After a transurethral vaporization of Assess that the tubing attached to the collection bag is patent
the prostate, the client returns to the
unit with an indwelling urinary
catheter and a continuous bladder
irrigation. The client puts the call
light on to report the need to
urinate. What should the nurse do
first?
After sustaining multiple internal Reduction in circulating blood volume.
injuries when hit by a motor vehicle,
a client has a sudden drop in blood
pressure to 80/60 mm Hg. What
does the nurse determine probably
caused this response?
As an acute episode of rheumatoid Pain
arthritis subsides, active and passive
range-of-motion exercises are
taught to the client's spouse. The
nurse should teach that direct
pressure should not be applied to
the client's joints because this may
precipitate:
Before a client with syphilis can be Existence of allergies
treated, what should be
determined?
, Hesi Final Study Questions: Med Surg II
Before administering preoperative Verify the consent
medication to a client, the nurse
plans to:
A child with a congenital heart Monitoring the extremity distal to the insertion site
defect has a cardiac catheterization.
What is an essential element of
nursing care after this procedure?
A client comes to the clinic for a Enzyme-linked immunosorbent assay (ELISA)
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?
A client has a closed chest drainage Refer to the date and time markings on the outside of the collection
system in place. To determine the chamber
amount of chest tube drainage, the
nurse should:
A client has a new colostomy. The "I plan to irrigate it in the late morning, the same time I had a bowel
nurse has provided teaching related movement every day before I had my surgery."
to when the client should irrigate
the colostomy. Which client
statement indicates correct
understanding of the teaching?
, Hesi Final Study Questions: Med Surg II
A client has a permanent sigmoid Establish a regular elimination schedule
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:
A client has chronic obstructive Administer oxygen at a low concentration to maintain respiratory drive
pulmonary disease (COPD). To
decrease the risk of CO2
intoxication (CO2 narcosis), the
nurse should:
A client has had a total gastrectomy. Injections of vitamin B12 for life.
What should the nurse include in the
discharge teaching?
A client has surgery for the creation Kernig's sign
of burr holes after sustaining head
trauma. An early clinical
manifestation of meningeal irritation
for which the nurse assesses the
client is: