HESI MED-SURG EXAM PREP 2025/2026 - VERIFIED PRACTICE QUESTIONS, DETAILED RATIONALES & PROVEN STRATEGIES FOR GUARANTEED SUCCESS The nurse is assisting a client out of bed for the first time after surgery. What action should the nurse do first? - -- ANSWER IS----Allow the client to sit with the bed in a high Fowler's position. Rationale The first step is to raise the head of the bed to a high Fowler's position, which allow venous return to compensate from lying flat and the vasodilation effects of perioperative drugs. This helps prevent the client from becoming light-headed and decreases the chance of a client fall. After the fourth dose of gentamicin sulfate (Garamycin) IV, the nurse plans to draw blood samples to determine peak and trough levels. When are the best times to draw these samples? - -- ANSWER IS----5 minutes before and 30 minutes after the next dose. RationalePeak drug serum levels are achieved 30 minutes after the completion of the IV infusion of gentamicin sulfate. The best time to draw a trough is the closest time to the next administration. In assessing a client diagnosed with primary hyperaldosteronism, the nurse expects the laboratory test results to indicate an increased