HESI RN Medical Surgical Exam I | Nurselytic

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HESI RN Medical Surgical Exam I Questions

Extract:

Nurse's Notes
History and Physical
Orders
Vital Signs
Laboratory Results
Day 2, 0730:
Tolerated the surgical procedure well and has been stable since surgery.
Day 3, 0700:
Client is postoperative below-the-knee amputation of the right leg, sitting up with the right residual limb hanging off the bed. Morphine on demand in the left hand area; there is no redness or drainage at the site, with 50 mL per hour infusing. Assessment.
Exhibits
Data is evaluated to determine possible condition and appropriate interventions. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.


Question 1 of 5

Data is evaluated to determine possible condition and appropriate interventions. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

Surgical rash.
Contractures.
Postoperative infection.
Deep vein thrombosis (DVT).
Actions to take Choices A. Culture wound drainage. B. Request NPO prescription. C. Administer prescribed antibiotics. D. Elevate residual limb to reduce swelling. E. Educate on incentive spirometer use.
Parameters to monitor Choices A. Adherence to activity prescription. B. Temperature. C. White blood cell count. D. Residual limb redness or swelling. E. Pain intensity and characteristics.

Correct Answer: C

Rationale: Condition: Postoperative infection (
C). Actions: Administer antibiotics (
C), culture wound drainage (
A). Parameters: Temperature (
B), white blood cell count (
C).
Rationale: Elevated WBC and temperature suggest infection, requiring antibiotics and monitoring.

Extract:


Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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