HESI FINAL STUDY QUESTIONS MED SURG II EXAM GUIDE

A child with a congenital heart defect has a cardiac catheterization. What is an essential element of nursing care after this procedure? - Monitoring the extremity distal to the insertion site A client comes to the clinic for a physical and asks to be tested for acquired immunodeficiency syndrome (AIDS). Which test should the nurse explain will be used for the initial screening for AIDS? - Enzyme-linked immunosorbent assay (ELISA) A client has a closed chest drainage system in place. To determine the amount of chest tube drainage, the nurse should: - Refer to the date and time markings on the outside of the collection chamber A client has a new colostomy. The nurse has provided teaching related to when the client should irrigate the colostomy. Which client statement indicates correct understanding of the teaching? - "I plan to irrigate it in the late morning, the same time I had a bowel movement every day before I had my surgery." A client has a permanent sigmoid colostomy as a result of cancer of the rectum. The primary health care provider prescribes daily colostomy irrigations. The nurse explains that the primary purpose of these irrigations is to: - Establish a regular elimination schedule A client has chronic obstructive pulmonary disease (COPD). To decrease the risk of CO2 intoxication (CO2 narcosis), the nurse should: - Administer oxygen at a low concentration to maintain respiratory drive A client has had a total gastrectomy. What should the nurse include in the discharge teaching? - Injections of vitamin B12 for life. A client has surgery for the creation of burr holes after sustaining head trauma. An early clinical manifestation of meningeal irritation for which the nurse assesses the client is: - Kernig's sign A client is admitted to the hospital for a total hip replacement. The nurse is planning preoperative teaching about the nursing care to be delivered during the immediate postoperative period. Which is the most important factor that the nurse should focus on regarding immediate postoperative care? - Abducting the operative hip