MED SURG HESI Exam Questions and Answers (Complete Study Guide) (100% Guaranteed Pass)

A male client with Type 1 diabetes mellitus takes a combination of short acting and intermediate acting insulin. The client complains of headaches when awakening and his blood glucose average for the past week has been 210. The nurse recognizes the client is experiencing a daily Somogyi, or rebound effect. Which dosing method is likely to relieve these symptoms? Move the PM intermediate- acting dose to bedtime. When obtaining a throat culture from a 6 year old with possible strepococcal infection, which action is most important for the nurse to implement? Swab the child's erythematous oropharyngeal surfaces or tonsilar pustules. The nurse is caring for a 42-year-old male client who is excreting less sodium than he is consuming. If this condition continues, what complication can the nurse expect this client to exhibit? edema Which condition would likely cause secondary polycythemia? High altitude exposure. An infant is treated for intussusception with hydrostatic reduction. What instruction should the nurse include in the parents’ teaching plan? s/s of reocurrence A client with type 1 diabetes mellitus is prescribed 10 units of intermediate acting insulin to be administered at bedtime. For which health problem is the insulin being administered at this time of day? dawn phenomenon The nurse is obtaining a throat culture of a client’s posterior oropharyngeal region. For which health problem will this specimen be used to diagnose? strep throat A middle-aged male client is being evaluated for lower extremity edema. Which laboratory value will be used to aid in determining the cause of this client’s manifestation? serum sodium A client is diagnosed with secondary polycythemia. Which health condition contributed to the development of this secondary problem? hypovolemia A client in the oliguric phase of acute renal failure (ARF) has a 24 hour urine output of 400ml. nurse should allow this client to have how much oral intake