HESI RN Medical-Surgical Assignment Exam

The nurse is assessing a middle-aged male client for risk factors related to chronic illness. Which finding should the nurse assess further? ○ Increase in abdominal fat deposits. i. An increase in the abdominal girth is a risk factor for the development of metabolic syndrome. According to the American Heart Association, men with a waist size 40 inches or larger and women 35 inches or larger double their risk factor of developing CAD and increase their chances 5Xs of developing DMII. 2. The nurse is caring for a client who is receiving chemotherapy for non-Hodgkin’s lymphoma. Laboratory results reveal a platelet count of 10,000/mL. Which action should the nurse implement? ○ Check stools for occult blood. i. Platelet counts less than 100,000/mm3 are indicative of thrombocytopenia, a common side effect of chemotherapy. A client with thrombocytopenia should be assessed frequently for occult bleeding in the emesis, sputum, feces, urine, nasogastric secretions, or wounds. 3. A 24-year-old female client diagnosed with a human papillomavirus infection (HPV) is angry at her ex-boyfriend and says she is not going to tell him that he is infected. What response is best for the nurse to provide? ○ "Even though you are angry, he should be told, so he can take precautions to prevent the spread of infection." i. Anger is a common emotional reaction when confronted with the diagnosis of a STI, and often lay blame and project this anger at the sexual partner. Although HPV is not a reportable disease in many states, all contacts should be informed of the infection, treatment, transmission, and precautions to minimize infecting others. 4. The registered nurse (RN) is caring for an older client who recently experienced a fractured pelvis from a fall. Which assessment finding is most important for the RN to report the healthcare provider? ○ Dyspnea i. A client with a large bone fracture is at risk for intramedullary fat leaking into the bloodstream and becoming embolic. Dyspnea is an indication of fat embolism to the lungs and should be reported to the healthcare provider immediately.