mbe Mfurther Massessed Mfor Man Mectopic Mpregnancy?
• A M24-year-old Mwith Mshoulder Mand Mlower Mabdominal Mquadrant Mpain.
• A M33-year-old Mwith Mintermittent Mlower Mabdominal Mcramping.
• A M20-year-old Mwith Mfever Mand Mright Mlower Mabdominal Mcolic.
• A M40-year-old Mwith Mjaundice Mand Mright Mlower Mabdominal Mpain.
A M24-year-old Mwith Msudden Monset Mof Mlower Mabdominal Mquadrant Mpain Mshould Mbe
Massessed Mfor Man Mectopic Mpregnancy. MThe Mpain Mcan Malso Mbe Mreferred Mto Mthe
Mshoulder Mand Mmay Mbe Massociated Mwith Mvaginal Mbleeding.
Health MAssessment Mfor MNursing MPractice, MWilson Mand MGiddens.
Mp.269 M5.
Which Mdietary Massessment Mfinding Mis Mmost Mimportant Mfor Mthe Mnurse Mto Maddress
Mwhen
caring Mfor Ma Mclient Mwith Mdiabetic Mnephropathy?
• Drinks Ma Msix Mpack Mof Mbeer Mevery Mday.
• Enjoys Ma Mhamburger Monce Ma Mmonth.
• Eats Mfortified Mbreakfast Mcereal Mdaily.
• Consumes Mbeans Mand Mrice Mevery Mday.
Drinking Msix Mbeers Mevery Mday Mis Mthe Mdietary Massessment Mfinding Mmost Mimportant
Mfor Mthe Mnurse Mto Maddress Mwhen Mcaring Mfor Ma Mclient Mwith Mdiabetic Mnephropathy.
MThe Musual Mcan Mof Mbeer Mis M12 Mounces M(355 MmL). MClients Mwith Mdiabetes Mare
Mrecommended Mto Mdrink Mno Mmore Mthan M12 Mounces Mof Mbeer Mper Mday Mbecause Mbeer
Mcontains Mcarbohydrates Mthat Mcan Mcreate Munhealthy Mfluctuations Min Mblood Mglucose
Mand Mpromote Mpoor Mglucose Mcontrol.
Nephropathy Mis Mexacerbated Mby Mpoor Mblood Mglucose
Mcontrol. M6.
Which Massessment Mfinding Mis Mof Mgreatest Mconcern Mto Mthe Mnurse Mwho Mis Mcaring Mfor Ma
Mclient Mwith Mstomatitis?
• Cough Mbrought Mon Mby Mswallowing.
• Sore Mthroat Mcaused Mby Mspeaking.
• Painful Mand Mdry Moral Mcavity.
• Unintended Mweight Mloss.
A Mcough Mbrought Mon Mby Mswallowing Mis Ma Msign Mof Mdysphagia, Mwhich Mis Ma Mfinding
Mof Mparticular Mconcern Min Ma Mclient Mwith Mstomatitis. MDysphagia Mcan Mcause
Mnumerous Mproblems, Mincluding Mairway Mobstruction, Mand Mshould Mbe Mreported Mto Mthe
Mhealthcare Mprovider Mimmediately.
