Med-Surg HESI 2022 Practice Questions & Answers

Med-Surg HESI 2022 Practice Questions & Answers The nurse would be correct in withholding a dose of digoxin in a client with CHF without specific instruction from the healthcare provider if the client's: A. Serum digoxin level is 1.5 B. Blood pressure is 104/68 C. Serum Potassium level is 3 D. Apical pulse is 68/min C. Hypokalemia can precipitate digitalis toxicity in persons receiving digoxin which will increase the chance of dangerous dysrhythmias (normal potassium level is 3.5 to 5.5 mEq/L). The therapeutic range for digoxin is 0.8 to 2 ng/ml (toxic levels = 2 ng/ml); (A) is within range (B) would not warrant the nurse withholding the digoxin (D) the nurse should withhold the digoxin if the apical pulse is less than 60/min The nurse assesses a client with advanced cirrhosis of the liver for signs of hepatic encephalopathy. Which finding would the nurse consider an indication of progressive hepatic encephalopathy? A. An increase in abdominal girth B. Hypertension and a bounding pulse C. Decreased bowel sounds D. Difficulty in handwriting D. A daily record in handwriting may provide evidence of progression or reversal of hepatic encephalopathy leading to coma (A) is a sign of ascites (B) are not seen with hepatic encephalopathy (C) does not indicate an increase in serum ammonia level which is the primary cause of hepatic encephalopathy The healthcare provider prescribes aluminum magnesium hydroxide (Maalox), 1 tablet PO PRN, for a client with chronic kidney disease (CKD) who is complaining of indigestion. What intervention should the nurse implement? A. Administer 30 minutes before eating B. Evaluate the effectiveness 1 hour after administration C. Instruct the client to swallow the table whole D. Question the healthcare provider's prescription D. Magnesium agents are not usually used for clients with CKD due to the risk of hypermagnesemia, so this prescription should be questioned by the nurse (A, B, and C) are not recommended nursing actions for the administration of aluminum and magnesium hydroxide (Maalox) Two days postoperative, a male client reports aching pain in his left leg. The nurse assesses redness and warmth on the lower left calf. What intervention would be most helpful to this client? A. Apply sequential devices (SCDs) bilaterally B. Assess for a positive Homan's sign in each leg C. Pad all bony prominences on the affected lef D. Advise the client to remain in bed with the leg elevated D. The client is exhibiting symptoms of deep vein thrombosis (DVT), a complication of immobility. The initial care includes bedrest and elevation of the extremity (A) SCDs are used to prevent thrombophlebitis, not for treatment, when a clot might be dislodged (B) Once a client has thrombophlebitis, this one is contraindicated because of the possibility of dislodging a clot (C) Is indicated to prevent pressure ulcers, but is not a therapeutic action for thrombophlebitis A client taking a thiazide diuretic for the past six months has a serum potassium level of 3. The nurse anticipates which change inn prescription for the client? A. The dosage of the diuretic will be decreased B. The diuretic will be discontinued C. A potassium supplement will be prescribed D. The dosage of the diuretic will be increased C. This client's potassium level is too low (normal is 3.5 to 5). Taking a thiazide diuretic often results in a loss of potassium, so a potassium supplement needs to be prescribed to restore a normal serum potassium level (A, B, and D) are not recommended actions for restoring a normal serum potassium level Which milestone indicates to the nurse successful achievement of young adulthood? A. Demonstrates a conceptualization of death and dying B. Completes education and becomes self-supporting C. Creat..................................................................................................................................................continues