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HESI MEDICAL SURGICAL EXIT EXAM COMPLETE GUIDE WITH DETAILED RATIONALES UPDATE

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HESI MEDICAL SURGICAL EXIT EXAM COMPLETE GUIDE WITH DETAILED RATIONALES UPDATE
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink
plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best followup action by the nurse?
(ANS- Review with the client the need to avoid foods that are rich in milk and cream
A male client with hypertension, who received new antihypertensive prescriptions at his last visit
returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and
he admits that he has not been taking the prescribed medication because the drugs make him
"feel bad". In explaining the need for hypertension control, the nurse should stress that an
elevated BP places the client at risk for which pathophysiological condition?
(ANS- Stroke secondary to hemorrhage
The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client
who has a seizure disorder. The client is supine and the UAP is placing soft pillows along the
side rails. What action should the nurse implement? (ANS- Instruct the UAP to obtain soft
blankets to secure to the side rails instead of pillows.
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past
12 days. Which assessment finding requires immediate follow-up?
(ANS- Describes life without purpose

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