HESI Med-Surg Proctored Exam (Mcphs University)

Patient Data Exhibits To reduce the risk of recurrent seizures, which interventions should the nurse include in the client’s plan of care?

Patient Data Exhibits The nurse provides education about seizures to the client and asks the client to explain what he understands about his condition. For each statement click to specify if the clien

While assessing a client with type 2 diabetes mellitus (DM), the nurse observes an absence of hair growth on the client's lower legs. Which assessment provides further data to support this finding?

A client with a large pleural effusion undergoes a thoracentesis. Following the procedure, which observation warrants immediate intervention by the nurse? Reference Range: Arterial Blood Gas (ABG) PH

An older adult client arrives at the outpatient eye surgery clinic for a right cataract extraction and lens implant. During the immediate postoperative period, which intervention should the nurse impl

A client recovering from cardiac surgery experiences a dysrhythmia, noted on the telemetry monitor. Which assessment finding is most likely to have contributed to the development of the dysrhythmia? R

Patient Data Exhibits The nurse considers educational needs. Select which items the nurse should include in the discharge education for client with stable chronic obstructive pulmonary disease (COPD).

A client with heart failure (HF) returns to the clinic two weeks after adjustments were made to the prescribed cardiac glycoside, diuretic, and potassium supplement. The client's lungs are clear, hear

The nurse is evaluating a client's symptoms, and formulates the nursing problem, "High risk for injury due to potential urinary tract infection." Which symptoms indicate the need for this nursing prob

The client's laboratory results indicate that the serum potassium level is 2.5 mEq/L (2.5 mmol/L). Which action should the nurse take? Reference Range: Potassium (K+) [3.5 to 5 mEq/L (3.5 to 5 mmol/L)

A client with coronary artery disease is hospitalized with unstable angina. To reduce cardiac workload, which intervention should the nurse include in the client's plan of care?

A client is receiving a secondary infusion of vancomycin 1,500 mg in 250 mL to be infused over two hours. The IV administration set delivers 15 gtt/mL. How many gtt/min should the nurse regulate the i

The nurse is assessing a client who is newly diagnosed with hypothyroidism. Which assessment finding requires immediate intervention?

An adult female client, who is an office worker, comes to the occupational health clinic with an edematous right leg twice the size of the left leg. The client reports that she is otherwise healthy, s

After being transferred from the emergency department (ED) to a medical unit, a client vomits into an emesis basin. The nurse observes the emesis as seen in the picture. Which assessment should the nu

A middle aged adult client reports a sudden onset of seeing flashing lights and floating spots. Which is the best nursing action?

Patient Data Exhibits Complete the diagram below by indicating the potential condition of this client, actions the nurse should take to address that condition, and two parameters the nurse should moni

The nurse includes the problem of "Risk for infection" in the plan of care (POC) for a client with myelosuppression. Which laboratory value provides the greatest support for this nursing problem? Refe

An adult client is admitted to the medical unit due to rectal bleeding after a colonoscopy in which a polyp was biopsied and cauterized. Which intervention should the nurse do first?

While assessing a client following lithotripsy with stent insertion, which data indicates to the nurse that the procedure was successful?

The nurse is evaluating the effectiveness of the incentive spirometer implemented in the client's plan of care. Which outcome statement best describes the effectiveness of the incentive spirometer?

Two hours before a client's scheduled surgery, the nurse is completing the preoperative checklist. Which information requires immediate action by the nurse? Reference Range: Potassium (3.5 to 5 mEq/L

A client with hyperparathyroidism reports a sudden onset of severe flank pain. Which intervention should the nurse include in the client's plan of care (POC)?

An adult male client is admitted to the emergency department (ED) while vomiting dark brown, foul smelling emesis. He reports having a surgical repair of a recurrent inguinal hernia a week ago and is

A client with chronic obstructive pulmonary disease (COPD) has become extremely dyspneic. After determining that the client is in high-Fowler's position and is receiving oxygen via nasal cannula at 2