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HESI-RN Med-Surg Test, MED SURG HESI V2 -
2024/2025
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C
Rationale:In older adults, the protein found in urine slightly rises, probably as a result
of kidney changes or subclinical urinary tract infections, and clients frequently
experience asymptomatic bacteriuria and pyuria as a result of incomplete bladder
emptying. Laboratory findings in options A, B, and D are not considered to be normal
findings in an older adult.
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Which data would the nurse expect to find when reviewing laboratory
values of an 80-year-old who is in good health overall?
A.
Complete blood count reveals increased white blood cell (WBC) and
decreased red blood cell (RBC) counts.
B.
Chemistries reveal an increased serum bilirubin level with slightly increased
liver enzyme levels.
C.
Urinalysis reveals slight protein in the urine and bacteriuria, with pyuria.
D.
Serum electrolytes reveal a decreased sodium level and increased
potassium level.
Pain
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A male client with heroes zoster (shingles) on his thorax tells the nurse that
he is having difficulty sleeping. what is the etiology of this problem?
A. pain
B. Nocturia
C. Dyspnea
D. Frequent cough
D
Rationale:Attending a support group will be beneficial to the client and should be
encouraged because adaptation to the ostomy can be difficult. This goal is attainable
and is measurable. Option A is not specifically related to ileostomy care. The client
with an ileostomy will not be able to accomplish option B. Option C is not necessary.
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The nurse is preparing a 45-year-old client for discharge from a cancer
center following ileostomy surgery for colon cancer. Which discharge goal
should the nurse include in this client's discharge plan?
A.
Reduce the daily intake of animal fat to 10% of the diet within 6 weeks.
B.
Exhibit regular, soft-formed stool within 1 month.
C.
Demonstrate the irrigation procedure correctly within 1 week.
D.
Attend an ostomy support group within 2 weeks.
A
Rationale:Nystatin suspension is prescribed for fungal infections of the mouth. The
client should swish the medication in the mouth for 2 minutes and then swallow.
Option B does not affect administration of this medication. The medication should not
be diluted because this will reduce its effectiveness. Option D is not necessary.
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The nurse is administering a nystatin suspension for stomatitis. Which
instruction will the nurse provide to the client when administering this
medication?
A.
"Hold the medication in your mouth for a few minutes before swallowing it."
B.
"Do not drink or eat milk products for 1 hour prior to taking this medication."
C.
"Dilute the medication with juice to reduce the unpleasant taste and odor."
D.
"Take the medication before meals to promote increased absorption."
D
ptoms of hyperglycemia in older adults may include fatigue, infection, and evidence
of neuropathy (e.g., sensory changes). The nurse needs to remember that classic signs
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