266 HESI
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An overweight young adult client was
recently diagnosed with type 2 diabetes
mellitus is admitted for a hernia repair.
The client reports feeling very weak and
jittery. Which action should the nurse im-
plement? (SATA)
b. assess skin temperature and moisture
c. measure pulse and blood pressure
a. administer a PRN dose of regular in-
d. check fingerstick glucose level
sulin
b. assess skin temperature and moisture
c. measure pulse and blood pressure
d. check fingerstick glucose level
e. document anxiety on the surgical
checklist
A client who was recently diagnosed
with Raynauds disease is concerned
about pain management. Which nursing
instruction should the nurse provide?
a. wearing gloves when handling cold
a. wearing gloves when handling cold
items guards against painful spasms
items guards against painful spasms
b. painful areas should be rubbed gently
until the pain subsides
c. enrolling in a pain clinic can provide
pain relief alternatives
d. return appointments will be needed for
IV pain medication
A client arrives to the medical-surgical
unit 4 hours after a transurtheral re-
section of the prostate. A triple-lumen
catheter for continous bladder irrigation
with normal saline is infusing and the
nurse observes dark, pink-tinged outflow d. monitoring catheters drainage
with blood cluts in the tubing and collec-
tion bag. Which action should the nurse
take?
a. decreasing the flow rate
, 266 HESI
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b. irrigating the catheter manually
c. discontinuing infusing solution
d. monitoring catheters drainage
The nurse is preparing for a client for
discharge who was recently diagnosed
with addison's disease. which instruction
is most important for the nurse to include
in this client's discharge teaching plan?
b. take prescribed cortisone accurately
a. avoid extreme enviornmental temper-
atures
b. take prescribed cortisone accurately
c. use a walker when weakness occurs
d. increase daily intake of sodium in diet
The parent of an adolescent tells the
clinic nurse, "my child has athlete's feet. I
have been applying triple antibiotic oint-
ment for two days, but there has been no
improvement" which instruction should
the nurse provide?
a. antibiotics take two weeks to become
effective against infections such as ath- d. stop using the ointment and encour-
letes foot age complete drying of feet and wearing
b. continue using the ointment for a full clean socks
week, even after the symptoms disap-
pear
c. applying too much ointment can deter
it effectiveness, apply a thin layer to pre-
vent maceration
d. stop using the ointment and encour-
age complete drying of feet and wearing
clean socks
A client expereinces an ABO incom-
pabitibility reaction after multiple blood
transfusions. which finding should the d. lower back pain and hypotension
nurse report immediately to the health-
care provider?
Study online at https://quizlet.com/_dfuqxb
An overweight young adult client was
recently diagnosed with type 2 diabetes
mellitus is admitted for a hernia repair.
The client reports feeling very weak and
jittery. Which action should the nurse im-
plement? (SATA)
b. assess skin temperature and moisture
c. measure pulse and blood pressure
a. administer a PRN dose of regular in-
d. check fingerstick glucose level
sulin
b. assess skin temperature and moisture
c. measure pulse and blood pressure
d. check fingerstick glucose level
e. document anxiety on the surgical
checklist
A client who was recently diagnosed
with Raynauds disease is concerned
about pain management. Which nursing
instruction should the nurse provide?
a. wearing gloves when handling cold
a. wearing gloves when handling cold
items guards against painful spasms
items guards against painful spasms
b. painful areas should be rubbed gently
until the pain subsides
c. enrolling in a pain clinic can provide
pain relief alternatives
d. return appointments will be needed for
IV pain medication
A client arrives to the medical-surgical
unit 4 hours after a transurtheral re-
section of the prostate. A triple-lumen
catheter for continous bladder irrigation
with normal saline is infusing and the
nurse observes dark, pink-tinged outflow d. monitoring catheters drainage
with blood cluts in the tubing and collec-
tion bag. Which action should the nurse
take?
a. decreasing the flow rate
, 266 HESI
Study online at https://quizlet.com/_dfuqxb
b. irrigating the catheter manually
c. discontinuing infusing solution
d. monitoring catheters drainage
The nurse is preparing for a client for
discharge who was recently diagnosed
with addison's disease. which instruction
is most important for the nurse to include
in this client's discharge teaching plan?
b. take prescribed cortisone accurately
a. avoid extreme enviornmental temper-
atures
b. take prescribed cortisone accurately
c. use a walker when weakness occurs
d. increase daily intake of sodium in diet
The parent of an adolescent tells the
clinic nurse, "my child has athlete's feet. I
have been applying triple antibiotic oint-
ment for two days, but there has been no
improvement" which instruction should
the nurse provide?
a. antibiotics take two weeks to become
effective against infections such as ath- d. stop using the ointment and encour-
letes foot age complete drying of feet and wearing
b. continue using the ointment for a full clean socks
week, even after the symptoms disap-
pear
c. applying too much ointment can deter
it effectiveness, apply a thin layer to pre-
vent maceration
d. stop using the ointment and encour-
age complete drying of feet and wearing
clean socks
A client expereinces an ABO incom-
pabitibility reaction after multiple blood
transfusions. which finding should the d. lower back pain and hypotension
nurse report immediately to the health-
care provider?
