NURS 355 HESI MED SURG V1 2021 EXIT EXAM Updated Version TOP GRADE

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1.a client with stage IV bone cancer is admitted to the hospital for a 1 to 10 scale. Which intervention should the nurse implement 2. During spring br eak, a young adult presents at the urgent care c... linic and report headache. Which intervention is most important for the nurse to implement? 3. After a colon resection for colon cancer, a male client is moaning while being transported to unit (PACU). Which intervention should the nurse implement first? 4. Which nursing problem has the highest priority when planning care for a client with osteomalacia? 5. A client who took a camping vacation two weeks ago in a country with a tropical climate comes symptoms and diarrhea for the past week. Which finding is most important for the nurse report? 6. a client admitted to a surgical unit is being evaluated for an intestinal obstruction . the healthcare prescribed nasogatric tube(NGT) to be inserted and placed to intermittent low wall suction. Which intervention –to facilitate proper tube placement? 7. when explaining dietary quidelines to a client with acute glomerulonepheritis (AGN) , which instruction should the nurse include in the dietary teaching ? 8. a client with chronic kidney disease is started on hemodialysis, during the first treatment the client’s blood pressure 150/90 mm hg to 80/30 mm hg. Which action should the nurse take first? 9. a client with urolithiasis is preparing for discharge after lithotripsy. Which intervention should the nurse spostoperative discharge instruction? 10. a client with sickle cell anemia develops a fever during the last hour of administration of a unit of packed red blood notifying the healthcare provider, what information should the nurse provide first using the SBAR (situation, background, assessment, and recommendation ) communication process? 11. Intermittent claudiation with leg pain… 12. Three months after Dx of T2DM pt and nocompliance to Tx regimen….. 13. Client with SIADH complains of dry mouth and thirsty…. 14. Client with emphysema with CT drain change from green to clear liquid. 15. Pt with multiple transplant reaction to report to HCP (healthcare prosional) 16. Fracture of left femur + fixation complain of pain. 17. Nursing care goal for preop client. 18. Iron deficiency anemia client selected food requiring further teaching. 19. CVA client with expressive aphasia frustrated. 20. 2hrs Post op laparoscopy client demanding for food. 21. Nurse assisting PD client ambulate in hallway. 22. Xenograft for a Jewish clent with burn. 23. Laryngectomy and tracheostomy expectorate copious purulent secretion. 24. Client with emphysema and HF has edema, coughing and SOB. BNP is elevated. 25. Client with Blood glucose of 50mg/dl, before action. 26: Med order = 0.1875 mg; Available= 0.3mg per 1.2 ml 27. Heparin infusion order= 900 Unit per hr; Available= 25,000 Unit per 250 ml 28. Nurse calling HCP for client complaining of pain, SBAR report pattern. 29. Nursing care with higher priority when giving care. 30. Bone cancer client with constipation complain of pain of 8 on 1-10 scale. 31. Pt with potassium level of 6.0, med to give. 32. In teaching a client newly diagnosed with multiple sclerosis (MS), which approach should the nurse emphasize as most likely to prevent an exacerbation of symptoms? 33. While assessing a client in a supine position, the nurse observes jugular vein distention. The client’s vital signs are: heart rate 110 beats/minute, respirations 28 breaths/minute, and blood pressure 160/88. What should the nurse take? 34. A client is recovering from a transurethral prostectomy. Which activity should be limited until after the first postoperative visit with his healthcare provider/; 35. a client who has a history of hypothyroidism was initially admitted with lethargy and confusion. Which additional finding warrants the most immediate action by the nurse? 36. after a computer tomography (CT) scan with intravenous medium, a client returns to the room complaining of shortness of breath and itching. Which intervention should the nurse implement? 37. a client with newly diagnosed crohn’s disease asks the nurse about dietary restrictions. How should the nurse respond? 38. A female college student comes to the school’s health clinic complaining of urinary frequency and burning with right lower back pain. Which intervention should the nurse implement first? 39. when preparing a teaching plan for a client newly diagnosed with diabetes mellitus, the nurse should describe which situation as requiring the most immediate action by the client or family? 40. Client is about to go to physical therapy but before that is having a wound debridement(whirlpool therapy)? What should the nurse do? Give analgesic. 41. Patient taking ferrous sulfate 42. Patient complaining of pain in the back/sacrum area 43. Patient complaining of leg pain 44. Emesis basin of coffee-ground vomit 45. Dosage calculation/Heparin Drip: 46. Dosage calculation: 47. Patient complaining of abdominal pain 48. Pt with eczema how will you know the medication is working 49. COPD patient with ABGs and elevated CO2 51) After a colon resection for colon cancer, a male client is moaning while being transported to unit (PACU). Which intervention should the nurse implement first? 52) SIADH : 53) Emotional prepareness before surgery a client with stage IV bone cancer is admitted to the hospital for a 1 to 10 scale. Which intervention should the nurse implement After a colon resection for colon cancer, a male client is moaning while being transported to unit (PACU). Which intervention should the nurse implement first?Which nursing problem has the highest priority when planning care for a client with osteomalacia?A client who took a camping vacation two weeks ago in a country with a tropical climate comes symptoms and diarrhea for the past week. Which finding is most important for the nurse report?client when explaining dietary quidelines to a client with acute glomerulonepheritis (AGN) , which instruction should the nurse include in the dietary teaching ?a client with urolithiasis is preparing for discharge after lithotripsy. Which intervention should the nurse spostoperative discharge instruction?a client with sickle cell anemia develops a fever during the last hour of administration of a unit of packed red blood notifying the healthcare provider, what information should the nurseCVA client with expressive aphasia frustrated.Nurse assisting PD client ambulate in hallway. Client with Blood glucose of 50mg/dl, before action.Nurse calling HCP for client complaining of pain, SBAR report pattern.client’s vital signs are: heart rate 110 beats/minute, respirations 28 breaths/minute, and blood pressure 160/88. What should the nurse take?1. Answer: raise the head of the bed 45 degrees herpes zoster assessment – unilateral skin vesicle along trunk, thorax, face, fever malaise, burning pn, pruitis, paresthesia; pain skin and functional mobility drugs HTN outcome – HA Muscular dystrophy – x linked genetic disease Myxedema Coma – patent airway Assess nephrotic syndrome – dark frothy urine, massive proteinuria, daily wt, albumin, prednisone, low salt Pulmonary abscess position – on affected side Raynauds phenomenon – use space heater Seizure precautions – do not use a space heater Sensory perception – peripheral neuropathy SIADH – nursing problem difficulty swallowing An older adult man recently diagnosed with chronic obstructive pulmonary disease (COPD) is admitted with shortness fo breath. The nurse observes the client sitting upright and leaning over the bedside table, using accessory muscles to assist in breathing. What action should the nurse take?The nurse is preparing a client for a bronchoposcopy . While obtaining consent, the client complains of thirst and admits to drinking a small amount fo orange juice two hours ago. What action should the nurse take? The nurse learns in change of shift report that the x-ray report for a newly admit client indicates consolidation in the left lower lung. What action should the nurse take? During the preoperative teaching for a male client scheduled for repair of an inguinal hernia, the client tells the nurse that he has had several surgeries and understands the need to perform coughing and deep breathing exercises after surgery. How should the nurse respond? While assessing a client in a supine position, the nurse observes jugular vein distention. The client's vital signs are: heart rate 110 beats/minute, respirations 28 breaths/minute, and blood pressure 160/88. What action should the nurse take? Raise the head of the bed 45 degrees A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions. How should the nurse respond? Client is about to go to physical therapy but before that she is having a wound debridement (whirlpool therapy)? What should the nurse do? Give analgesic An adult female client is diagnosed with restless leg syndrome and referred to the sleep clinic. The Healthcare provider prescribes ferrous sulfate (Feosol) 325 mg PO daily. Which lab values should the nurse monitor? To reduce the risk for pulmonary complications for a client with Amyotrophic Lateral Sclerosis (ALS), what intervention should the nurse implement? (Select all that apply) A male client who reports feeling chronically fatigued has a hemoglobin of 11.0 grams, hematocrit of 34%, and microcytic and hypo chromic red blood cells (RBCs) Based on these findings, which dinner selection should the nurse suggest to the client? Two days following abdominal surgery a client begins to report cramping abdominal pain, and the nurse's inspection of the abdomen indicates slight distention. Which action should the nurse implement first? A client with a liver abscess undergoes surgical evacuation and drainage of the abscess. Which laboratory value is most important for the nurse to monitor following the procedure? A male client with bilateral carpal tunnel syndrome reports tot he nurse that the pain and tingling he is experiencing worsens at night. What client teaching should the nurse provide?An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI). Prescriptions for intravenous antibiotics and an insulin infusion are initiated. Which serum laboratory value warrants the most immediate intervention by the nurse? The nurse is collecting information from a client with chronic pancreatitis who reports persistent abdominal pain. To help the client manage the pain, which assessment data is most important for the nurse to obtain? Patient was admitted with an exacerbation of heart failure secondary to COPD. Which observation by the nurse intervention to reduce the likelihood of harm to this client? A client who was alert and oriented during admission 4 hours ago cannot be awakened. Vital signs are...what intervention should the nurse implement first? An older adult women with a long history of chronic obstructive pulmonary disease (COPD) is admitted for shortness of breath and a persistent cough. She is anxious and complaining of a dry mouth. Which intervention should the nurse implement? To reduce the risk for pulmonary complication for a client with Amyotrophic Lateral Sclerosis (ALS), what intervention should the nurse implement? The drainage in the chest tube of a client with emphysema has changed from viscous green to clear watery fluid. What action would be best for the nurse to take? [Show More]

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