HESI Comprehensive Exam Save
Terms in this set (263)
An adult client with an ileostomy Skin tenting
is admitted to the hospital with a Flat neck veins
diagnosis of isotonic dehydration. Weak peripheral pulses
What findings does the nurse
expect to note during the Rationale: Isotonic dehydration decreases circulating blood
admission assessment? Select all volume (hypovolemia), leading to inadequate tissue perfusion. The
that apply. nurse would expect to note tachycardia, tachypnea, and dry oral
mucous membranes. The oral mucous membranes may be covered
Skin tenting with a thick, sticky, pastelike coating and may exhibit fissures. The
,An adult client with chronic 40%
kidney disease who is oliguric
and undergoing hemodialysis is Rationale: When calculating how to distribute fluid to a client
under a fluid restriction. What under fluid restriction, the nurse usually allows half or 50% of the
percentage of the total amount allotted total oral fluids between 7 a.m. and 3 p.m., the period
of fluid can the client consume during which the client is more active, consumes two meals, and
during the evening shift? takes most of oral medications. Another two fifths(40%)is allotted
to the evening shift, and the balance(10%)is allowed during the
10% night.
20%
40%
50%
Replacement of the uterus through the vagina into a normal
After delivering a normal, healthy
position
newborn, a client complains of
severe pelvic pain and a feeling
Rationale: If uterine inversion is suspected, the immediate
of extreme fullness in the vagina,
intervention by the nurse is to prepare the client for replacement
and uterine inversion is
of the uterus through the vagina. If this is not possible or effective,
suspected. For which immediate
laparotomy with replacement is performed. Hysterectomy may be
intervention does the nurse
required. Intravenous lines are established to allow rapid fluid and
prepare the client?
blood replacement. A tocolytic medication or general anesthesia is
usually needed to relax the uterus enough to replace it. Once the
,Alendronate is prescribed for a Every morning before breakfast, with a full glass of water
client with postmenopausal
osteoporosis. The nurse provides Rationale: Alendronate should be taken in the morning before
information on the medication to breakfast with a full glass of water and on an empty stomach to
the client. When does the nurse maximize its bioavailability. It is a medication used to treat
tell the client to take the postmenopausal osteoporesis, glucocorticoid-induced
alendronate? osteoporosis, and Paget's disease of bone. Proper administration is
necessary to maximize bioavailability and minimize the risk of
At bedtime esophagitis. No food, including orange juice or coffee, should be
With orange juice, to enhance consumed for at least 30 minutes after alendronate is taken. To
absorption at night minimize the risk of esophagitis, the client should take the
Every morning before breakfast, medication with a full glass of water and remain upright (seated or
with a full glass of water standing) for at least 30 minutes. Therefore taking the medication
Every morning after breakfast, at bedtime, with orange juice to help with absorption, and every
after which the client should lie morning after breakfast, followed by a 30-minute period of lying
down for 30 minutes down, are all incorrect.
Alprazolam is prescribed for a Lightheadedness
client to treat an anxiety disorder.
Which side effect does the nurse Rationale: Alprazolam is a benzodiazepine that is used to manage
warn the client of? anxiety disorders. Common side effects include muscle
incoordination, lightheadedness, transient mild drowsiness, and
Headache slurred speech. The other options are not side effects of this
Urine retention medication.
Lightheadedness
Increased salivation
, Although previously well Lithium carbonate
controlled with glyburide, a
client's fasting blood glucose has Rationale: Glyburide is a hypoglycemic medication. If the client
been running 180 to 200 mg/dL takes a corticosteroid, thiazide diuretic, or lithium carbonate
(10 to 11.1 mmol/L). On reviewing concurrently, the effect of the glyburide is diminished. Lithium
the client's record, which carbonate, an antimanic medication, may increase the blood
medication, recently added to glucose level. Phenelzine is a monoamine oxidase inhibitor.
the client's regimen, does the Atenolol is a beta-blocker. Allopurinol is a xanthine oxidase
nurse recognize as a possible inhibitor. These medications may amplify the effects of an oral
contributor to the hypoglycemic.
hyperglycemia?
Atenolol
Phenelzine
Allopurinol
Lithium carbonate
Terms in this set (263)
An adult client with an ileostomy Skin tenting
is admitted to the hospital with a Flat neck veins
diagnosis of isotonic dehydration. Weak peripheral pulses
What findings does the nurse
expect to note during the Rationale: Isotonic dehydration decreases circulating blood
admission assessment? Select all volume (hypovolemia), leading to inadequate tissue perfusion. The
that apply. nurse would expect to note tachycardia, tachypnea, and dry oral
mucous membranes. The oral mucous membranes may be covered
Skin tenting with a thick, sticky, pastelike coating and may exhibit fissures. The
,An adult client with chronic 40%
kidney disease who is oliguric
and undergoing hemodialysis is Rationale: When calculating how to distribute fluid to a client
under a fluid restriction. What under fluid restriction, the nurse usually allows half or 50% of the
percentage of the total amount allotted total oral fluids between 7 a.m. and 3 p.m., the period
of fluid can the client consume during which the client is more active, consumes two meals, and
during the evening shift? takes most of oral medications. Another two fifths(40%)is allotted
to the evening shift, and the balance(10%)is allowed during the
10% night.
20%
40%
50%
Replacement of the uterus through the vagina into a normal
After delivering a normal, healthy
position
newborn, a client complains of
severe pelvic pain and a feeling
Rationale: If uterine inversion is suspected, the immediate
of extreme fullness in the vagina,
intervention by the nurse is to prepare the client for replacement
and uterine inversion is
of the uterus through the vagina. If this is not possible or effective,
suspected. For which immediate
laparotomy with replacement is performed. Hysterectomy may be
intervention does the nurse
required. Intravenous lines are established to allow rapid fluid and
prepare the client?
blood replacement. A tocolytic medication or general anesthesia is
usually needed to relax the uterus enough to replace it. Once the
,Alendronate is prescribed for a Every morning before breakfast, with a full glass of water
client with postmenopausal
osteoporosis. The nurse provides Rationale: Alendronate should be taken in the morning before
information on the medication to breakfast with a full glass of water and on an empty stomach to
the client. When does the nurse maximize its bioavailability. It is a medication used to treat
tell the client to take the postmenopausal osteoporesis, glucocorticoid-induced
alendronate? osteoporosis, and Paget's disease of bone. Proper administration is
necessary to maximize bioavailability and minimize the risk of
At bedtime esophagitis. No food, including orange juice or coffee, should be
With orange juice, to enhance consumed for at least 30 minutes after alendronate is taken. To
absorption at night minimize the risk of esophagitis, the client should take the
Every morning before breakfast, medication with a full glass of water and remain upright (seated or
with a full glass of water standing) for at least 30 minutes. Therefore taking the medication
Every morning after breakfast, at bedtime, with orange juice to help with absorption, and every
after which the client should lie morning after breakfast, followed by a 30-minute period of lying
down for 30 minutes down, are all incorrect.
Alprazolam is prescribed for a Lightheadedness
client to treat an anxiety disorder.
Which side effect does the nurse Rationale: Alprazolam is a benzodiazepine that is used to manage
warn the client of? anxiety disorders. Common side effects include muscle
incoordination, lightheadedness, transient mild drowsiness, and
Headache slurred speech. The other options are not side effects of this
Urine retention medication.
Lightheadedness
Increased salivation
, Although previously well Lithium carbonate
controlled with glyburide, a
client's fasting blood glucose has Rationale: Glyburide is a hypoglycemic medication. If the client
been running 180 to 200 mg/dL takes a corticosteroid, thiazide diuretic, or lithium carbonate
(10 to 11.1 mmol/L). On reviewing concurrently, the effect of the glyburide is diminished. Lithium
the client's record, which carbonate, an antimanic medication, may increase the blood
medication, recently added to glucose level. Phenelzine is a monoamine oxidase inhibitor.
the client's regimen, does the Atenolol is a beta-blocker. Allopurinol is a xanthine oxidase
nurse recognize as a possible inhibitor. These medications may amplify the effects of an oral
contributor to the hypoglycemic.
hyperglycemia?
Atenolol
Phenelzine
Allopurinol
Lithium carbonate
