HESI RN EXIT MED SURG 209 Study Guide Test Bank Latest (700 Q & A) guaranted pass

HESI RN EXIT MED SURG 209 Study Guide Test Bank Latest (700 Q & A) guaranted pass Keeps the irrigating container less than 18 inches above the stoma 104. The nurse should teach the client to observe which precaution while taking dronedarone? • Avoid grapefruits and its juice 105. A client who sustained a head injury following an automobile collision is admitted to the hospital. The nurse include the client’s risk for developing increased intracranial pressure (ICP) in the plan of care. Which signs indicate to the nurse that ICP has increased? • Increased Glasgow coma scale score. • Nuchal rigidity and papilledema. • Confusion and papilledema • Periorbital ecchymosis. • Rationale: papilledema is always an indicator of increased ICP, and confusion is usually the first sign of increased ICP. Other options do not necessarily reflect increased ICP. 106. The nurse is caring for a client receiving continuous IV fluids through a single lumen central venous catheter (CVC). Based on the CVC care bundle, which action should be completed daily to reduce the risk for infection? • Confirm the necessity for continued use of the CVC. 107. During an annual physical examination, an older woman’s fasting blood sugar (FBS) is determined to be 140 mg/dl or 7.8 mmol/L (SI). Which additional finding obtained during a follow-up visit 2 weeks later is most indicative that the client has diabetes mellitus (DM)? • Repeated fasting blood sugar (FBS) is 132 mg/dl or 7.4 mmol/L (SI). 108. A new mother tells the nurse that she is unsure if she will be able to transition into parenthood. What action should the nurse take? • Determine if she can ask for support from family, friend, or the baby’s father. 109. A client who was admitted yesterday with severe dehydration is complaining of pain a 24 gauge IV with normal saline is infusing at a rate of 150 ml/hour. Which