HESI RN Med Surg Exam 3 | Nurselytic

Questions 74

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HESI RN Med Surg Exam 3 Questions

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Question 1 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 2 of 5

The nurse is caring for a client with emphysema who is mildly dyspneic after ambulation. Which instruction should the nurse provide to the client to improve gas exchange?

Correct Answer: Pursed-lip breathing helps improve gas exchange by keeping airways open longer during exhalation.

Rationale:

Question 3 of 5

An older adult male client tells the nurse of losing sleep because of having to get up several times at night to go to the bathroom. The client also reports having trouble starting his urinary stream, and he does not feel like his bladder is ever completely empty. Which intervention should the nurse implement?

Correct Answer: Palpating the bladder assesses for distension, indicating urinary retention, a common issue in older males.

Rationale:

Question 4 of 5

A client with fluid volume overload is admitted to the hospital for diuresis. Which assessment should the nurse perform to evaluate the client's fluid balance?

Correct Answer: Weight is the most accurate and direct measure of fluid balance, as fluctuations reflect changes in body fluid.

Rationale:

Question 5 of 5

The nurse is evaluating a client's understanding of diet teaching about the DASH (Dietary Approaches to Stop Hypertension) eating plan. Which behaviour indicates that the client is adhering to the eating plan?

Correct Answer: Enjoying fat-free yogurt aligns with the DASH diet's emphasis on low-fat dairy products.

Rationale:

Similar Questions

The nurse is developing a teaching plan for a client with peripheral arterial disease (PAD) who has a history of a myocardial infarction (MI) and smokes two packs of cigarettes daily. Which instruction has the greatest priority?
A client with Crohn's disease is admitted to the medical unit with a three-day history of abdominal cramping, nausea, and vomiting. Which prescription should the nurse implement first?
A client with type 1 diabetes mellitus (DM) is admitted to the hospital for an emergency cholecystectomy. The client explains to the nurse about experiencing difficulty at home in keeping blood glucose levels under 200 mg/dl (11.1 mmol/L). To prevent the client from developing diabetic ketoacidosis (DKA), which intervention is most important for the nurse to include in the plan of care?
A client with heart failure (HF) is waiting in the preoperative area for a scheduled procedure and tells the nurse, 'My heart feels like it is beating too fast and I feel faint.' After initiating a call for an electrocardiogram (ECG), which assessment data is most important for the nurse to obtain?
The nurse is assessing a client who was admitted yesterday with peripheral artery disease (PAD) and an ulcer on the lateral malleolus. Which finding is most important for the nurse to report to the healthcare provider?

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