MEDICAL –SURGICAL (ADULT HEALTH)

EXIT HESI

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Medical –Surgical (Adult Health) Exit HESI

Client developed syndrome of inappropriate antidiuretic hormone (SIADH) assoc with small cell CA of

lung and preparing for DC. When teaching about self-management with demeclocycline (declomycin),

instruct to report what?

Muscle cramping

Determining the client position for insertion of indwelling catheter, Most important?

Orthopnea

Nurse teaching male with multiple sclerosis (MS) how to empty bladder using creude method. When

performing return demonstration pt applies pressure to the umbilical area of his abdomen. What

instruction?

Apply downward manual pressure at the suprapubic region

35 yr old female client admitted to post anesthesia recovery unit following a partial thyroidectomy. What

statement reflects accurate understanding of expected outcome for client?

Supplemental hormone therapy will probably be necessary

Following insertion of a LeVeen shunt in client with cirrhosis, which assessment finding indicates the

shunt is effective?

Decreased abdominal girth

Finding a client sitting on the floor, nurse calls for help from UAP. Which task can ask to do?

Get a BP cuff

Client diagnosed with frontal lobe Glioma, benign tumor. Teaching about tumor what information?

Personality changes or expressive aphasia are likely

Greatest benefit for the client with which problem related to DM to change from the use of insulin

syringes to using an insulin pen for med administration?

Diminished dexterity due to dinger paresthesias

Nurse evaluating asthmatic client’s response to an inhaled corticosteroid med. What assess finding

indicates the med has been effective in controlling asthma symptoms.

Increased peak flow meter rates

Planning care for client with diagnosis of “impaired mobility” nurse instructs the UAP to assist client

with ambulation. HCP has prescription for bed rest. Action

Change the planned interventions to include range of motion exercises rather than ambulation

Nurse is preparing DC client from hosp who has aphasia secondary to CVA. What instruction to family to

help communicate?

Be consistent in using the same words each time a Q is asked

When assessing a restless, intubated client on mechanical ventilation, nurse auscultates breath sounds on

right side only. Action

Reposition the depth of the ET tube

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