Hesi Med Surg Exam 1 | Nurselytic

Questions 53

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Hesi Med Surg Exam 1 Questions

Question 1 of 5

A client who was recently diagnosed with Raynaud's disease is concerned about pain management. Which nursing instruction should the nurse provide?

Correct Answer: B

Rationale: Wearing gloves prevents cold-induced spasms, reducing pain in Raynaud's disease.

Question 2 of 5

An overweight young adult diagnosed with type 2 diabetes mellitus is admitted for a hernia repair. The patient reports feeling very weak and jittery. What actions should the nurse take?

Correct Answer: A,B,E

Rationale: Checking fingerstick glucose, assessing skin temperature/moisture, and measuring pulse/blood pressure are critical to evaluate for hypoglycemia, a likely cause of weakness and jitteriness in a diabetic patient.

Question 3 of 5

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

Correct Answer: A

Rationale: Lower back pain and hypotension are indicative of an acute ABO incompatibility reaction, which can lead to severe complications like hemolysis or shock, requiring immediate reporting and intervention.

Question 4 of 5

A nurse is assessing a client who has an arteriovenous (AV) graft in the right forearm for hemodialysis access. The nurse auscultates a bruit over the graft area. Which intervention should the nurse implement?

Correct Answer: A

Rationale: A bruit indicates a patent AV graft, a normal finding that should be documented.

Question 5 of 5

The nurse is preparing a client for discharge who was recently diagnosed with Addison's disease. Which instruction is most important for the nurse to include in this client's discharge teaching plan?

Correct Answer: A

Rationale: Accurate cortisone administration is vital to manage Addison's disease and prevent adrenal crisis.

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