NURS NGN HESI MED-SURG
2025/26 LATEST VERSION
Drinking six beers every day is the dietary assessment finding most
important for the nurse to address when caring for a client with diabetic
nephropathy. The usual can of beer is 12 ounces (355 mL). Clients with
diabetes are recommended to drink no more than 12 ounces of beer
per day because beer contains carbohydrates that can create unhealthy
fluctuations in blood glucose and promote poor glucose control.
Nephropathy is exacerbated by poor blood
glucose control. 6.
Which assessment finding is of greatest concern to the nurse who is
caring for a client with stomatitis?
• Cough brought on by swallowing.
• Sore throat caused by speaking.
• Painful and dry oral cavity.
• Unintended weight loss.
A cough brought on by swallowing is a sign of dysphagia, which is a
finding of particular concern in a client with stomatitis. Dysphagia
can cause numerous problems, including airway obstruction, and
should be reported to the healthcare provider immediately.
,Ignatavicius, (2016). Medical-surgical nursing: Patient-centered
collaborative care, eight edition., Ch. 53, p. 1100.
The nurse is teaching a client diagnosed with peripheral arterial disease.
Which genitourinary system complication should the nurse include in
the teaching?
• Altered sexual response.
• Sterility.
• Urinary incontinence.
• Decreased pelvic muscle tone.
Peripheral arterial disease (PAD) is a cardiovascular condition
characterized by narrowing of the arteries and reduced blood flow to
the extremities. PAD is known to alter the blood flow to the male's
penis and is associated with erectile dysfunction in men.
Ignatavicius,. (2016). Medical-surgical nursing: Patient-centered
collaborative care, eight edition., Ch. 69, p. 1452.
,A 40-year-old female client has a history of smoking. Which finding
should the nurse identify as a risk factor for myocardia infarction?
• Oral contraceptives.
• Senile osteopenia.
• Levothyroxine therapy.
• Pernicious anemia.
, Women older than 35 years old who smoke and take oral contraceptives
have an increased risk of myocardial infarction or stroke.
Ignatavicius, (2013). Medical-surgical nursing: Patient-centered
collaborative care, 7th ed.., Ch. 35, p. 694.
A client has been told that there is cataract formation over both eyes.
Which finding should the nurse expect when assessing the client?
• Decreased color perception.
• Presence of floaters.
• Loss of central vision.
• Reduced peripheral vision.
Decreased color perception occurs with cataract formation.
Cataract formation is also associated with blurred vision and a
global loss of vision so gradual that the client may not be aware of
it.
Ignatavicius, (2016). Medical-surgical nursing: Patient-centered
collaborative care, eight edition., Ch. 47,
2025/26 LATEST VERSION
Drinking six beers every day is the dietary assessment finding most
important for the nurse to address when caring for a client with diabetic
nephropathy. The usual can of beer is 12 ounces (355 mL). Clients with
diabetes are recommended to drink no more than 12 ounces of beer
per day because beer contains carbohydrates that can create unhealthy
fluctuations in blood glucose and promote poor glucose control.
Nephropathy is exacerbated by poor blood
glucose control. 6.
Which assessment finding is of greatest concern to the nurse who is
caring for a client with stomatitis?
• Cough brought on by swallowing.
• Sore throat caused by speaking.
• Painful and dry oral cavity.
• Unintended weight loss.
A cough brought on by swallowing is a sign of dysphagia, which is a
finding of particular concern in a client with stomatitis. Dysphagia
can cause numerous problems, including airway obstruction, and
should be reported to the healthcare provider immediately.
,Ignatavicius, (2016). Medical-surgical nursing: Patient-centered
collaborative care, eight edition., Ch. 53, p. 1100.
The nurse is teaching a client diagnosed with peripheral arterial disease.
Which genitourinary system complication should the nurse include in
the teaching?
• Altered sexual response.
• Sterility.
• Urinary incontinence.
• Decreased pelvic muscle tone.
Peripheral arterial disease (PAD) is a cardiovascular condition
characterized by narrowing of the arteries and reduced blood flow to
the extremities. PAD is known to alter the blood flow to the male's
penis and is associated with erectile dysfunction in men.
Ignatavicius,. (2016). Medical-surgical nursing: Patient-centered
collaborative care, eight edition., Ch. 69, p. 1452.
,A 40-year-old female client has a history of smoking. Which finding
should the nurse identify as a risk factor for myocardia infarction?
• Oral contraceptives.
• Senile osteopenia.
• Levothyroxine therapy.
• Pernicious anemia.
, Women older than 35 years old who smoke and take oral contraceptives
have an increased risk of myocardial infarction or stroke.
Ignatavicius, (2013). Medical-surgical nursing: Patient-centered
collaborative care, 7th ed.., Ch. 35, p. 694.
A client has been told that there is cataract formation over both eyes.
Which finding should the nurse expect when assessing the client?
• Decreased color perception.
• Presence of floaters.
• Loss of central vision.
• Reduced peripheral vision.
Decreased color perception occurs with cataract formation.
Cataract formation is also associated with blurred vision and a
global loss of vision so gradual that the client may not be aware of
it.
Ignatavicius, (2016). Medical-surgical nursing: Patient-centered
collaborative care, eight edition., Ch. 47,
