HESI RN Med Surg | Nurselytic

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HESI RN Med Surg Questions

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Question 1 of 5

A client with chronic kidney disease on peritoneal dialysis exhibits redness, tenderness, and drainage around the catheter site on the abdominal wall. While planning care, the nurse is most concerned about preventing which complication related to these findings?

Correct Answer: B

Rationale: Redness, tenderness, and drainage suggest an exit site infection, a common peritoneal dialysis complication, which must be prevented to avoid progression to peritonitis.

Question 2 of 5

In providing discharge teaching to a client with chronic obstructive pulmonary disease (COPD), which instruction is most important for the nurse to emphasize?

Correct Answer: A

Rationale: Changes in sputum color may indicate infection or exacerbation in COPD, requiring prompt reporting to the healthcare provider for timely management to prevent worsening respiratory status.

Question 3 of 5

The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this disease process?

Correct Answer: C

Rationale: Upper mid abdominal pain described as gnawing and burning is a hallmark symptom of PUD, directly related to ulcer formation in the stomach or duodenum, unlike other symptoms which may suggest different conditions.

Question 4 of 5

A client who reports feeling chronically fatigued has a hemoglobin of 10 g/dL (110 mmol/L), hematocrit of 34% (0.34 volume fraction), and microcytic and hypochromic red blood cells (RBCs). Based on these findings, which dinner selection should the nurse suggest to the client?

Correct Answer: D

Rationale: Microcytic, hypochromic RBCs suggest iron deficiency anemia. Beef steak provides heme iron, broccoli offers non-heme iron, and oranges enhance absorption with vitamin C, addressing the client's anemia.

Question 5 of 5

An older adult client with symptoms of osteoarthritis asks the nurse which form of exercise would be most beneficial. Which is the best response by the nurse?

Correct Answer: D

Rationale: Swimming is low-impact, reducing joint stress while improving flexibility and strength, ideal for osteoarthritis, unlike high-impact activities like jogging or tennis.

Similar Questions

During a follow-up clinic visit, a mother tells the nurse that her 5-month-old son who had surgical correction for tetralogy of Fallot (TOF) has rapid breathing, often takes a long time to eat, and requires frequent rest periods. The infant is not crying while being held and his growth is in the expected range. Which intervention should the nurse implement?
While assisting a client to the toilet, the client begins to have a seizure and the nurse eases the client to the floor. The nurse calls for help and monitors the client until the seizing stops. Which intervention should the nurse implement first?
A school-aged child is admitted to the hospital with a diagnosis of acute rheumatic fever. In obtaining a health history from the child's parent, the recent occurrence of which illness is most significant?
After initiating a steroid nebulizer treatment for a client with asthma in respiratory distress, which intervention is most important for the nurse to implement?
A school-age child with nephrotic syndrome is receiving salt-poor human albumin IV. Which findings indicate to the nurse that the child is manifesting a therapeutic response?

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