HESI Medical Surgical Practice Exam With Answers (131 Solved Questions)

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1.Which assessment is most important for the nurse to perform on a client who ishospitalized for Guillain-Barre syndrome that is rapidly progressing?Respiratory effort.Unsteady gait.Intensity of pain.Ability to eat.Guillain-Barre syndrome causes paralysis or weakness that typically starts at the feetand progresses upwards. As the condition progresses, the nurse must ensure that theclient is able to breathe effectively.Heuther, Understanding Pathophysiology, 6th ed. p. 4122.A male client comes into the clinic with a history of penile discharge with painful,burning urination. Which action should the nurse implement?Collect a culture of the penile discharge.Palpate the inguinal lymph nodes gently.Observe for scrotal swelling and redness.Express the discharge to determine color.Penile discharge with painful urination is commonly associated with gonorrhea. Thenurse should collect a culture of the penile discharge to determine the cause of thesesymptoms. The cause must be determined or confirmed through culture to identify theorganism and ensure effective treatment.Jarvis Physical Examination and Health Assessment, 6th edition3.A client with history of atrial fibrillation is admitted to the telemetry unit with suddenonset of shortness of breath. The nurse observes a new irregular heart rhythm andshould perform which assessment at this time?Check for a pulse deficit.Palpate the apical impulse.Inspect jugular vein pulse.Examine for a carotid bruit.A client with a past history of atrial fibrillation may return to that rhythm. Any signsof atrial fibrillation, such as sudden onset shortness of breath, requires furtherinvestigation. The nurse should assess this client for a pulse deficit because thiscondition occurs with atrial fibrillation.

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HESI Medical Surgical Practice Exam With Answers (131 Solved Questions)

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