2023 Med surg Hesi Actual Questions and Answers

A client with eczema is using an OTC topical product with urea 10% OTC (Aqua Care Cream) to the affected skin areas. Which finding reflects the expected therapeutic response. A. Hydration of affected dry skin areas B. Healing with a return to normal skin appearance C. Reduced pain in eczematous areas D. Decreased weeping of ulcerations in affected area A male client who reports feeling chronically fatigued has a hemoglobin of 11.0 grams/dl (110 mmol/L or SI), hematocrit of 34% and microcytic and hypochromic red blood cells. Based on the findings, which dinner selection should the nurse suggest for the patient? A. Beef steak with steam broccoli and orange slices B. Cheese pasta and a lettuce and tomato salad C. Broil white fish with a baked sweet potato D. Grill shrimp and seasoned rice with asparagus salad. The nurse learns in changes of shift report that x-ray report for newly admitted client indicates consolidation in the left lower lung. What action should the nurse take? A. Administer a PRN dose of a bronchodilator. B. Complete an assessment of respiratory status C. Demonstrate use of incentive spirometer. D. Prepare a client for chest tube insertion Two hours before a client's scheduled surgery, the nurse is completing the preoperative checklist. Which information requires the most immediate action by the nurse? A. Surgical consent form is not signed B. Preoperative serum potassium level is 2.8 mEq/L (2.8mmol/L) C.Preoperative chest x-ray report is not available D. Client's pulse oximeter reading is 96% The nurse is assessing a client's arteriovenous (AV) fistula. Which finding provides evidence of its normal function? A. Ecchymotic area B. Enlarged vein C. Pulselessness D. Redness Following a transurethral resection of the prostate (TURP), a client is discharged from the hospital with an indwelling urinary catheter. Which instruction is important for the nurse to include in the discharge teaching plan? A. Avoid driving a car for 2 weeks B. Drink 3 liters of water each day C. Eliminate all spicy foods from your diet D. Clamp the catheter when taking a shower A client with chronic cirrhosis has esophageal varies. It is most important for the nurse to monitor the client for the onset of which problem? A. Brown, foamy urine B. Anorexia C. Clay-colored stool D. Hematemesis A client's laboratory findings indicate elevations in thyroxine and triiodothyronine hormones. The nurse suspects that the client may have hyperthyroidism. Which assessment finding is most often associated with hyperthyroidism? A. Increased pulse rate B. Diarrhea stools C. Atrophied thyroid gland D. Periorbital edema A client is diagnosed with diverticulosis following a colonoscopy. The client denies any symptoms, and asks the nurse what to expect. Which is the best response by the nurse? A. Episodes of burning pain are commonly experienced B. Appetite loss, with resultant feelings of weakness, are common problems C. Symptoms may not occur unless sacs become inflamed D. As the sacs enlarge pain may be experienced in the lower abdomen A client with Cushing's syndrome is recovering from an elective laparoscopic procedure. Which assessment finding warrants immediate intervention by the nurse? A. Irregular apical pulse B. Pitting ankle edema C. Quarter size blood spot on dressing D. Purple marks on skin of the abdomen A female client who recently married returns to the clinic with recurrent cystitis and urethritis. The client presents with pain on urinating, urinary frequency, and urgency. Which additional information should the nurse obtain? A. Review a recent urinalysis for calcium oxalate B. Examine a client's history for any genetic renal disease C. Ask if she has recently has a streptococcus infection D. Inquire about hygiene practices after sexual intercourse .........................................................................................CONTINUE