BSN HESI 266 Med Surg Exam

BSN HESI 266 Med Surg Exam (Latest 2024 / 2025 Update) Questions and Verified Answers | 100% Correct | Already Graded A - Nightingale

Question:

The nurse should explain to a client with lung cancer that pleurodesis is performed to achieve which expected outcome?

• Prevent the formation of effusion fluid.
• Remove fluid from the intrapleural space.
• Debulk tumor to maintain patency of air passages.

Relieve empyema after pneumonectomy

Answer:

A Rationale Instillation of a sclerosing agent to create pleurodesis is aimed at preventing the formation of a pleural effusion by causing the pleural spaces sealed together, thereby preventing the accumulation of pleural fluid.

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Question:

The nurse obtains a client's history that includes right mastectomy and radiation therapy for cancer of the breast 10 years ago. Which current health problem should the nurse consider is a consequence of the radiation therapy?

• Asthma.
• Myocardial infarction.
• Chronic esophagitis with gastroesophageal reflux.

Pathologic fracture of two ribs on the right chest

Answer:

D Rationale The ribs lie in the radiation pathway and lose density over time, becoming thin and brittle, so the occurence of two right-sided ribs with pathological fractures resulting without evidence of trauma is related to radiation damage

Question:

Three weeks after discharge for an acute myocardial infarction (MI), a client returns to the cardiac center for follow-up. When the nurse asks about sleep patterns, the client tells the nurse that he sleeps fine but that his wife moved into the spare bedroom to sleep when he returned home. He states, "I guess we will never have sex again after this." Which response is best for the nurse to provide?

• Sexual intercourse can be strenuous on your heart, but closeness and

intimacy, such as holding and cuddling, can be maintained with your wife.

• Sexual activity can be resumed whenever you and your wife feel like it

because the sexual response is more emotional rather than physical. 2 / 4

• You should discuss your questions about your sexual activity with your

healthcare provider because sexual activity may be limited by your heart damage.

• Sexual activity is similar in cardiac workload and energy expenditure as

climbing

Answer:

D Rationale Sexual intercourse after an MI, or acute coronary syndrome, has been found to require no more energy expenditure or cardiac stress than walking briskly up two flights of stairs, so if you do not experience shortness of breath or chest discomfort doing the stairs then you should be okay to resume sexual activity

Question:

The nurse is caring for a client scheduled to undergo insertion of a percutaneous endoscopic gastrostomy (PEG) tube. The client asks the nurse to explain how a PEG tube differs from a gastrostomy tube (GT). Which explanation best describes how they are different?

• Method of insertion.
• Location of the tubes.
• Diameter of the tubes.
• Procedure for feedings.

Answer:

A Rationale 3 / 4

The best explanation of how a PEG tube differs from a GT is by the method of insertion. GT insertion involves making an incision in the wall of the abdomen and suturing the tube to the gastric wall. A PEG tube is more commonly used due to the fact it does not require general anesthesia and less invasive due to being inserted with endoscopic visualization through the esophagus into the stomach and then pulled through a small incision in the abdominal wall and held in place by a tiny plastic device called a "bumper" that holds the g-tube in place inside the stomach and a small water-filled balloon which keeps the stomach in place against the abdominal wall

Question:

A client with a recent history of blood in his stools is scheduled for a proctosigmoidoscopy. The nurse should implement which protocols to prepare the client for this procedure? (Select all that apply.) Select all that apply

• Obtain consent for the procedure.
• Initiate preoperative sedation.
• Begin fast the morning of the procedure.
• Administer an enema before the procedure.
• Provide a clear-liquid diet 48 hours before the procedure

Answer:

D,E Rationale The usual preoperative preparation for proctosigmoidoscopy entails obtaining the client's consent to the procedure, a clear-liquid diet for 24 to 48 hours prior to the procedure, administration of an enema, and fasting on the morning of the procedure.

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