Medical Surge II HESI prep EAQ questions

A client is scheduled for a transurethral resection of the prostate. What should the nurse tell the client to expect after surgery?

"An indwelling urinary catheter is required for at least a day."

A nurse is caring for a client who is receiving radiation therapy. Which information about skin care should the nurse include in the teaching plan?

"Avoid applying lotions and powders over the area."

A female client is upset with her diagnosis of gonorrhea and asks the nurse, "What can I do to prevent getting another infection in the future?" The nurse evaluates that the teaching is understood when the client makes which statement?

"My best protection is to insist that my partner use a condom."

A nurse is planning to provide discharge teaching to the family of a client with acquired immunodeficiency syndrome (AIDS). Which statement should the nurse include in the teaching plan?

"Wash used dishes in hot, soapy water."

A female client who had a colostomy recently is asking questions about how normal her life will be now that she has a colostomy. What is the statement by the client that indicates a need for further teaching?

A female client who had a colostomy recently is asking questions about how normal her life will be now that she has a colostomy. What is the statement by the client that indicates a need for further teaching?

Which condition is an example of humoral reaction?

Anaphylaxis Anaphylaxis is an example of humoral reaction. Sarcoidosis, contact dermatitis, and tissue transplant rejection are examples of cellular reactions.

A client is diagnosed with psoriasis and the nurse is providing health teaching concerning skin care at home. What recommendation does the nurse include in the teaching?

Apply moisturizing lotion several times a day

Which conditions result in humoral immunity? Select all that apply.

Atopic diseases Bacterial infection Anaphylactic shock ABA

Which is a clinical manifestation of metabolic alkalosis?

Atrial tachycardia

For which clinical indicator should a nurse monitor a client with end-stage renal disease?

Azotemia, elevated levls of urea in kidney!!

A client has a Mantoux test as part of a yearly physical examination. The area of induration is 10 mm within 48 hours after having the test. The nurse concludes that this response indicates that the client has what?

Been exposed to the tubercle bacillus

What is an example of third spacing in a burn injury?

Blister formation .Blister formation is an example of third spacing in burn injuries. Edema formation and fluid mobilization generally happen in every burn injury. Fluid accumulation is formed in second spacing in a burn injury.

Which skin color alteration may be observed in a client diagnosed with methemoglobinemia?

Blue

A 1-year-old infant is in the pediatric unit for management of AIDS. One of the medications that has been prescribed for the child is zidovudine. What clinical finding indicates to the nurse that the infant is experiencing life-threatening zidovudine toxicity?

Bruises on the limbs and trunk

A client who is receiving combination chemotherapy for stage II Hodgkin disease is at risk for stomatitis. The nurse's teaching plan should include instructions to do what?

Clean the mouth with a soft toothbrush or a gentle spray

A self-help group of clients with irritable bowel syndrome have invited a nurse to present a program on nutrition. Which substance should the nurse teach the clients to minimize in the diet to decrease gastrointestinal (GI) irritability?

Cola drinks

Which vaccination is given to young children to provide protection against tetanus and diphtheria but not pertussis?

DT

A client with emphysema experiences shortness of breath and uses pursed-lip breathing and accessory muscles of respiration. What does the nurse determine as the cause of the dyspnea?

Difficulty in expelling the air trapped in the alveoli

Which side effect is associated with loratadine?

Dry mouth

During assessment, the nurse finds that a client with Alzheimer's disease is having difficulty in communicating by writing. What does the nurse document in the medical chart of the client?

Dysgraphia

A client who has been told she needs a hysterectomy for cervical cancer is upset about being unable to have a third child. What is the next nursing action?

Ensure that other treatment options for her will be explored.

A client is admitted to the hospital with weakness in the right extremities and a slight difficulty with speech. Vital signs are within expected limits. What is the priority nursing action during the first 24 hours?

Evaluating the client's motor status.

Before a client with syphilis can be treated, what should be determined?

Existence of allergies

During puberty, which hormone acts with luteinizing hormone to stimulate the production of sperm?

Follicle-stimulating hormone

A client with acute glomerulonephritis reports feeling thirsty. What should the nurse offer the client?

Hard candy

Which actions contribute to the transmission of human immunodeficiency virus (HIV) infection from an infected to a healthy person? Select all that apply.

Having sexual intercourse Receiving blood transfusions

A nurse educator of a college health course is discussing tattoos with the class. Which type of hepatitis associated with tattoos should the nurse include in the teaching plan?

Hepatitis C

The nurse explains to a patient that the virus that causes chickenpox also can cause what?

Herpes zoster

Which medication, when taken with food by a client with rheumatoid arthritis, results in delayed absorption?

Ibuprofen

What should a nurse emphasize when teaching lifelong management of type 1 diabetes to an adolescent?

Inspecting both feet frequently for signs of trauma

A client with peripheral arterial insufficiency tells the nurse that walking sometimes results in severe pain in the calf muscles. The nurse responds that this pain is called what?

Intermittent claudication

After surgery for cancer, a client is to receive chemotherapy. When teaching the client about the side effects of chemotherapy, the nurse emphasizes what about the occurrence of alopecia?

It is not permanent

Which statement is true about acquired immunity?

It is the body's second line of defense.

Which client is at the highest risk for developing inflammatory bowel disease?

Jewish

Which drugs are contraindicated in a patient with infectious diarrhea? Select all that apply.

Loperamide Diphenoxylate with atropine

A client had a craniotomy for excision of a brain tumor. After surgery, the nurse monitors the client for increased intracranial pressure. Which clinical finding supports an increase in intracranial pressure?

Lowered level of consciousness

Which cells are also known as natural killers?

Lymphocytes

Which diagnostic test may be used to distinguish vascular from nonvascular structures?

Magnetic resonance imaging

A 4-year-old child develops thrombocytopenia after vaccination. Which vaccination may be responsible?

Measles, mumps, and rubella virus vaccine (MMR)

Which diseases are caused by viruses? Select all that apply.

Mumps Measles Hepatitis B

A client with colitis has had a hemicolectomy. Three days after surgery the nurse identifies that the client has abdominal distention and absent bowel sounds, and has vomited 300 mL of dark green viscous fluid. The nurse contacts the primary healthcare provider and recommends which intervention?

Nasogastric tube for decompression

Which preparations use toxoids but not live viruses? Select all that apply.

PEDIARIX DAPTACEL (PD)

What is the role of the plasma cell in the antigen-antibody response?

Producing antibodies against the sensitizing antigen

A nurse is counseling a woman who had recurrent urinary tract infections. What factor should the nurse explain is the reason why women are at a greater risk than men for contracting a urinary tract infection?

Proximity of the urethra to the anus

Which disorders are examples of autoimmune disorder? Select all that apply.

Psoriasis Celiac disease Type I diabetes

The nurse teaches the client with gastroesophageal reflux disease that after meals the client should do what?

Rest in a sitting position for one hour

A client was treated with a radium implant for cancer of the cervix. What information is important for the nurse to teach the client when giving discharge instructions?

Return for follow-up care.

A client is diagnosed as having invasive cancer of the bladder, and radiation therapy is scheduled. What should the nurse expect the client to demonstrate that indicates success of radiation therapy?

Shrinkage of the tumor on scanning

A nurse is caring for a client with the diagnosis of pemphigus vulgaris. Which expected response does the nurse need to address in the client's plan of care?

Skin lesions

A client with pulmonary tuberculosis discusses the dietary plan with the nurse. The nurse expects that the type of diet that will be prescribed for the client is what?

Small, frequent, high-calorie meals

The nurse has taken a client's blood pressure twice, 10 minutes apart, in the same arm while the client is seated. The nurse records the two blood pressures of 172/104 and 164/98. What is the appropriate nursing action in response to these readings?

Take the client's blood pressure in the other arm and then schedule a health care practitioner's appointment for as soon as possible.

A nurse identifies that a client seems to be depressed after a thymectomy for treatment of myasthenia gravis. Which nursing action is most appropriate at this point?

Talk with the client about the prognosis and emphasize activities the client is still able to perform

Which is a clinical manifestation of respiratory acidosis?

Tremors

A home health nurse teaches a family member to cleanse a client's wound and apply a sterile dressing. Which action by the family member during a return demonstration indicates the need for additional teaching?

Using a back-and-forth motion while cleaning the wound

A client is admitted to the hospital with a diagnosis of intestinal obstruction. The health care provider prescribes intestinal suction via a nasoenteric decompression tube. The loss of which constituents associated with intestinal suctioning is most important to consider when caring for this client?

Water and electrolytes

Which life-threatening wounds are treated with hyperbaric oxygen therapy? Select all that apply. Correct

burns osteomyelitis diabetic ulcers BOD