Homework answers / question archive / University of Colorado, Boulder NUR 625 MED SURG 2020 HESI 1)The nurse is evaluating a male client's understanding of diet teaching about DASH (dietary approaches to stop hypertension) eating plan

University of Colorado, Boulder NUR 625 MED SURG 2020 HESI 1)The nurse is evaluating a male client's understanding of diet teaching about DASH (dietary approaches to stop hypertension) eating plan

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University of Colorado, Boulder

NUR 625

MED SURG 2020 HESI

1)The nurse is evaluating a male client's understanding of diet teaching about DASH (dietary approaches to stop hypertension) eating plan. Which behavior indicates that the client is adhering to the eating plan

2.            A client with carcinoma of the lung is complaining of weakness and has a serum sodium level of 117 mEq/L. Which nursing problem should the nurse include in this client's plan of care?

A.            Altered urinary elimination

B.            Impaired gas exchange C. Fluid volume excess

D. Decreased cardiac output

3.            The nurse is assessing clients in an outpatient diabetic clinic. Which entry provides the best indication that the client is adhering to the prescribed diabetic regimen?

4.            A client who has developed acute kidney injury (AKI) due to an aminoglycoside antibiotic has moved from the oliguric phase to the diuretic phase of AKI. which parameters are most important for the nurse to plan to carefully monitor?

5.            Which nursing problem should be included in the plan of care for a client with heart failure?

6.            A client is receiving an IV infusion of regular insulin 60 units in 100mL of normal saline at 5 units/hour. How many mL/hour? Round to nearest whole number

7.            To reduce the risk for pulmonary complication for a client with ALS, which interventions should the nurse implement? Select all that apply

8.            The healthcare provider prescribes streptomycin 300 mg IM q12 hours for a client with TB. The available vial is labeled 1g/2.5 mL. How many mL? Round to nearest tenth

9.            In providing discharge teaching to a client with COPD, which instruction is most important for the nurse to emphasize?

 

10.          The nurse brings a scheduled dose of docusate calcium to a male client who has cirrhosis of the liver. The client states that he never had bowel problems and does not need a stool softener. Which action should the nurse take?

11.          The nurse is assessing a client who is receiving enteral feedings. Which clinical data indicates the client may not be tolerating the tube feedings? Select all that apply.

12.          A client is admitted to the hospital for shortness of breath and chest pain afer an episode of syncope. Which lab finding?

13.          The nurse reports that a client is at risk for a brain attack (stroke) based on which assessment finding?

A.            Nuchal rigidity

B.            Palpable cervical lymph nodes.

C.            Jugular vein distention D. Carotid bruit

14.A       A postoperative client esports incisional pain. The client has two prescriptions for PRN analgesia that accompanied the client from the postanesthesia unit. Before selecting which medication to administer, which action should the nurse implement?

15.A       A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions. How should the nurse respond?

16.          During a routine assessment at an outpatient clinic, the nurse notes that a client has abdominal obesity and high waist-hip ratio, with a BMI of 32 kg/m^2. Which actions should the nurse take in response to these findings?

17.          In assessing a client with ulcers on the lower extremity, which finding indicates that the ulcers are likely to be venous, rather than arterial?

18.          During a preoperative assessment phone call, a client states taking several “pills” everyday. Which response should the office nurse provide?

 

19.A       A client with a long history of migraine headaches asks the nurse if there are non-pharmacological ways to help obtain pain relief. Which intervention should the nurse offer?

20.A       A client with cholelithiasis is admitted with jaundice due to obstruction of the common bile duct. Which finding is most important for the nurse to report?

21.          The nurse is assessing a client whose child was sent home with pediculosis capitis. The client reports having...which finding should the nurse associate with pediculosis on further investigation?

22.A       A client experiences an ABO incompatibility reaction after multiple blood transfusions. Which finding should the nurse report immediately to the health care provider?

a.            a. low back pain and hypotension

b.            b. rhinitis and nasal stuffiness

c.             c. delayed painful rash with urticarial

d.            d. arthritic joint changes and chronic pain

23.A       A client with a right ulnar fracture and cast placement reports an increase in arm pain. Which action should the nurse perform?

24.A       A client who had surgery yesterday is becoming increasingly anxious. The client’s respiratory rate has increased to 38 breaths/min. The client has a nasogastric tube to low intermittent suction with 500 mL of yellow-green drainage over the last four hours. The client’s ABGs indicate a decreased CO2 and an increased pH. Which serum lab value should the nurse monitor first?

25.          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?

26.          The nurse is teaching a client how to collect a sputum specimen. Which steps should the nurse…

27.          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 minutes

B.            Secure a pulse oximeter to monitor the client's oxygen saturation

C.            Report the finding to the healthcare provider as soon as possible

 

D.            Continue to monitor the fingers until color returns to normal

28.A       A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath, productive cough with thickened tenacious mucous, and the inability 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?

29.          While caring for a client with full thickness burns covering 40% of the body, the nurse observes purulent drainage from the wounds. Before reporting the finding to the healthcare provider, the nurse should evaluate which lab value?

30.          a client with stage IV bone cancer is admitted to the hospital for a 1 to 10 scale.

Which intervention should the nurse implement

31.          The nurse identifies an electrolyte imbalance, an elevated blood pressure, and a dependent edema for a client with progressive heart disease. Which is the most important action for the nurse to take?

32.          The nurse is developing a plan of care for a client undergoing peritoneal dialysis. Which intervention has the highest priority?

33.A       A male client with Herpes zoster (shingles) on his thorax tells the nurse that he is having difficulty sleeping. What is the probable etiology of this problem?

A.            Pain

B.            Nocturia

C.            Dyspnea

D.            Frequent cough

34.          The nurse is assessing a client who has returned from surgery following a thoracotomy. Which finding indications the client is experiencing adequate gas exchange?

35.A       A male client is admitted to the ED while vomiting dark brown, foul-smeling emesis. He reports he had surgical repair of a recurrent inguinal hernia a week ago and complains of intense abdominal pain. After finding that his bowel sounds are hyperactive, which prescription should the nurse implement first?

36.          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

37.A       A hospitalized client with chemotherapy-induced stomatitis complains of mouth pain. What is the best initial nursing action?

a. cleanse the tongue and mouth with glycerin swabs b. admin a topical analgesic per prn protocol

c. obtain a soft diet for the pt

d. encourage frequent mouth care

38.A       A client who was involved in a MVA is admitted with a fractured left femur which is immobilized using a fracture traction splint in preparation for an open reduction internal fixation (ORIF). The nurse determines that the client’s distal pulses are diminished in the left foot. Which interventions should the nurse implement? Select all that apply.

39.          client is recovering from a transurethral prostatectomy. Which activity should be limited until after the first postoperative visit with his healthcare provider

40.          An adult male client is admitted for pneumocystis carinil pneumonia (PCP) secondary to aids. While hospitalize he receives IV pentamidine isethionate therapy. In preparing this client for discharge what important aspect regarding his medication therapy should the nurse explain?

a.            AZT therapy must be stopped when IV aerosol pentamine is being used.

b.            IV pentamine will be given until oral pentamine can be tolerated c. It will be necessary to continue prophylactic doses of IV or aerosol pentamine every month

d. Iv pentamine may offer protection to others aids related conditions such as kaposis sarcoma

41.          A male tells the clinic nurse that he is experiencing burning on urination, and assessment reveals that he had sexual intercourse four days ago with a woman he casually met. Which action should the nurse implement?

42.A       A client with rheumatoid arthritis has an elevated serum rheumatoid factor. Which interpretation of the finding should the nurse…

43.          The nurse is assessing a client who is one-day post parathyroidectomy and finds that the client is experiencing stridor. After notifying the healthcare provider, the nurse should prepare for?

 

44.          The nurse is obtaining the admission history for a client with suspected PUD. which subjective data reported by the client supports the medical diagnosis?

45.A       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?

46.          Which admission assessment findings should the nurse document related to a client who has been diagnosed with Cushing’s?

47.A       A client with cirrhosis is admitted to the ICU because of deteriorating hepatic function. Which assessment finding warrants immediate intervention by the nurse?

48.          The nurse is admitting a client with possible TB. the client is placed in a private room with airborne precautions pending diagnostic test results. Which diagnostic test should the nurse review to confirm the diagnosis?

49.          In assessing a client following lithotripsy with stent insertion, which data indicates to the nurse that the procedures were successful?

50.          An adult woman with Grave’s disease is admitted with severe dehydration and malnutrition. She is currently restless and refusing to eat. What action is most important for the nurse to implement?

51.A       A client with psoriasis returns to the clinic reporting the persistence of several silvery, scaly areas on the elbows and palms that frequently burn and sometimes bleed. Which prescription should the nurse teach the client to use for the skin condition?

52.          When providing care for an unconscious client who has seizures, which nursing intervention is most essential?

A. Keep the room at a comfortable temperature. B. Ensure oral suction is available.

C. Maintain the client in a semi Fowler's position.

D. Provide frequent mouth care.

53.          The nurse observes that a newly admitted client with Parkinson’s disease exhibits a mask like facial appearance. Which additional nursing assessment takes priority in response to this finding?

 

54.A       A client is hospitalized for…

55.          On the third postoperative day,a client who has had hip replacement surgery becomes anxious and diaphoretic, and begins to experience auditory hallucinations. Th client denies having any pain. The clients vital signs are pulse rate is 125 beats/minute, respiratory rate is 36 breaths/minute, and blood pressure is 166/88 mmHg. Which nursing interventions should the nurse implement? (Select all that apply).