MED SURG hesi

1. While shopping, a woman is observed to clutch her chest and fall to the ground. A group of people gather around the woman. A few in the group state that they are health care professionals and begin a primary survey by looking for life-threatening injuries. Once it is determined that no life-threatening injuries have occurred, they begin to intervene. The first intervention is A) Initiate cardiopulmonary resuscitation B) Look for uncontrolled bleeding C) Assess airway, breathing, and circ...

1. The nurse is completing a health assessment of a 42-year-old female with suspected Graves' Disease. The nurse should assess this client for: 1. anorexia 2. tachycardia 3. weight gain 4. cold skin ANS : 2. tachycardia Graves' disease, the most common type of thyrotoxicosis, is a state of hypermetab- olism. The increased metabolic rate generates heat and produces tachycardia and fine muscle tremors. Anorexia is associated with hypothyroidism. Loss of weight, despite a good appetite and ...

1. The nurse is preparing to assist a client with a cuffed tracheostomy tube to eat. What intervention is the priority before the client is permitted to drink or eat ANS Inflate the cuff Rationale: If a client with a tracheostomy is allowed to eat and the tracheostomy has a cuff, the nurse should inflate the cuff to prevent aspiration of food or fluids. The cuff would not be deflated because of the risk of aspiration. 2. The nurse has implemented a bowel maintenance program for an uncon- scio...

1. 1. A nurse is visiting a client who is receiving home health care, focusing on medication and dietary instructions and management of heart failure. The nurse should reinforce which instruction? A.) If you feel tired and short of breath, lie down flat and prop up your feet. B.) Eating liver several times a week will help build up your strength. C.) Your daily dose of furosemide should be taken first thing in the morning. D.) The dose of enalapril will help prevent vasodilation from occurr...

1. What Information should the nurse include in the teaching plan of a client diagnosed with GERD? A. Sleep without pillows B. Adjust food intake to three full meals per day with no snacks C. Minimize symptoms by wearing loose, comfortable clothing D. Avoid Participation in any aerobic exercise program ANS C. Minimize symptoms by wearing loose, comfortable clothing 2. After a hospitalization for SIADH, a client develops pontine myelinolysis. Which Intervention should the nurse implement fi...

1. A client with impaired peripheral pulses and signs of chronic hypoxia in a lower extremity is scheduled for a femoral angiogram. What would be appropriate for the nurse to include in the postprocedure plan of care? Elevate the foot of the bed. Perform urinary catheter care every 12 hours. Place in the high-Fowler position. Perform a neurovascular assessment every 2 hours. ANS Perform a neurovascular assessment every 2 hours. Because of the trauma associated with the insertion of the ...

A client is admitted for dehydration, and an intravenous (IV) infusion of normal saline at 125 mL/hr has been started. One hour after the IV initiation the client begins screaming, "I can't breathe!" The nursing priority action is 1. Discontinue the IV site and contact the primary health care provider 2. Elevate the head of the bed and obtain vital signs 3. Contact the primary health care provider to obtain a prescription for a sedative 4. Assess for allergies and change the IV to a...

MED SURG HESI EXAM LATEST ACTUAL EXAM ALL 245 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A

266 Med surg hesi Exam Questions and Answers 100% Pass A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? - Correct Answer ️️ -A. Take temperature once a day. A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secre- tions. Which of the following is an acceptable method for the nurse to use to thin this client'...