1. The nurse is providing care to a client after a percutaneous translumi- nal coronary angioplasty (PTCA). What actions will the nurse include in the client's plan of care? (Select all that apply.) ANS A.Frequent vital signs. B.Determine if the client is allergic to aspirin. D.Offer fluids of choice. F.Monitor infusion of IV nitroglycerine. 2. In assessing a client diagnosed with primary aldosteronism, the nurse expects the laboratory test results to indicate a decreased serum level of whi...

1. A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse assesses that there has been no drainage through the nasogastric tube in the last 2 hours. Which action should the nurse take first? A. Irrigate the nasogastric tube with sterile normal saline. B. Reposition the client on her side. C. Advance the nasogastric tube 5 cm. D. Administer an intravenous antiemetic as prescribed ANS B. The priority is to determined if the tube is functioning ...

1. When educating a client after a total laryngectomy, which instruction would be most important for the nurse to include in the discharge teaching? A. Recommend that the client carry suction equipment at all times. B. Instruct the client to have writing materials with him at all times. C. Tell the client to carry a medical alert card that explains his condition. D. Caution the client not to travel outside the United States alone. ANS : C Rationale: Neck breathers carry a medical alert card...

1. A nurse is caring for a client who is learning how to take care of a newly created colostomy. When observing a return demonstration of the colostomy irrigation, the nurse evaluates that more teaching is required when the client ANS Hangs the irrigation bag on the door clothes hook during fluid insertion 2. Following surgery, a client asks the nurse if he or she can help measure intake and output. What is the best nursing response? ANS Assess the client's ability to measure the intake an...

1. The nurse observes ventricular fibrillation on telemetry and, on entering the client's bathroom, finds the client unconscious on the floor. Which interven- tion should the nurse implement first? A. Administer an antidysrhythmic medication. B. Start cardiopulmonary resuscitation. C. Defibrillate the client at 200 J. D. Assess the client's pulse oximetry. ANS : B. Start cardiopulmonary resuscitation. Rationale: Ventricular fibrillation is a life-threatening dysrhythmia, and CPR should...

1. *Thoracentesis. What position would you place them in?: Seated Upright, leaning over table Rationale: To increase lung expansion 2. thoracentesis?: the surgical puncture of the chest wall with a needle to obtain fluid from the pleural cavity 3. What should the nurse expect for a client who has unstable Angina who had a cardiac catheter?: Thorocentesis 4. Metabolic Acidosis Respirations: Kussmaul respirations 5. Kussmaul breathing: gasping, labored breathing, also called air hunger A sign...

1. A nurse is caring for a client who is learning how to take care of a newly created colostomy. When observing a return demonstration of the colostomy irrigation, the nurse evaluates that more teaching is required when the client ANS- Hangs the irrigation bag on the door clothes hook during fluid insertion 2. Following surgery, a client asks the nurse if he or she can help measure intake and output. What is the best nursing response? ANS Assess the client's ability to measure the intake an...

HESI Med-Surg Practice Questions 2024

2024-25 Med-Surg HESI Practice Questions and Answers (2024/2025)(Verified Answers)