HESI MEDICAL SURGICAL EXAM ALL ACTUAL EXAM QUESTIONS WITH ANSWERS LATEST UPDATE

The nurse is providing dietary instructions to a 68-year-old client who is at high risk for
development of coronary heart disease (CHD). Which information should the nurse
include?
Limit dietary selection of cholesterol to 300 mg per day.
Increase intake of soluble fiber to 10 to 25 grams per day.
Decrease plant stanols and sterols to less than 2 grams/day. Ensure saturated
fat is less than 30% of total caloric intake.
Rationale
To reduce risk factors associated with coronary heart disease, the daily intake of soluble
fiber should be increased to between 10 and 25 gm. According to the American Heart
Association, soluble fibers helps reduce the LDL cholesterol levels.
Despite several eye surgeries, a 78-year-old client who lives alone has persistent vision
problems. The visiting nurse is discussing home safety hazards with the client. The nurse
suggests that the edges of the steps be painted which color?
Black.
Rationale
The color yellow is the easiest for a person with failing vision to see.
A client receiving cholestyramine (Questran) for hyperlipidemia should be evaluated for
what vitamin deficiency?
Rationale
This drug is administered to help lower the triglycerides levels. One of the side effects
clients should be monitored for an increased prothrombin time and prolonged bleeding
times which would alert the nurse to a vitamin K deficiency. These drugs reduce absorption
of the fat soluble (lipid) vitamins A, D, E, and K.
The nurse is caring for a client with a stroke resulting in right-sided paresis and aphasia.
The client attempts to use the left hand for feeding and other self-care activities. The spouse
White.
Light green.
Medium yellow.
K.
B12.
B6.
C.
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becomes frustrated and insists on doing everything for the client. Based on this data, which
nursing diagnosis should the nurse document for this client?
Situational low self-esteem related to functional impairment and change in role function.
Disabled family coping related to dissonant coping style of significant person.
Interrupted family processes related to shift in health status of family member.
Risk for ineffective therapeutic regimen management related to complexity of care.