Adult Med Surg - Elsevier - HESI

A nurse performs preoperative teaching for a client who is to have cataract surgery. Which is most important for the nurse to include concerning what the client should do after surgery?

Avoid bending from the waist

After taking spironolactone, the client inquires about foods and fluids that contain potassium. Which juice should the nurse recommend?

Cranberry juice Spironolactone is a potassium-sparing diuretic, and foods high in potassium should be avoided. Cranberry juice should be recommended because it contains the least amount of potassium.

A nurse is caring for a client who just had a gastrectomy. What should the nurse emphasize when teaching the client how to avoid dumping syndrome?

Eat small meals with low carbohydrate and moderate fat content

A client develops increased respiratory secretions because of radiation therapy to the lung, and the healthcare provider prescribes postural drainage. What client assessment leads the nurse to determine that the postural drainage is effective?

Has a productive cough

A client is diagnosed with cancer of the rectum and has surgery for an abdominoperineal resection and colostomy. Which nursing care should be implemented during the postoperative period?

Keeping the client's skin around the stoma clean

After assessing the color of a client's nail beds, the primary healthcare provider concludes that the client has trauma to the nail beds. Which variations in nail color might the client have?

Red Color

The urinalysis report of a client reveals cloudy urine. What does a nurse infer from the client's report?

The client has a urinary infection

What should the nurse do to help alleviate the distress of a client with heart failure and pulmonary edema?

Place the client in the orthopneic position. The orthopneic, or , allows maximum lung expansion because gravity reduces the pressure of the abdominal viscera on the diaphragm and lungs.

The serum ammonia level of a client with hepatic cirrhosis and ascites is elevated. What nursing intervention is the priority?

Weigh the client daily.

A client is in profound (late) hypovolemic shock. The nurse assesses the client's laboratory values. What does the nurse know that clients in late shock develop?

Metabolic acidosis

A client is diagnosed with condyloma acuminatum. Which finding in the client supports the diagnosis?

Moist, fleshy projections on the penis with single or multiple projections is a clinical manifestation of condyloma acuminatum.

Which feature in the client indicates hypersecretion of adrenocorticotrophic hormone?

Moon Face

A nurse is caring for a postoperative client with diabetes. Which is the most common cause of diabetic ketoacidosis that the nurse needs to consider when caring for this client?

Presence of infection

A client reports painful and bleeding gingivae, increased saliva with metallic taste, fetid mouth odor, decreased hunger, fever, and general malaise. Upon assessment, the nurse finds eroding necrotic lesions of the interdental papillae and bleeding ulcerations in the mouth. Which microorganism is responsible for this condition?

Spirochetes

A client is admitted with the diagnosis of possible myocardial infarction, and a series of diagnostic tests are prescribed. Which blood level should the nurse expect will increase first if this client has had a myocardial infarction?

Troponin T