Multiple sclerosis and urinary retention

2018 Hesi Med Surg V1 Nov. 29 – Mixed with Correct answers and Rationales I memorized from my Hesi Testing Center.

1. Guaiac Occult Test. What lab is most important?

Administer Adenosine over 1-2 seconds IV
5. Heart failure acute exacerbation. How to Reduce Cardiac Workload?

Bedside Commode
6. External Fixation Device- What should the nurse do first?

Determine if the client is using an inhaler before exercising.

10. A client with liver abscess and drainage of abscess. Which lab value?

14. Long-standing pulmonary infection. Assess for hypoxia. Select All That Apply.

Breathing patterns, Check mentation, color of skin and nailbeds
15. Traction applied, but client is frustrated because client keeps calling nurse for help with repositioning.

Potassium 6.5

19. Client withy Gullian Barre is not blinking.

Open contents to sterile field package intact.

23. Client with Acute Glomerulonephritis.

26. The unlicensed assistive personnel (UAP) reports to the nurse that a client who was admitted with abdominal pain has just had a large black tarry stool. What intervention should the nurse implement first?

-Test the stool for occult blood.

29. A client uses triamcinolone (kenalog), a corticosteroid ointment, to manage pruritis caused by a chronic skin rash. The client calls the clinic nurse to report increased erythema with purulent exudate at the site. What action should the nurse implement? -Schedule an appointment for the client to the healthcare provider.

30. The nurse learns in change of shift report that the x-ray report for a newly admitted client indicates consolidation in the left lower lung. What action should the nurse take?

-Diminished breath sounds
33. Which food is most important for the nurse to encourage a male patient with osteomalacia to include in his daily diet?

-Fortified milk and cereals.

-Tea and hot chocolate.

37. During preoperative teaching for a male client scheduled for repair of an inguinal hernia, the client tells the nurse that he has had several surgeries and understands the need to perform coughing and deep breathing exercises after surgery. How should the nurse respond?

-ST elevation in three leads
40. A male client with an external fixation device for a fractured left femur is complaining of left foot pain. Which intervention should the nurse implement first?

-Administer PRN pain medication.

How many mL? (If Rounding is necessary, then round to the nearest tenth). Simply, divide 8200 and 10,000, which equals = 0.82mL after calculation.

THEN ROUND TO THE NEAREST TENTH, and final answer is 0.8mL
44. What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today?

Secure eye shields over the closed after instilling the eyedrops.

47. 3 months following her diagnosis of type II diabetes…had a difficult time keeping her blood sugar is centered. The nurse reviews that..blood glucose levels. Which interventions in most important for the nurse to implement?

“He refuses to feed, but I make him eat meats”