HESI RN Med Surg Exam 3 | Nurselytic

Questions 74

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HESI RN Med Surg Exam 3 Questions

Question 1 of 5

During the evening shift, a client with Alzheimer's disease becomes agitated, restless, and repeatedly attempts to leave the room unattended. Which intervention should the nurse implement?

Correct Answer: Taking a walk with the client helps reduce agitation and restlessness through physical activity and supervision.

Rationale:

Question 2 of 5

A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or drink without becoming nauseated and vomiting. Which finding should the nurse report to the healthcare provider?

Correct Answer: Yellow sclera is a sign of jaundice, indicating a significant buildup of bilirubin due to a blocked bile duct, requiring immediate attention.

Rationale:

Question 3 of 5

A client with heart failure (HF) is waiting in the preoperative area for a scheduled procedure and tells the nurse, 'My heart feels like it is beating too fast and I feel faint.' After initiating a call for an electrocardiogram (ECG), which assessment data is most important for the nurse to obtain?

Correct Answer: The rhythm of the apical pulse is critical to identify possible arrhythmias causing palpitations and faintness.

Rationale:

Question 4 of 5

The nurse is preparing a prescription for enoxaparin 40 mg subcutaneous (sub) daily. Enoxaparin is available in a pre-filled cartridge labelled, '60 mg per 0.6 mL.' How many mL should the nurse administer?

Correct Answer: The nurse should administer 0.4 mL, calculated as (40 mg ÷ 60 mg) × 0.6 mL = 0.4 mL.

Rationale:

Question 5 of 5

A client who is postmenopausal, obese, and is a smoker, has developed an intolerance to fatty foods and believes she is at risk for developing gallbladder problems. Which instruction should the nurse provide to help reduce the client's risk for gallbladder disease?

Correct Answer: Joining a group weight loss program is important due to obesity being a significant risk factor for gallbladder disease. Weight loss can decrease the likelihood of gallstone formation.

Rationale:

Similar Questions

A client with a bowel obstruction is experiencing intractable vomiting for the last several hours despite the administration of prescribed antiemetics. The nurse obtains the client's arterial blood gas (ABG) results which identify a pH of 7.50, a PaCO2 of 42 mm Hg, and an HCO3 of 33 me/L (33 mmol/L). The nurse should interpret these results as confirming which acid-base imbalance?
A client in the operating room received succinylcholine. The client is experiencing muscle rigidity and has an extremely high temperature. Which action should the nurse implement?
The nurse is preparing to obtain a rapid coronavirus (COVID-19) test for a client who was exposed to the virus eight days ago. The client is experiencing fever, cough, and shortness of breath. Which action is most important for the nurse to take?
When teaching a client with Parkinson's disease, which rationale for the prescription of carbidopa-levodopa should the nurse include?
A client with peptic ulcer disease (PUD) is admitted to the medical unit. Which assessment finding requires the most immediate intervention by the nurse?

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