MED SURG HESI V2 - 20242025Study online at What information should the nurse include in the teaching plan of a client diagnosed with GERD? A. Sleep without pillows B. Adjust food intake to three full meals per day with no snacks C. Minimize symptoms by wearing

MED SURG HESI V2 - 2024/2025Study online at https://quizlet.com/_ge1w931. What information should the nurse include in the teaching plan of a client diagnosed with GERD? A. Sleep without pillows B. Adjust food intake to three full meals per day with no snacks C. Minimize symptoms by wearing loose comfortable clothing D. Avoid participation in any aerobic exercise program: Minimize symptoms by wearing loose comfortable clothing2. After hospitalization for SIADH, a client develops pontine myelinolysis. Which intervention should the nurse implement first? A. Reorient client to room B. Place a patch on one eye C. Evaluate clients ability to swallow D. Perform range of motion exercises: Reorient client to room3. A male client with heart failure calls the clinic and reports that he cannot put his shoes on because they are too tight. Which additional information should the nurse obtain? A. What time did he take his medication? B. Has his weight changed in the last several days? C. Is he still able to tighten his belt buckle? D. How many hours did he sleep last night?: Has his weight changed in the last several days?4. An older adult woman with a long history of COPD is admitted with pro-gressive shortness of breath and a persistent cough, is anxious, and is complaining of dry mouth. which intervention should the nurse implement? A. Administer a prescribed sedative B. Encourage client to drink water C. Apply a high flow Venturi mask D. Assist her to an upright position: Assist her to an upright position5. A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath, productive cough with thickening mucous and the inabil-ity to walk up a flight of stairs without experiencing breathlessness. Which action is most important for the nurse to instruct the client about self care? A. Increase the daily intake of oral fluids to liquify secretions B. Avoid crowded enclosed areas to reduce pathogens exposure 1 / 11

MED SURG HESI V2 - 2024/2025Study online at https://quizlet.com/_ge1w93C. Call the clinic if undesirable side effects or medications: Increase the daily intake of oral fluids to liquify secretions6. A cardiac catherization of a client with heart disease indicates the following blockages: 95% proximal left anterior descending (LAD), 99% proximal circum-flex, and 95% proximal right coronary artery (RCA) the client later asks the nurse "What does all of that mean for me?" What information should the nurse provide. B. Three main arteries have major blockages, with only 1-5% of the blood flow getting through to the heart muscles: Three main arteries have major blockages, with only 1-5% of the blood flow getting through to the heart muscles7. The nurse is caring for a client with a lower left lobe pulmonary abscess. what position should the nurse instruct the client to maintain? A. Left lateralB. Supine, knees flexed. C. Dorsal recumbent D. Knee-chest: Left lateral8. A client with Cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or drink without becoming nauseous and vomiting. Which finding should the nurse report to the healthcare provider? A. Belching B. Amber urine C. Yellow sclera D. Flatulence: Yellow sclera9. While caring for a client with Amyotrophic lateral sclerosis (ALS) a nurse performs a neurological assessment every 4 hours. Which assessment finding warrants immediate intervention by the nurse? A. Inappropriate laughter B. Increasing anxiety C. Weakened cough effort D. Asymmetrical weakness: Asymmetrical weakness10. The nurse is providing preoperative education for a Jewish client sched-uled to receive a xenograft to promote burn healing. Which information should the provider this client? A. Grafting increase the risk for bacterial infections B. The xenograft is taken from a non-human source. C. Grafts are later removed by a debriding procedure D. As the burns heals, the graft permanently: The xenograft is taken from a non-human source2 / 11

MED SURG HESI V2 - 2024/2025Study online at https://quizlet.com/_ge1w9311. A male client who had colon surgery 3 days ago is anxious and requesting assistance to reposition. While the nurse is turning him, the wound dehis-cences and ulcerates. The nurse moistens an available sterile dressing and places it over the wound. Which intervention should the nurse implement next. A. Bring additional sterile dressing supplies to the room. B. Prepare the client to return to the OR C. Obtain a sample of the drainage to send to the labD. ausculate the abdomen for bowel sounds: Bring additional sterile dressing supplies to the room12. A client with carcinoma of the lung is complaining of weakness and has a serum sodium level of 117/meq. Which nursing problem should the nurse include in the clients plan of care. A. Altered urinary elimination B. Impaired gas exchange C. Fluid volume excess D. Decreased cardiac output: Fluid volume excess13. A female client enters the clinic and insists on being seen. She is weak, nervous and reports a racing heart beat and recent weight loss of 15 pounds. After ruling out substance withdrawal, the MD suspects hyperthyroidisms and admits her for testing. which action should the nurse do? A. Begin preparing the client for thyroidectomy procedure B. Space the clients care to provide periods of restC. Assess the client for hyperactive bowel sounds D. Provide warm blanket to prevent heat loss: Assess the client for hyperactive bowel sounds14. The nurse is teaching a client with glomerulonephritis about self care. Which dietary recommendations should the nurse encourage the client to follow. A. increase intake of high-fiber foods, such as bran cereal.B. Restrict protein intake by limiting meals and other high-protein foods C. limit oral fluid intake of 500/ml/dayD. Increase intake of potassium rich foods such as bananas and cantaloupe-: Restrict protein intake by limiting meals and other high-protein foods15. An overweight young adult male who was recently diagnosed with type 2 DM is admitted for a hernia repair. he tells the nurse that he is feeling very weak and jittery. Which actions should the nurse implement? Select all that apply. A.Check his fingerstick glucoseB. Assess his skin temperature and moisture3 / 11

MED SURG HESI V2 - 2024/2025Study online at https://quizlet.com/_ge1w93C. Measure his pulse and BP D. Document anxiety on the surgical checklist E. Administer a PRN dose of regular insulin: Check his fingerstick glucose, assess his skin temperature and moisture, measure his pulse and BP16. A client with Cushing Syndrome is recovering from an elective laparoscop-ic procedure. which assessment finding warrants immediate intervention by the nurse? A. Irregular apical pulseB. Purple marks on skin of the abdomen C. Quarter sized blood spot on the dressing D. Pitting ankle edema: Irregular apical pulse17. An adult woman with primary Raynaud phenomenon develops pallor and then cyanosis of her fingers. After warming her hands, the fingers turn red and the client reports a burning sensation. What action should the nurse take?A. Apply a cool compress to the affected fingers for 20 minutesB. Secure a pulse oximeter to monitor the client's oxygen saturationC. Report the finding to the healthcare provider as soon as possibleD. Continue to monitor the fingers until color returns to normal: Continue to monitor the fingers until color returns to normal18. A male client with muscular dystrophy fell in his home and is admitted with a right hip fracture. His right foot is cool, with palpable pedal pulses. lung are coarse with diminished bibasilar breath sounds. Vital signs are T: 101 degrees, HR: 128, RR: 28, B/P: 122/82. Which interventions is most important for the nurse to implement first? A. Obtain oxygen saturation level. B. Encourage incentivize spirometry C. Assess lower extremity circulation D. Administer oral PRN antipyretic: Administer oral PRN antipyretic19. The nurse is completing the preoperative assessment of a client who is scheduled for a laparoscopic cholecystectomy under general anesthesia. which finding warrants notification of the HCP prior to proceeding with the scheduled procedure? A. light yellow coloring of the clients skin and eyes. B. The clients blood pressure reading 184/88mm C. The client vomits 20 mL of clear yellowish fluid D. the IV insertion site is red, swollen, and leaking IV fluid: The clients blood pressure reading 184/884 / 11