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Exam (elaborations)

BSN 266 MED SURG HESI STUDY GUIDE QUESTIONS AND CORRECT ANSWERS

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BSN 266 MED SURG HESI STUDY GUIDE QUESTIONS AND CORRECT ANSWERS

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A nurse is contributing to the plan of care for a client who
is postoperative following peritoneal lavage for peritoni-
tis. The client has a nasogastric tube to low-intermittent
suction and closed-suction drains in place. Which of the
following interventions should the nurse include in the
plan?


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, 4) Place the client in a high Fowler's position.




A nurse is caring for a client who is in the oliguric phase of
acute kidney injury. Which of the following actions should
the nurse take?


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3) Monitor intake and output hourly




A nurse is caring for a client with severe burns to both low-
er 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?


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3) "A piece of skin will be removed and grafted over the
burned area."




A nurse is reinforcing teaching with a client who has a new
prescription for epoetin alfa. The nurse should reinforce
to the client to take which of the following dietary supple-
ments with this medication


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, Iron




A nurse is reinforcing health teaching about skin cancer
with a group of clients. Which of the following risk fac-
tors should the nurse identify as the leading cause of
non-melanoma skin cancer?


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2) Sun exposure.




A nurse is caring for a client who has Cushing's syndrome.
Which of the following clinical manifestations should the
nurse expect to observe? (Select all that apply.


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1) Buffalo hump
2) Purple striations
3) Moon face




A nurse is caring for a client who is receiving a unit of
packed RBCs. About 15 min following the start of the
transfusion, the nurse notes that the client is flushed and
febrile, and reports chills. To help confirm that the client is
having an acute hemolytic transfusion reaction, the nurse
should observe for which of the following manifestations?


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, 3) Hypotension




A nurse is reviewing the laboratory results of a client who
is taking cyclosporine following a kidney transplant. Which
of the following laboratory findings should the nurse iden-
tify as the most important to report to the provider


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2) Increase in serum creatinine




A nurse is caring for a client is who is 4 hr postoperative
following a transurethral resection of the prostate (TURP).
Which of the following is the priority finding for the nurse
report to the provider?


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C. Thick, red-colored urine




A nurse is assisting with the care of a client immediately
following a lumbar puncture. Which of the following ac-
tions should the nurse take? (Select all that apply.


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