Med-Surg Test, MED SURG HESI V2 - 2024/2025
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Terms in this set (311)
A nurse is assisting with Ensure the client's weights are hanging freely from
the care of a client who the bed.
has a femur fracture and
is in skeletal traction.
Which of the following
actions should the nurse
take
A nurse in a provider's Take this medication between meals
office is reinforcing
teaching with a client
who has anemia and has
been taking ferrous
gluconate for several
weeks. Which of the
following instructions
should the nurse
include?
,A nurse in a provider's Take this medication between meals.
office is reinforcing
teaching with a client
who has anemia and has
been taking ferrous
gluconate for several
weeks. Which of the
following instructions
should the nurse
include?
A nurse is reviewing the Wash daily with an antibacterial soap.
plan of care for a client
who has cellulitis of the
leg. Which of the
following interventions
should the nurse
recommend?
A nurse is reinforcing Avoid medications in capsule or enteric form.
teaching with a client
who is postoperative
after having an ileostomy
established. Which of the
following instructions
should the nurse include
in the teaching?
A nurse is caring for a "Large incisions will be made in the burned tissue to
client with severe burns improve circulation."
to both lower extremities.
The client is scheduled
for an escharotomy and
wants to know what the
procedure involves.
Which of the following
statements is appropriate
for the nurse to make?
,A nurse is collecting data Decreased color perception
from a client who has a
possible cataract. Which
of the following
manifestations should the
nurse expect the client to
report?
A nurse is contributing to Maintain the client in Fowler's position.
the plan of care for a
client who has an
intestinal obstruction and
is receiving continuous
gastrointestinal
decompression using a
nasogastric tube. Which
of the following
interventions should the
nurse include in the plan
of care?
A nurse is caring for a 1) Buffalo hump 2) Purple striations 3) Moon face
client who has Cushing's
syndrome. Which of the
following clinical
manifestations should the
nurse expect to observe?
(Select all that apply.)
A nurse is caring for a Monitor intake and output hourly
client who is in the
oliguric phase of acute
kidney injury. Which of
the following actions
should the nurse take?
, A nurse is reinforcing "You will remain NPO for 8 hours before the
teaching about an procedure."
esophagogastroduoden
oscopy with a client who
has upper gastric pain.
Which of the following
statements should the
nurse include in the
teaching?
A nurse is caring for a Postictal phase
client who is difficult to
arouse and very sleepy
for several hours
following a generalized
tonic-clonic seizure.
Which of the following
descriptions should the
nurse use when
documenting this finding
in the medical record?
A nurse is reinforcing "The pain will dissipate if you ambulate frequently."
teaching with a client
who reports right
shoulder pain following a
laparoscopic
cholecystectomy. Which
of the following
statements should the
nurse make?
A nurse is checking the Verify that the suction regulator is on.
suction control chamber
of a client's chest tube
and notes that there is no
bubbling in the suction
control chamber. Which
of the following actions
should the nurse take?