Hesi Med Surg Exam 1 | Nurselytic

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Hesi Med Surg Exam 1 Questions

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Question 1 of 5

After a transurethral resection of the prostate (TURP), a patient is discharged from the hospital with an indwelling urinary catheter. What is the most important instruction for the nurse to include in the discharge teaching plan?

Correct Answer: B

Rationale: Adequate hydration (3 liters daily) prevents urinary tract infections and supports recovery after TURP.

Question 2 of 5

While assessing a patient with degenerative joint disease, the nurse notices Heberden's nodes, and large prominences on the patient's fingers that are reddened and painful. What should the nurse do?

Correct Answer: A

Rationale: Discussing chronic pain management strategies addresses the discomfort associated with Heberden's nodes, a common osteoarthritis feature.

Question 3 of 5

A patient in the operating room has been administered succinylcholine and is now experiencing muscle rigidity and an extremely high temperature. What should the nurse do next?

Correct Answer: C

Rationale: Applying ice packs addresses hyperthermia in malignant hyperthermia, a critical response to succinylcholine-induced symptoms.

Question 4 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 signify a severe ABO incompatibility reaction, necessitating urgent reporting to prevent life-threatening complications such as renal failure or disseminated intravascular coagulation.

Question 5 of 5

A patient presents to the emergency department with nausea, vomiting, and diarrhea. During the history and physical, it is discovered that the patient's significant other is recovering from COVID-19. After obtaining a nasal swab to test the patient for COVID-19, what is the most important action for the nurse to take?

Correct Answer: B

Rationale: Initiating droplet precautions in a private room prevents potential COVID-19 transmission pending test results.

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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?
An obese client with emphysema, who smokes at least a pack of cigarettes daily, is admitted after experiencing a sudden increase in dyspnea and activity intolerance. Oxygen therapy is initiated and it is determined that the client will be discharged with oxygen. Which information is most important for the nurse to emphasize in the discharge teaching plan?
The nurse is assessing a patient's understanding of the DASH (Dietary Approaches to Stop Hypertension) diet. Which patient behavior suggests adherence to this diet?

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