HESI RN Med Surg Exam 3

Extract:

Question 1 of 5

The nurse is planning discharge teaching for a client who has cystitis. Which information should the nurse include in the teaching plan?

Correct Answer: Wearing cotton underwear is recommended because it is breathable and helps keep the genital area dry. This can reduce the risk of bacterial growth and infection.

Rationale:

Question 2 of 5

A client reports a 2-day history of fever, vomiting, and diarrhea. The healthcare provider prescribes serum electrolyte levels to be obtained. Which laboratory results should the nurse expect?

A. Serum potassium 5.0 me/L (5.0 mmol/L), serum sodium 138 me/L (138 mmol/L). B. Serum potassium 4.5 me/L (4.5 mmol/L), serum sodium 140 me/L (140 mmol/L). C. Serum potassium 3.5 me/L (3.5 mmol/L), serum sodium 142 me/L (142 mmol/L). D. Serum potassium 3.0 me/L (3.0 mmol/L), serum sodium 149 me/L (149 mmol/L). G. D

Correct Answer: Serum potassium of 3.0 me/L and sodium of 149 me/L indicate hypokalaemia and hypernatremia, expected with dehydration from vomiting and diarrhea.

Rationale:

Question 3 of 5

An older female resident of a long-term care facility with early-stage Alzheimer's disease frequently wanders into the wrong room. To help this client recognize her room, which intervention should the nurse implement?

A. Leave the door open so she recognizes her belongings. B. Place a picture of the client on her door. C. Put a bright red balloon on the client's door. D. Enlarge the letters of her name on the door. G. B

Correct Answer: Placing a picture of the client on her door provides a clear visual cue for recognition.

Rationale:

Question 4 of 5

A client with chronic venous insufficiency is being discharged from the hospital and plans to return home. Which client statement indicates an understanding of home care instructions?

A. I will lift weights every other day. B. I will avoid sitting and crossing my legs. C. I will be able to stand as long as my legs do not hurt. D. I will need to get someone to walk my dog. G. B

Correct Answer: Avoiding sitting and crossing the legs prevents worsening of venous insufficiency by promoting blood flow.

Rationale:

Question 5 of 5

A client is newly diagnosed with type 2 diabetes mellitus. The nurse is educating the client about self-monitoring blood glucose (SMBG) and haemoglobin A1C. Which statement by the client indicates teaching has been effective?

A. I will wash my hands with warm soapy water before sticking my finger. B. I will use a lancing device on the centre of my finger pad for a drop of blood. C. I will inform the healthcare provider of my average haemoglobin A1C results weekly. D. I will document my haemoglobin A1C results from the SMBG monitor every morning. G. A

Correct Answer: Washing hands with warm soapy water prevents infections and ensures accurate glucose readings.

Rationale:

HESI RN Med Surg Exam 3 | Nurselytic

Nurselytic

HESI RN

HESI RN