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HESI Med Surg 1 Practice Questions and Answers2023 (Verified Answers)
- What instruction should the nurse include in the discharge teaching
plan of a client who had a cataract extraction today?
a. sexual activities may be resumed upon return home
b. light housekeeping is permitted but avoid heavy lifting
c. use a metal eye shield on operative eye during the day
d. administer eye ointment before applying eye drops ANS b. light
housekeeping is permitted but avoid heavy lifting - A male adult comes to the urgent care clinic 5 days after being
diagnosed with influenza. He is short of breath, febrile, and coughing green
colored sputum. Which intervention should the nurse implement first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound ANS a. obtain a sputum sample for
culture - An elder male client tells the nurse that he is loosing sleep because he
has to get up several times at night to go to the bathroom that he has
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trouble starting his urinary stream and that he does not feel like his bladder
is ever completely empty. Which intervention should the nurse implement?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake ANS c. palpate the bladder above the
symphysis pubis
- An adult client is admitted with diabetic ketoacidosis (DKA) and a
urinary tract infection (UTI) Prescriptions for intravenous antibiotics and
insulin infu- sion are initiated. Which serum laboratory value warrants the
most immediate intervention by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l ANS d. potassium of 2.5 meq/l - A client with sickle cell anemia develops a fever during the last hour of
administration of a unit of packed red blood cell. When notifying the
healthcare provider what information should the nurse provide first using
the SBAR communication process?
a. explain specific reason for urgent notification
b. preface the report by stating the clients name and admitting diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f ANS a. explain
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specific reason for urgent notification