MED SURG II HESI (Elsevier) TEST BANK EXAM
2023/2024 WITH CORRECT ANSWERS A+
A client with arterial insufficiency of both lower extremities is
visited by the home health care nurse. An essential nursing
intervention is to teach the client to:
1. Maintain elevation of both legs
2. Massage the legs when painful
3. Apply a hot water bottle to the legs
4. Check pulses in the legs regularly - ANSWER-4. Check pulses
in the legs regularly
A client is admitted for dehydration, and an intravenous (IV)
infusion of normal saline at 125 mL/hr has been started. One
hour after the IV initiation the client begins screaming, "I can't
breathe!" The nursing priority action is:
1. Discontinue the IV site and contact the primary health care
provider
2. Elevate the head of the bed and obtain vital signs
, 3. Contact the primary health care provider to obtain a
prescription for a sedative
4. Assess for allergies and change the IV to an intermittent
infusion device - ANSWER-Elevate the head of the bed and
obtain vital signs
A client is hospitalized for the treatment of thrombophlebitis.
What should the nurse include in the client's teaching plan
related to how to prevent thrombophlebitis?
1. Perform leg exercises
2. Sit with the knees flexed
3. Apply warm soaks to the legs daily
4. Put on elastic stockings before arising - ANSWER-4. Put on
elastic stockings before arising
A nurse is assessing a client with a diagnosis of early left
ventricular heart failure. Specific to this type of heart failure,
the nurse expects the client to state:
1. "My ankles are swollen."
2. "I am tired at the end of the day."
3. "When I eat a large meal, I feel bloated."
4. "I have trouble breathing when I walk rapidly - ANSWER-4. "I
have trouble breathing when I walk rapidly
A client who had a myocardial infarction asks the nurse,
"What's the chance of my having another heart attack if I
2023/2024 WITH CORRECT ANSWERS A+
A client with arterial insufficiency of both lower extremities is
visited by the home health care nurse. An essential nursing
intervention is to teach the client to:
1. Maintain elevation of both legs
2. Massage the legs when painful
3. Apply a hot water bottle to the legs
4. Check pulses in the legs regularly - ANSWER-4. Check pulses
in the legs regularly
A client is admitted for dehydration, and an intravenous (IV)
infusion of normal saline at 125 mL/hr has been started. One
hour after the IV initiation the client begins screaming, "I can't
breathe!" The nursing priority action is:
1. Discontinue the IV site and contact the primary health care
provider
2. Elevate the head of the bed and obtain vital signs
, 3. Contact the primary health care provider to obtain a
prescription for a sedative
4. Assess for allergies and change the IV to an intermittent
infusion device - ANSWER-Elevate the head of the bed and
obtain vital signs
A client is hospitalized for the treatment of thrombophlebitis.
What should the nurse include in the client's teaching plan
related to how to prevent thrombophlebitis?
1. Perform leg exercises
2. Sit with the knees flexed
3. Apply warm soaks to the legs daily
4. Put on elastic stockings before arising - ANSWER-4. Put on
elastic stockings before arising
A nurse is assessing a client with a diagnosis of early left
ventricular heart failure. Specific to this type of heart failure,
the nurse expects the client to state:
1. "My ankles are swollen."
2. "I am tired at the end of the day."
3. "When I eat a large meal, I feel bloated."
4. "I have trouble breathing when I walk rapidly - ANSWER-4. "I
have trouble breathing when I walk rapidly
A client who had a myocardial infarction asks the nurse,
"What's the chance of my having another heart attack if I
