MEDICAL-SURGICAL NURSING nn nn
CONCEPTS FOR nn nn
INTERPROFESSIONAL nn
COLLABORATIVE CARE HESI nn nn nn
PRACTICE QUESTIONS nn nn
What nninstruction nnshould nnthe nnnurse nninclude nnin nnthe nndischarge nnteaching nnplan nnof nna nnclient nnwho
nnhad nna nncataract nnextraction nntoday? nn
a. sexual nnactivities nnmay nnbe nnresumed nnupon nnreturn nnhome nn
b. light nnhousekeeping nnis nnpermitted nnbut nnavoid nnheavy nnlifting nn
c. use nna nnmetal nneye nnshield nnon nnoperative nneye nnduring nnthe nnday nn
d. administer nneye nnointment nnbefore nnapplying nneye nndrops nn- nnCORRECT nnANSWER nn-b. nnlight
nnhousekeeping nnis nnpermitted nnbut nnavoid nnheavy nnlifting nn
nn
A nnmale nnadult nncomes nnto nnthe nnurgent nncare nnclinic nn5 nndays nnafter nnbeing nndiagnosed nnwith
nninfluenza. nnHe nnis nnshort nnof nnbreath, nnfebrile, nnand nncoughing nngreen nncolored nnsputum. nnWhich
nnintervention nnshould nnthe nnnurse nnimplement nnfirst? nn
a. Obtain nna nnsputum nnsample nnfor nnculture nn
b. Check nnhis nnoxygen nnsaturation nnlevel nn
c. Administer nnan nnoral nnantipyretic nn
d. Auscultate nnbilateral nnlung nnsound nn- nnCORRECT nnANSWER nn-a. nnobtain nna nnsputum nnsample nnfor
nnculture nn
nn
An nnelder nnmale nnclient nntells nnthe nnnurse nnthat nnhe nnis nnloosing nnsleep nnbecause nnhe nnhas nnto nnget nnup
nnseveral nntimes nnat nnnight nnto nngo nnto nnthe nnbathroom nnthat nnhe nnhas nntrouble nnstarting nnhis nnurinary
nnstream nnand nnthat nnhe nndoes nnnot nnfeel nnlike nnhis nnbladder nnis nnever nncompletely nnempty. nnWhich
nnintervention nnshould nnthe nnnurse nnimplement? nn
a. collect nna nnurine nnspecimen nnfor nnculture nnanalysis nn
b. obtain nna nnfingerstick nnblood nnglucose nnlevel nn
, c. palpate nnthe nnbladder nnabove nnthe nnsymphysis nnpubis nn
d. review nnthe nnclient nnfluid nnintake nn- nnCORRECT nnANSWER nn-c. nnpalpate nnthe nnbladder nnabove nnthe
nnsymphysis nnpubis nn
nn
An nnadult nnclient nnis nnadmitted nnwith nndiabetic nnketoacidosis nn(DKA) nnand nna nnurinary nntract nninfection
nn(UTI) nn
Prescriptions nnfor nnintravenous nnantibiotics nnand nninsulin nninfusion nnare nninitiated. nnWhich nnserum
nnlaboratory nnvalue nnwarrants nnthe nnmost nnimmediate nnintervention nnby nnthe nnnurse? nn
a. blood nnph nnof nn7.30 nn
b. glucose nnof nn350 nnmg nn/dl nn
c. white nnblood nncell nncount nnof nn15000mm nn
d. potassium nnof nn2.5 nnmeq/l nn- nnCORRECT nnANSWER nn-d. nnpotassium nnof nn2.5 nnmeq/l nn
nn
A nnclient nnwith nnsickle nncell nnanemia nndevelops nna nnfever nnduring nnthe nnlast nnhour nnof nnadministration nnof
nna nnunit nnof nnpacked nnred nnblood nncell. nnWhen nnnotifying nnthe nnhealthcare nnprovider nnwhat nninformation
nnshould nnthe nnnurse nnprovide nnfirst nnusing nnthe nnSBAR nncommunication nnprocess? nn
a. explain nnspecific nnreason nnfor nnurgent nnnotification nn
b. preface nnthe nnreport nnby nnstating nnthe nnclients nnname nnand nnadmitting nndiagnosis nn
c. communicate nnthe nnpre-transfusion nntemperatures nn
d. optain nnprn nnprescription nnfor nnacetaminophen nnfor nnfever nn101f nn- nnCORRECT nnANSWER nn-a. nnexplain
nnspecific nnreason nnfor nnurgent nnnotification nn
nn
An nnadult nnmale nnclient nnis nnadmitted nnfor nnpneumocystis nncarinil nnpneumonia nn(PCP) nnsecondary nnto
nnaids. nnWhile nnhospitalized nnhe nnreceives nnIV nnpentamidine nnisethionate nntherapy. nnIn nnpreparing nnthis
nnclient nnfor nndischarge nnwhat nnimportant nnaspect nnregarding nnhis nnmedication nntherapy nnshould nnthe
nnnurse nnexplain? nn
a. AZT nntherapy nnmust nnbe nnstopped nnwhen nnIV nnaerosol nnpentamine nnis nnbeing nnused. nn
b. IV nnpentamine nnwill nnbe nngiven nnuntil nnoral nnpentamine nncan nnbe nntolerated nn
c. It nnwill nnbe nnnecessary nnto nncontinue nnprophylactic nndoses nnof nnIV nnor nnaerosol nnpentamine nnevery
nnmonth nn
CONCEPTS FOR nn nn
INTERPROFESSIONAL nn
COLLABORATIVE CARE HESI nn nn nn
PRACTICE QUESTIONS nn nn
What nninstruction nnshould nnthe nnnurse nninclude nnin nnthe nndischarge nnteaching nnplan nnof nna nnclient nnwho
nnhad nna nncataract nnextraction nntoday? nn
a. sexual nnactivities nnmay nnbe nnresumed nnupon nnreturn nnhome nn
b. light nnhousekeeping nnis nnpermitted nnbut nnavoid nnheavy nnlifting nn
c. use nna nnmetal nneye nnshield nnon nnoperative nneye nnduring nnthe nnday nn
d. administer nneye nnointment nnbefore nnapplying nneye nndrops nn- nnCORRECT nnANSWER nn-b. nnlight
nnhousekeeping nnis nnpermitted nnbut nnavoid nnheavy nnlifting nn
nn
A nnmale nnadult nncomes nnto nnthe nnurgent nncare nnclinic nn5 nndays nnafter nnbeing nndiagnosed nnwith
nninfluenza. nnHe nnis nnshort nnof nnbreath, nnfebrile, nnand nncoughing nngreen nncolored nnsputum. nnWhich
nnintervention nnshould nnthe nnnurse nnimplement nnfirst? nn
a. Obtain nna nnsputum nnsample nnfor nnculture nn
b. Check nnhis nnoxygen nnsaturation nnlevel nn
c. Administer nnan nnoral nnantipyretic nn
d. Auscultate nnbilateral nnlung nnsound nn- nnCORRECT nnANSWER nn-a. nnobtain nna nnsputum nnsample nnfor
nnculture nn
nn
An nnelder nnmale nnclient nntells nnthe nnnurse nnthat nnhe nnis nnloosing nnsleep nnbecause nnhe nnhas nnto nnget nnup
nnseveral nntimes nnat nnnight nnto nngo nnto nnthe nnbathroom nnthat nnhe nnhas nntrouble nnstarting nnhis nnurinary
nnstream nnand nnthat nnhe nndoes nnnot nnfeel nnlike nnhis nnbladder nnis nnever nncompletely nnempty. nnWhich
nnintervention nnshould nnthe nnnurse nnimplement? nn
a. collect nna nnurine nnspecimen nnfor nnculture nnanalysis nn
b. obtain nna nnfingerstick nnblood nnglucose nnlevel nn
, c. palpate nnthe nnbladder nnabove nnthe nnsymphysis nnpubis nn
d. review nnthe nnclient nnfluid nnintake nn- nnCORRECT nnANSWER nn-c. nnpalpate nnthe nnbladder nnabove nnthe
nnsymphysis nnpubis nn
nn
An nnadult nnclient nnis nnadmitted nnwith nndiabetic nnketoacidosis nn(DKA) nnand nna nnurinary nntract nninfection
nn(UTI) nn
Prescriptions nnfor nnintravenous nnantibiotics nnand nninsulin nninfusion nnare nninitiated. nnWhich nnserum
nnlaboratory nnvalue nnwarrants nnthe nnmost nnimmediate nnintervention nnby nnthe nnnurse? nn
a. blood nnph nnof nn7.30 nn
b. glucose nnof nn350 nnmg nn/dl nn
c. white nnblood nncell nncount nnof nn15000mm nn
d. potassium nnof nn2.5 nnmeq/l nn- nnCORRECT nnANSWER nn-d. nnpotassium nnof nn2.5 nnmeq/l nn
nn
A nnclient nnwith nnsickle nncell nnanemia nndevelops nna nnfever nnduring nnthe nnlast nnhour nnof nnadministration nnof
nna nnunit nnof nnpacked nnred nnblood nncell. nnWhen nnnotifying nnthe nnhealthcare nnprovider nnwhat nninformation
nnshould nnthe nnnurse nnprovide nnfirst nnusing nnthe nnSBAR nncommunication nnprocess? nn
a. explain nnspecific nnreason nnfor nnurgent nnnotification nn
b. preface nnthe nnreport nnby nnstating nnthe nnclients nnname nnand nnadmitting nndiagnosis nn
c. communicate nnthe nnpre-transfusion nntemperatures nn
d. optain nnprn nnprescription nnfor nnacetaminophen nnfor nnfever nn101f nn- nnCORRECT nnANSWER nn-a. nnexplain
nnspecific nnreason nnfor nnurgent nnnotification nn
nn
An nnadult nnmale nnclient nnis nnadmitted nnfor nnpneumocystis nncarinil nnpneumonia nn(PCP) nnsecondary nnto
nnaids. nnWhile nnhospitalized nnhe nnreceives nnIV nnpentamidine nnisethionate nntherapy. nnIn nnpreparing nnthis
nnclient nnfor nndischarge nnwhat nnimportant nnaspect nnregarding nnhis nnmedication nntherapy nnshould nnthe
nnnurse nnexplain? nn
a. AZT nntherapy nnmust nnbe nnstopped nnwhen nnIV nnaerosol nnpentamine nnis nnbeing nnused. nn
b. IV nnpentamine nnwill nnbe nngiven nnuntil nnoral nnpentamine nncan nnbe nntolerated nn
c. It nnwill nnbe nnnecessary nnto nncontinue nnprophylactic nndoses nnof nnIV nnor nnaerosol nnpentamine nnevery
nnmonth nn
