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HESI Med-Surg Practice 180 Questions 2024.pdf

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HESI Med-Surg Practice 180 Questions

Instelling
HESI Med-Surg
Vak
HESI Med-Surg











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Voorbeeld van de inhoud

Med Surg 2023/2024 Hesi Practice Questions & Answer With 100% Assu
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The nurse is assessing a 48-year-
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old client with a history of smoking during a routine clinic visit. The
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client, who exercises regularly, reports having pain in the calf
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during exercise that disappears at rest. Which of the following findings r
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equires furtherevaluation? p p



1. Heartpratep57pbpm.

2. SpO2pofp94%ponproompair.

3. Bloodppressurep134/82.

4. Ankle-

brachial index of 0.65.4 p p p p



An Ankle-
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Brachial Index of 0.65 suggests moderate arterial vascular disea
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se ina client who is experiencing intermittent claudication. A Do
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ppler ultrasound is p p



indicated for further evaluation. The bradycardic heart rate is accepta
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ble in an athleticclient with a normal blood pressure. The SpO2 is acc
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eptable; the client has a smokinghistory
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.
Med Surg 2023/2024 Hesi Practice Questions & Answer With 100% Assu
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rance Correctly Verified Answers Best Exam Solution in the Summer Sa
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,Med Surg 2023/2024 Hesi Practice Questions & Answer With 100% Assu
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rance Correctly Verified Answers Best Exam Solution in the Summer Sa
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An overweight client taking warfarin (Coumadin) has dry skin due to dec
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reased
arterial blood flow. What should the nurse instruct the client to do? Sele
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ct all that apply.
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1. Applyplanolinporppetroleumpjellyptopintactpskin.

2. Followpapreduced-calorie,preduced-fatpdiet.

3. Inspectpthepinvolvedpareaspdailypforpnewpulcerations.

4Instruct the client to limit activities of daily livi
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ng (ADLs). p p



5.Use an electric razor to shavep p p p p



1,2,3,5
Maintaining skin integrity is important in preventing chronic ulcers and
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infections. The client should be taught to inspect the skin on a daily ba
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sis. The client should reduce weight to promote circulation; a diet lowe
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r in calories and fat is appropriate. Because the client is receiving Cou
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madin, the client is at risk for bleedingfrom cuts. To decrease the risk o
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f cuts, the nurse should suggest that the client use anelectric razor. Th
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e client with decreased arterial blood flow should be encouraged to pa
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rticipate in ADLs. In fact, the client should be encouraged to consult an
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p exercise physiologist for an exercise program that enhances the aero
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bic capacity of the body.
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A client with peripheral vascular disease has undergone a right femo
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ral-
Med Surg 2023/2024 Hesi Practice Questions & Answer With 100% Assu
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rance Correctly Verified Answers Best Exam Solution in the Summer Sa
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tisfaction Guaranteed Success Download A+ p p p p

, Med Surg 2023/2024 Hesi Practice Questions & Answer With 100% Assu
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rance Correctly Verified Answers Best Exam Solution in the Summer Sa
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tisfaction Guaranteed Success Download A+
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poplitealbypass graft. The blood pressure has decreased from 124/8
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0 to 94/62. What should the nurse assess first?
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1. IVpfluidpsolution.

2. Pedalppulses.

3. Nasalpcannulapflowprate.

4. Capillarypref

ill2 p



With each set of vital signs, the nurse should assess the dorsalis pe
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dis and posterior tibial pulses. The nurse needs to ensure adequate
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perfusion to the lower p p p




Med Surg 2023/2024 Hesi Practice Questions & Answer With 100% Assu
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rance Correctly Verified Answers Best Exam Solution in the Summer Sa
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tisfaction Guaranteed Success Download A+
p p p p

, Med Surg 2023/2024 Hesi Practice Questions & Answer With 100% Assu
p p p p p p p p p p


rance Correctly Verified Answers Best Exam Solution in the Summer Sa
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tisfaction Guaranteed Success Download A+ p p p p




extremity with the drop in blood pressure. IV fluids, nasal cannula setti
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ng, and capillaryrefill are important to assess; however, priority is to d
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etermine the cause of drop in blood pressure and that adequate perfus
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ion through the new graft is maintained.
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The nurse is caring for a client with peripheral artery disease who h
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as recently been prescribed clopidogrel (Plavix). The nurse unders
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tands that more teaching isnecessary when the client states which
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of the following:
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1. "IpshouldpnotpbepsurprisedpifpIpbruisepeasierporpifpmypgumspble

ed a little whenbrushing my teeth."
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2. "Itpdoesn'tpreallypmatterpifpIptakepthispmedicinepwithporpwithoutp

food, whateverworks best for my stomach."
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3. "IpshouldpstopptakingpPlavixpifpitpmakespmepfeelpweakpandpdizzy."

4. "Thepdoctorpprescribedpthispmedicineptopmakepmypplateletsplessplikely

p to stick togetherand help prevent clots from forming."
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3


Weakness, dizziness, and headache are common adverse effect
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s of Plavix and the client should report these to the physician if t
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hey are problematic; in order todecrease risk of clot formation, P
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lavix must be taken regularly and should not be
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stopped or taken intermittently. The main adverse effect of Plavix is
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bleeding, whichoften occurs as increased bruising or bleeding whe
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n brushing teeth. Plavix is well absorbed, and while food may help d
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Med Surg 2023/2024 Hesi Practice Questions & Answer With 100% Assu
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rance Correctly Verified Answers Best Exam Solution in the Summer Sa
p p p p p p p p p p


tisfaction Guaranteed Success Download A+ p p p p
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