HESI RN MEDICAL SURGICAL NEWEST ACTUAL EXAM TEST BANK COMPLETE 400 MOST TESTED QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALE(VERIFIED ANSWERS)| ALREADY GRADED A+||NEWEST!!!!!!.

HESI RN MEDICAL SURGICAL NEWEST ACTUAL EXAM TEST BANK COMPLETE 400 MOST TESTED QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALE(VERIFIED ANSWERS)| ALREADY GRADED A+||NEWEST!!!!!!. The nurse is completing an admission interview and assessment on a client with a history of Parkinson's disease. Which question should provide information relevant to the client's plan of care?ANSWERHave you ever been 'frozen' in one spot, unable to move? Rationale: Clients with Parkinson's disease frequently experience difficulty in initiating, maintaining, and performing motor activities. They may even experience being rooted to the spot and unable to move The nurse is planning care for a client with newly diagnosed diabetes mellitus that requires insulin. Which assessment should the nurse identify before beginning the teaching session? A) Present knowledge related to the skill of injection. B) Intelligence and developmental level of the client. C) Willingness of the client to learn the injection sites. D) Financial resources available for the equipment.ANSWERC) Willingness of the client to learn the injection sites. Rationale: If a client is incapable or does not want to learn, it is unlikely that learning will occur, so motivation is the first factor the nurse should assess before teaching (C). To determine learning needs, the nurse should assess (A), but this is not the most important factor for the nurse to assess. (B and D) are factors to consider, but not as vital as (C). The nurse is planning care to prevent complication for a client with multiple myeloma. Which intervention is most important for the nurse to include? A) Safety precautions during activity. B) Assess for changes in size of lymph nodes. C) Maintain a fluid intake of 3 to 4 L per day. D) Administer narcotic analgesic around the clock.ANSWERC) Maintain a fluid intake of 3 to 4 L per day. Rationale: Multiple myeloma is a malignancy of plasma cells that infiltrate bone causing demineralization and hypercalcemia, so maintaining a urinary output of 1.5 to 2 L per day requires an intake of 3 to 4 L (C) to promote excretion of serum calcium. Although the client is at risk for pathologic fractures due to diffuse osteoporosis, mobilization and weight bearing (A) should be encouraged to promote bone reabsorption of circulating calcium, which can cause renal complications. (B) is a component of ongoing assessment. Chronic pain management (D) should be included in the plan of care, but prevention of complications related to hypercalcemia is most important.