HESI RN Med Surg 2 Proctored Exam

The nurse observes an increased number of blood clots in the drainage tubing of a client with continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which is the bes

Ten hours after successful thrombolysis for ST elevation myocardial infarction (STEMI), a client is receiving lidocaine and heparin infusions. Which assessment(s) should the nurse monitor regularly du

A client with diabetes mellitus is admitted with an upper respiratory infection (URI). Which changes in blood glucose management should the nurse tell the client to expect?

The nurse assesses an adult client 24 hours following abdominal surgery and finds the client’s blood pressure is 98/40 mm Hg. The client is tachycardic, restless, and irritable. Which action should th

A client with draining skin lesions of the lower extremity is admitted with possible methicillin-resistant Staphylococcus aureus (MRSA). Which nursing intervention(s) should the nurse include in the p

Following a motor vehicle collision, a client with chest trauma receives a chest tube to relieve a hemothorax. Two hours after chest tube insertion, the nurse observes the water level in the water-sea

A client is recovering from the surgical removal of glass in the right eye. Which intervention should the nurse implement immediately following the procedure?

A nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most immediate intervention by the nurse? Reference Range: Sodium [136 to 145 mEq/L (136 to 145 mmol/L)]

A client with draining skin lesions of the lower extremity is admitted with possible methicillin-resistant Staphylococcus aureus (MRSA). Which nursing intervention(s) should the nurse include in the p

The nurse is performing a physical assessment of a client. Which finding should the nurse recognize as a result of compromised peripheral arterial circulation of the lower extremity?

A client with chronic kidney disease (CKD) missed dialysis yesterday to attend a funeral. The client's spouse calls the home health nurse and reports that the client is lethargic and hard to arouse. W

After positioning the client upright, which action should the nurse take to assist with ineffective coughing?

A client with heart failure (HF) is receiving IV fluids at 125 mL/hour. The nurse observes an increase in jugular vein distention (JVD) and pedal edema. Which additional assessment should the nurse ma

A client who suffered an electrical injury with the entrance site on the left hand and the exit site on the left foot is admitted to the burn unit. Which intervention is most important for the nurse t

A young adult client with osteoarthritis of both knees tells the nurse of the desire to continue daily walks in the park with friends. How should the nurse respond?

A client is recovering from an episode of urinary tract calculi. During discharge teaching, the client asks about dietary restrictions. In discussing fluid intake, the nurse should include which type