HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
To ensure client adherence to the postoperative regimen, which content is most important for the nurse to include in the preoperative teaching?
Correct Answer: Informing the client about early mobilization is essential to prevent complications such as DVT, pulmonary embolism, and pneumonia.
Rationale:
Question 2 of 5
The chest x-ray for a client who is admitted for pneumonia shows a pleural effusion with decreased air flow in the entire left upper lobe. After auscultating the left upper lobe, which breath sounds documented by the nurse verify the x-ray findings?
Correct Answer: Diminished breath sounds in the left upper lobe are consistent with a pleural effusion, correlating with the x-ray findings.
Rationale:
Question 3 of 5
The nurse administers galantamine hydrobromide to a client with early onset Alzheimer's disease. Which nursing problem addresses its therapeutic use?
Correct Answer: Disturbed thought processes are directly related to the therapeutic use of galantamine hydrobromide. This medication helps enhance cognitive function by increasing the levels of acetylcholine in the brain, which is crucial for memory and thinking.
Rationale:
Question 4 of 5
A client with peptic ulcer disease (PUD) is admitted to the medical unit. Which assessment finding requires the most immediate intervention by the nurse?
Correct Answer: Vomiting coffee-grounds emesis indicates gastrointestinal bleeding, requiring immediate intervention.
Rationale:
Question 5 of 5
An older client who is agitated, dyspneic, orthopneic, and using accessory muscles to breathe is admitted for further treatment. Initial assessment includes a heart rate of 128 beats/minute and irregular, respirations of 38 breaths/minute, blood pressure of 168/100 mm Hg, and oxygen saturation of 90% on room air. Wheezes and crackles are noted throughout bilateral lung fields. An hour after the administration of furosemide 60 mg IV push (IVP), which assessments should the nurse obtain to determine the client's response to treatment? Select all that apply.
Correct Answer: Lung sounds, oxygen saturation, and urinary output are direct measures of furosemide's effectiveness in reducing fluid overload and improving respiratory status.
Rationale: