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Med surg Urinary System The nurse understands that a major function of the kidneys is to remove potentially toxic waste products from the blood. Which function is inaccurate? Regulate blood pressure through the conservation of fluids. The nurse is collecting data on a patient who experienced a sport injury to the lower back area. Which finding will cause the nurse greatest concern? Flank edema and bloody urine The formation of urine is a critical physiological function. The nurse is awa...

Med surg Nervous System Nerve impulses are sent to slow the heart's rate of contraction. The nerve fibers sending these signals will most likely belong to which division of the nervous system? -Parasympathetic division An inhibitory postsynaptic potential (IPSP) is associated with ________. -hyperpolarization Schwann cells are functionally similar to oligodendrocytes If a motor neuron in the body were stimulated by an electrode placed about midpoint along the length of the axon _____...

Med Surg HESI RN Which description of symptoms is characteristic of a client diagnosed with trigeminal neuralgia (tic douloureux)? A) Tinnitus, vertigo, and hearing difficulties. B) Sudden, stabbing, severe pain over the lip and chin. C) Facial weakness and paralysis. D) Difficulty in chewing, talking, and swallowing. B A 67-year-old woman who lives alone is admitted after tripping on a rug in her home and fractures her hip. Which predisposing factor probably led to the fracture in th...

Med Surg Endocrine system The preoperative teaching for a patient scheduled for a transsphenoidal hypophysectomy should include the instruction that postoperatively, the patient should: A. Avoid Sneezing B. Drink through a straw C. Cough forcefully. D. Wash mouth out with peroxide. A. Avoid Sneezing The nurse is aware that the large flattened features of the patient with acromegaly are caused by an excess of : A. Prolactin B. Growth hormone C. Thyroid-stimulating hormone D. Adreno...

Med surg Critical care Shock and sepsis 1. A nurse is discussing the concept of shock with a new graduate nurse. Which statement indicates the new graduate nurse understood the information? a. Shock is a physiologic state resulting in hypotension and tachycardia. b. Shock is an acute, widespread process of inadequate tissue perfusion. c. Shock is a degenerative condition leading to organ failure and death. d. Shock is a condition occurring with hypovolemia that results in hypotension. AN...

Med surg-Critical care Shock and sepsis A student is caring for a client who suffered massive blood loss after trauma. How does the student correlate the blood loss with the client's mean arterial pressure (MAP)? a. It causes vasoconstriction and increased MAP. b. Lower blood volume lowers MAP. c. There is no direct correlation to MAP. d. It raises cardiac output and MAP. B ~ Lower blood volume will decrease MAP. The other answers are not accurate. A nurse is caring for a client after ...

Med Surg CARDIAC A nurse is reviewing self-care measures for a client with peripheral vascular disease. Which statement indicates proper self-care measures? A. "I like to soak my feet in the hot tub every day." B. "I walk only to the mailbox in my bare feet." C. "I stopped smoking and use only chewing tobacco." D. "I have my wife look at the soles of my feet each day." D. "I have my wife look at the soles of my feet each day." On a routine visir to the physician, a client wit...

Med Surg Cardiac Questions HESI RN A patient is receiving distal peripheral bypass graft surgery using a synthetic graft. Which medications would you expect the provider to order? Select all the apply a. aspirin b. metoprolol c. warfarin d. clopidogrel A and D Dual therapy is recommended for one year after surgery Which patient teaching by a student nurse to a patient with Raynaud's phenomenon would warrant correction by the RN? a. Wear loose fitting warm clothing. b. Avoid coffee...

Maternal 1. A nurse is assessing a client who has gestational diabetes and is experiencing hyperglycemia. Which of the following findings should the nurse expect? a. Reports increased urinary output b. Diaphoresis c. Reports blurred vision d. Shallow respirations 2. A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take? a. Administer penicillin G 2.4 million units IM to the client b. Instruct the client ...

MATERNAL 1. A nurse is reinforcing teaching about newborn home safety precautions with a group of new mothers. Which of the following instructions should the nurse include? "Crib slats should be no more than 2.25 inches apart." 2. A nurse is reinforcing teaching with a client who is at 16 weeks of gestation, has diabetes mellitus, and has a BMI of 31. Which of the following statements should the nurse identify as an indication that the client understands the teaching? "My intake should...

Maternal A nurse in a woman's health clinic is providing teaching about nutritionalintake to a client who is at 8 weeks of gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients? Calcium The recommendation for calcium intake during pregnancy is the same as that for women who are not pregnant: 1,300 mg/day for women younger than 19 years old and 1,000 mg/day for women between the ages of 19 and 50 years old. Vitamin E The re...

Maternal A nurse is performing a vaginal exam on a client who is in active labor. The nurse notesthe umbilical cord protruding through the cervix. Which of the following actions shouldthe nurse take? Administer oxytocin to the client via intravenous infusion. Apply oxygen at 2 L/min via nasal cannula. Prepare for insertion of an intrauterine pressure catheter. Assist the client into the knee-chest position. 1. A nurse is assessing a newborn who is 48 hr old and is experiencing opioid wi...

Management of Surgical Unit The nurse manager is the charge nurse on a busy surgical unit in a major metropolitan hospital. The charge nurse is working with a team composed of registered nurses (RNs), practical nurses (PNs), and unlicensed assistive personnel (UAPs). The charge nurse for the previous night shift is giving verbal report to Ms. Hatch and the oncoming staff nurses. During the report, one of the UAPs interrupts to state that a client is vomiting. How should Ms. Hatch respond...

Management of an Oncology Unit RN Case Study This scenario demonstrates leadership and management on an oncology unit. Using effective leadership skills, the charge nurse demonstrates skill in priority setting, delegation, supervision, and client care assignments. Students on the oncology unit have the opportunity to observe effective communication and team collaboration resulting in the provision of safe client care. Ms. Young asks the nurse about the lab data and the nurse responds by s...

Management of a Pediatric Unit Which phone message requires the most immediate response by Ms. Sanku? A school social worker who is reporting that a local teenager who often hangs out around the clinic has made death threats and expressed thoughts of suicide. Which situation requires the most immediate follow-up by the nurse? A mother expressing concern that her baby refuses to take formula, stating that the infant's "soft spot" seems more sunken. Which child requires the most immedi...

Management of a Medical Unit RN Case Study The nurse manager is the 7:00 a.m. to 7:00 p.m. charge nurse on a general medical unit that includes five telemetry-monitored rooms. The nursing staff includes experienced nurses, newly-licensed nurses, practical nurses (PNs), unlicensed assistive personnel (UAPs), and a unit secretary. Each newly-licensed nurse has an assigned staff nurse as a preceptor. In addition to the nursing staff, a respiratory therapist, case manager, and pharmacist are ...

LPN HESI MATERNAL Which physiological cause(s) for constipation during pregnancy should the practical nurse (PN) explain to a client in the first trimester? (Select all that apply.) 1. Displacement of the colon. 2. Tightening of the anal sphincter. 3. Change in nutrient absorption. 4. Shifting of liver placement. 5. Decrease in peristalsis. 6. Increase bile production. 1. Displacement of the colon. 5. Decrease in peristalsis. During pregnancy, the enlarging uterus compresses and disp...

Hypertension

Section 1 Nursing Process: Assessment The nurse admits Raymond to a private room at the end of the hall. According to hospital protocol, the nurse puts on a mask before starting the admission process. Raymond tells the nurse that his significant other is downstairs and that he would like for him to stay in the room with him. How should the nurse respond? "Your healthcare provider (HCP) wants you to get some rest." Raymond is requesting an opportunity for psychosocial support, which sh...

HESI RN Medical Surgical EXAM The nurse is assessing a clients laboratory values following the administration of chemotherapy. Which lab value leads the nurse to suspect that the client is experiencing tumor lysis syndrome? A. Hemoglobin of 10 g/dl B. Serum calcium of 5mg/dl C. Serum PTT of 10 seconds D. Oxygen saturation of 90% Answer: B TLS results in hyperkalemia, hypocalcemia, hyperuricemia, and hyperphosphatemia. A serum calcium level of 5 is low and so is an indicator of possibl...