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MED SURG HESI V1 ALREADY
GRADED A+
Question : Following long-term administration of
warfarin sodium to a client with a medical diagnosis of deep vein thrombosis, the nurse should expect which treatment?
- The hemoglobin will be greater than 10 g/dl
- The hematocrit will be less than 35%
- The PT will be 1.5 times the normal
- The PTT will be 1.5 times the normal
Correct answer: c. The PT will be 1.5 times the normal
Question : A client who has been taking finasteride, an
enzyme (5 alpha reductase) inhibitor used to shrink the prostate gland, is admitted because of continuing benign prostate prostatic hypertrophy (BPH) symptoms when planning care. Which nursing problem should the nurse address first?
Correct answer: Urinary retention
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Question : An older client has been diagnosed with
chronic venous insufficiency. To prevent venous return, which action should the nurse encourage the client to?
Correct answer: Wear cotton socks and enclosed toe
shoes whenever outside
Question : When caring for a client with a full thickness
burn covering 40% of the body, the nurse observes pertinent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should review which of the client's laboratory values?
Correct answer: White blood cell (WBC) count
Question : An older client arrives at the outpatient eye
surgery clinic for a right cataract extraction and implant.During the immediate postoperative period, which intervention should the nurse implement?
Correct answer: Provide an eye shield to be worn while
sleeping
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Question : After several days of coughing and taking
acetaminophen to treat temperatures of 101 F (38.3 C), a client with DI is admitted to the hospital with an upper respiratory infection. Several hours after admission, the client reports having a severe headache and feeling dizzy.Which intervention should the nurse implement first?
Correct answer: Reassess vital signs
Question : A client takes daily supplemental iron tablets
for iron deficiency anemia reports feeling increasingly fatigued. Which laboratory values should the nurse review?
Correct answer: Complete blood count
Question : The nurse is caring for a client post anesthesia
care unit (PACU) who underwent a thoracotomy two
hours ago. The nurse observes the following vital signs:
heart rate 140 beats/ minute, respirations 26 breaths/minute, and blood pressure 140/90 mmHg. Which intervention is most important for the nurse to implement?
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Correct answer: Medicate for pain and monitor vital signs
according to protocol
Question : A client who was involved in a motor vehicle
collision is admitted with a fractured left femur which is immobilized using a fracture traction splint in preparation for an open reduction internal fraction (ORIF). The nurse determines that the client's distal pulses are diminished in the left foot. Which interventions should the nurse implement? (SATA)
Correct answer: - Verify pedal pulses using a doppler
pulse device
Monitor left leg for pain, pallor, paresthesia, paralysis, pressured. - Evaluate the application of the splint to the left leg
Question : A nurse is caring for a client with Diabetes
Insipidus (DI). which data warrants the most immediate intervention by the nurse?