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HESI MED SURG EXAM REVIEW QUESTIONS & ANSWERS

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The nurse is completing an admission interview for a client with Parkinson disease. Which question will provide additional information about manifestations the client is likely to experience? (ANS- "H... ave you ever been 'frozen' in one spot, unable to move? A female client who received a nephrotoxic drug is admitted with acute renal failure and asks the nurse if she will need dialysis for the rest of her life. The nurse should explain which pathophysiologic consequence that supports the need for temporary dialysis until acute tubular necrosis subsides? (ANS- Oliguria In assessing a client for complications of total parenteral nutrition, it is most important for the nurse to monitor which lab value regularly? (ANS- Glucose An 81-year-old male client has emphysema. He lives at home with his cat and manages self-care with no difficulty. When making a home visit, the nurse notices that this client's tongue is somewhat cracked and his eyeballs appear sunken into his head. What nursing intervention is indicated? (ANS- Help the client to determine ways to increase his fluid intake. In caring for a client with acute diverticulitis, which assessment data warrant immediate nursing intervention? The client (ANS- has a rigid hard abdomen and elevated white blood cell count (WBC). A family member was taught to suction a client's tracheostomy prior to the client's discharge from the hospital. Which observation by the nurse indicates that the family member is capable of correctly performing the suctioning technique? (ANS- Inserts the catheter until resistance or coughing occurs After attending a class on reducing cancer risk factors, a client selects bran flakes with 2% milk and orange slices from a breakfast menu. In evaluating the client's learning, the nurse affirms that the client has made good choices, and makes what additional recommendation? (ANS- Switch to skim milk. An older female client with dementia is transferred from a long-term care unit to an acute care unit. The client's children express concern that their mother's confusion is worsening. How should the nurse respond? (ANS- "Confusion in an older person often follows relocation to new surroundings." The nurse observes ventricular fibrillation on telemetry and upon entering the client's bathroom finds the client unconscious on the floor. What intervention should the nurse implement first? (ANS- Start cardiopulmonary resuscitation The nurse plans to help an 18-year-old developmentally disabled female client ambulate on the first postoperative day. When the nurse tells her it is time to get out of bed, the client becomes angry and yells at the nurse, "Get out of here! I'll get up when I'm ready." Which response should the nurse provide? (ANS- "I'll be back in 30 minutes to help you get out of bed and walk around the room." During report, the nurse learns that a client with tumor lysis syndrome is receiving an IV infusion containing insulin. Which assessment should the nurse complete first? (ANS- Monitor the client's serum potassium and blood glucose. [Show More]

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