HESI med surg
A nurse teaches a client with type 2 diabetes how to provide self-care to prevent infections of the feet. Which statement made by the client shows that teaching was effective
"I should control my blood glucose with diet, exercise, and medication."
A client admitted to the hospital with an acute episode of rheumatoid arthritis (RA) asks why physical therapy has not been prescribed. What is the most appropriate nursing response
"Your joints are still inflamed, and physical therapy can be harmful."
A client reports left-sided chest pain after playing racquetball. The client is hospitalized and diagnosed with left pneumothorax. When assessing the client's left chest area, the nurse expects to identify which finding
Absence of breath sounds on auscultation
What does the presence of ketones in the urine of a client with renal dysfunction indicate
Anorexia nervosa
A client who just returned from a cardiac catheterization reports to the nurse that the pressure bandage on the right groin is tight. What action should the nurse take
Assess the pulses distal to the dressing.
A nurse observes a window washer falling 25 feet (7.6 m) to the ground. The nurse rushes to the scene and determines that the person is in cardiopulmonary arrest. What should the nurse do first
Begin chest compressions
A nurse assesses a client with the diagnosis of an intestinal obstruction in the descending colon. When auscultating the midabdomen, what should the nurse expect to hear
Borborygmi
The nurse is aware that the Cowper gland is also often referred to by which other term
Bulbourethral gland
Which part of the respiratory system is referred to as Angle of Louis
Carina
Which structure lies inside and parallel to the sclera
Choroid
Which is a primary glomerular disease
Chronic glomerulonephritis
Which sexually transmitted disease is caused by the human papilloma virus
Condylomata acuminate
Which surgical procedure is appropriate for the removal of a vocal cord due to laryngeal cancer
Cordectomy
Which drug would be effective for the treatment of pituitary Cushing's syndrome
Cyproheptadine
Which urodynamic study provides information on bladder capacity, bladder pressure, and voiding reflexes
Cystometrography (CMG)
What is the most important nursing action when measuring a client's pulmonary capillary wedge pressure (PCWP)
Deflate the balloon as soon as the PCWP is measured.
Which drug can cause diabetes insipidus
Demeclocycline
A client who had a transurethral resection of the prostate is transferred to the postanesthesia care unit with an intravenous (IV) line and a urinary retention catheter. For which major complication is it most important for the nurse to assess during the immediate postoperative period
Hemorrhage
What will the nurse expect diagnostic studies of a client with Cushing syndrome to indicate
High levels of 17-ketosteroids in a 24-hour urine test
Which age-related effects on the immune system are seen in the older client
Increased autoantibodies
Which parts of the nephron are the sites of action for furosemide
Loop of Henle, Distal tubule, and the Proximal tubule
Which diagnostic test may be used to distinguish vascular from nonvascular structures
Magnetic resonance imaging
Which clinical manifestation is found in a client with a deficiency of adrenocorticotropic hormone
Malaise and lethargy
Which type of immunity is acquired through the transfer of colostrum from the mother to the child
Natural passive immunity
Which hormone is released in response to low serum levels of calcium
Parathyroid hormone
A client injures an amphiarthrodial joint. Which joint did the client injure
Pelvic joint
Which condition results in elevated serum adrenocorticotropic hormone (ACTH) and urine cortisol levels
Pituitary Cushing's syndrome
What is a significant BP change when a person is changing position which would require treatment
Postural hypotension is a decrease of more than 20 mm Hg of systolic pressure or more than 10 mm Hg of the diastolic pressure
A nurse is caring for a client with a below-the-knee amputation. What should the nurse encourage the client to do to prepare the residual limb for a prosthesis
Press the end of the residual limb against a pillow periodically.
The nurse encourages a client with Raynaud disease to stop smoking. Which primary goal is the nurse trying to achieve
Prevent peripheral vasoconstriction
What is a clinical manifestation of hypernatremia in burns
Seizures
Which statement is true regarding Sjögren's syndrome
Sjögren's syndrome decreases the digestion of carbohydrates.
Which cells are affected in DiGeorge syndrome
T-cells
The nurse is teaching the client about wound healing. Which feature is associated with the "maturation phase" of normal wound healing
The scar is firm and inelastic on palpation.
Which diagnostic study is used to investigate the cause of an inflamed joint and determines a client's response to antiinflammatory drug therapy
Thermography
What is the causative organism for syphilis
Treponema pallidum
What is the middle layer of the eyeball
Uveal tract
Which joint in the human body is an example of a condyloid joint
Wrist joint
