NUR NGN HESI MED SURG REVIEW Exam Questions and Answers with Rationales Graded A+ Latest update 2025/2026 GRADED A+

NUR NGN HESI MED SURG REVIEW Exam
Questions and Answers with Rationales Graded A+
Latest update 2023/2024 GRADED A+


• A client is being discharged following radioactive seed implantation for
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x prostate cancer. What is the mostimportant information that the nurse should
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x provide to this client’s family?
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A. Follow exposure precautions. d d




B. Encourage regular meals. d d




C. Collect all urine. d d




D. Avoid touching the client. d d d




Rationale:
Clients being treated for prostate cancer with radioactive seed implants should be
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d instructed regarding the amount oftime and distance needed to prevent excessive
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d exposure that would pose a hazard to others. Option B is a good suggestion to
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d promote adequate nutrition but is not as important as option A. Option C is
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d unnecessary. Contact with the client is permitted but should be brief to limit radiation
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d exposure.


• In assessing a client with an arteriovenous (AV) shunt who is scheduled for
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xd dialysis today, the nurse notes theabsence of a thrill or bruit at the shunt site.
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xd What action should the nurse take?
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A. Advise the client that the shunt is intact and
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ready for dialysis asscheduled.
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B. Encourage the client to keep the shunt site d d d d d d d




elevated above the level ofthe heart.
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, NUR HESI MED SURG REVIEW Exam Questions and
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d Answers with Rationales A+ Latest update 2023/2024 A+
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,GRADE
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, NUR NGN HESI MED SURG REVIEW Exam d d d d d d xd




Questions and Answers with Rationales Graded A+ d d d d d d d




Latest update 2023/2024 GRADED A+ d d d d d




C. Notify the health care provider of the findings immediately.
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D. Flush the site at least once with a heparinized saline solution.
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Rationale:
Absence of a thrill or bruit indicates that the shunt may be obstructed. The nurse
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d should notify the health care provider so that intervention can be initiated to restore
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d function of the shunt. Option A is incorrect. Option B will notresolve the obstruction.
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dAn AV shunt is internal and cannot be flushed without access using
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• The nurse is concerned about infection for a client after an
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x d esophagogastrostomy for esophageal cancer. Whichactions should the nurse d d d d d d d




xd include in the client’s plan of care? (Select all that apply.)
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A. Frequent oral care every 2 hours while awake. d d d d d d d




B. Use incentive spirometer every 2 hours.
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C. Empty contents from NG tube every 8 hours. d d d d d d d




D. Ambulate within 1 hour of return from the PACU. d d d d d d d d




E. Limit visitors until postoperative day 2.
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Rationale:
One hour post op is too soon to ambulate for this client. Visitors help support the
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d patient and are encouraged to visit.Oral care is necessary as the client will be NPO. To
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d decrease the risk of infection post operatively, implement
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NUR HESI MED SURG REVIEW Exam Questions and
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d Answers with Rationales A+ Latest update 2023/2024 A+ d d d d d d d d




GRADE d