RN Medical Surgical HESI | Nurselytic

Questions 42

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RN Medical Surgical HESI Questions

Extract:


Question 1 of 5

On the third postoperative day, a client who has had a hip replacement surgery becomes anxious and diaphoretic, and begins to experience auditory hallucinations. The client denies having any pain. The client's vital signs are pulse rate 125 beats/minute, respiratory rate 36 breaths/minute, and blood pressure 166/88 mm Hg. Which nursing intervention(s) should the nurse implement? (Select all that apply.)

Correct Answer: A,B,C

Rationale: A calm demeanor, reorientation, and lorazepam address anxiety and hallucinations effectively. Television may worsen symptoms, and restraints are a last resort.

Question 2 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 a low-impact exercise that strengthens muscles and improves joint flexibility without stressing arthritic joints, making it ideal for osteoarthritis.

Question 3 of 5

A client with type 1 diabetes mellitus, hypertension, and chronic kidney disease is to begin hemodialysis treatment. Which statement should the nurse include in client education?

Correct Answer: C

Rationale: Insulin dosage may need reduction during hemodialysis as the dialyzer removes insulin, lowering blood glucose. The other options are incorrect: abdominal catheters are for peritoneal dialysis, medications may need adjustment, and potassium-rich foods should be limited.

Question 4 of 5

A client with diabetes mellitus is admitted with an upper respiratory infection. Which changes in blood glucose management should the client expect?

Correct Answer: C

Rationale: Infections increase insulin resistance, necessitating higher insulin doses to manage blood glucose effectively.

Question 5 of 5

A client who had a biliopancreatic diversion procedure (BPD) 3 months ago is admitted with severe dehydration. Which assessment finding warrants immediate intervention by the nurse?

Correct Answer: A

Rationale: Gastroccult positive emesis indicates gastrointestinal bleeding, a serious complication requiring immediate intervention. Other findings are common BPD side effects or less urgent.

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