HESI RN Med Surg Exam 3 | Nurselytic

Questions 74

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HESI RN Med Surg Exam 3 Questions

Extract:


Question 1 of 5

The nurse is assessing clients in an outpatient diabetic clinic. Which entry provides the best indication that the client is adhering to the prescribed diabetic regimen?

Correct Answer: Haemoglobin A1C of 6.2% indicates good long-term blood glucose control, reflecting adherence to the regimen.

Rationale:

Question 2 of 5

Which statement by a client with systemic lupus erythematosus (SLE) indicates the best understanding of proper skin care?

Correct Answer: Using strong sunblock is crucial to protect skin and prevent flares in SLE.

Rationale:

Question 3 of 5

A client with type 2 diabetes mellitus (DM) is being discharged after treatment for an acute bronchitis infection. The nurse is providing teaching for medications to be taken at home, which includes a new prescription for self-administered glargine insulin 20 units SUBQ at bedtime. The client asks if they now have type 1 diabetes mellitus. How should the nurse respond?

Correct Answer: Explaining that insulin injections will likely be discontinued once stress and illness resolve is accurate for type 2 diabetes in this context.

Rationale:

Question 4 of 5

The home health nurse is caring for a client with Parkinson's disease who is beginning to experience swallowing difficulties. Which intervention should the nurse include in this client's plan of care?

Correct Answer: Encouraging a semi-solid diet with thick liquids is appropriate to manage dysphagia and reduce choking risk.

Rationale:

Question 5 of 5

The nurse is assessing a client who has left ventricular heart failure. Which assessment finding is this client most likely to exhibit?

Correct Answer: Bilateral basilar crackles are a hallmark sign of left ventricular heart failure due to pulmonary congestion.

Rationale:

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