HESI Fundamentals Practice (5)
Terms in this set (90)
2,4
Because of aging of the nervous system an older adult has a diminished
sensation of pain and may be unaware of a serious illness, thermal
extremes, or excessive pressure. As people age they experience atrophy
An 85-year-old client has just been of the organ of Corti and cochlear neurons, loss of the sensory hair cells,
admitted to a nursing home. When and degeneration of the stria vascularis, which affects an older person's
designing a plan of care for this older ability to perceive high-frequency sounds. An interference with
adult the nurse recalls what expected swallowing is a motor, not a sensory, loss, nor is it an expected response
sensory losses associated with to aging. There is a decreased, not heightened, response to stimuli in
aging? Select all that apply. older adults. There is a decreased, not increased, ability to
1 physiologically adjust to extremes in environmental temperature.
Difficulty in swallowing
2
Diminished sensation of pain
3
Heightened response to stimuli
4
Impaired hearing of high-frequency
sounds
5
Increased ability to tolerate
environmental heat
, HESI Fundamentals Practice (5)
1
Gastric secretions, which are electrolyte rich, are lost through the
nasogastric tube; the imbalances that result can be life threatening.
Changing the nasogastric tube every 48 hours is unnecessary and can
After gastric surgery a client has a damage the suture line. High continuous suction can cause trauma to the
nasogastric tube in place. What suture line. Injecting 10 mL of water into the nasogastric tube to test for
should the nurse do when caring for placement is unsafe; if respiratory intubation has occurred aspiration will
this client? result
1
Monitor for signs of electrolyte
imbalance.
2
Change the tube at least once every
48 hours.
3
Connect the nasogastric tube to high
continuous suction.
4
Assess placement by injecting 10 mL
of water into the tube
, HESI Fundamentals Practice (5)
Prayer is an alternative therapy that may relax the client and provide
strength, solace, or acceptance. The relief of pain through hypnosis is
based on suggestion; also, it focuses attention away from the pain. Some
clients learn to hypnotize themselves. Aromatherapy can help relax and
Alternative therapy measures have distract the individual and thus increase tolerance for pain, as well as
become increasingly accepted within relieve pain. Guided imagery can help relax and distract the individual
the past decade, especially in the and thus increase tolerance for pain, as well as relieve pain. Analgesics,
relief of pain. Which methods qualify both opioid and nonopioid, long have been part of the standard medical
as alternative therapies for pain?
regimen for pain relief, so they are not considered an alternative therapy.
Select all that apply.
1
Prayer
2
Hypnosis
3
Medication
4
Aromatherapy
5
Guided imagery
, HESI Fundamentals Practice (5)
1
A low pH and low bicarbonate level are consistent with metabolic
acidosis. The pH indicates acidosis. The CO2 concentration is within
normal limits, which is inconsistent with respiratory acidosis; it is elevated
with respiratory acidosis.
An arterial blood gas report indicates
the client's pH is 7.25, PCO2 is 35 Ph-7.35-7.45
mm Hg, and HCO3 is 20 mEq/L. PCO2 - 35-45
Which disturbance should the nurse HCO3 - 22-30
identify based on these results?
1
Metabolic acidosis
2
Metabolic alkalosis
3
Respiratory acidosis
4
Respiratory alkalosis
A low pH and low bicarbonate level
are consistent with metabolic
acidosis. The pH indicates acidosis.
The CO2 concentration is within
normal limits, which is inconsistent
with respiratory acidosis; it is
elevated with respiratory acidosis.
Terms in this set (90)
2,4
Because of aging of the nervous system an older adult has a diminished
sensation of pain and may be unaware of a serious illness, thermal
extremes, or excessive pressure. As people age they experience atrophy
An 85-year-old client has just been of the organ of Corti and cochlear neurons, loss of the sensory hair cells,
admitted to a nursing home. When and degeneration of the stria vascularis, which affects an older person's
designing a plan of care for this older ability to perceive high-frequency sounds. An interference with
adult the nurse recalls what expected swallowing is a motor, not a sensory, loss, nor is it an expected response
sensory losses associated with to aging. There is a decreased, not heightened, response to stimuli in
aging? Select all that apply. older adults. There is a decreased, not increased, ability to
1 physiologically adjust to extremes in environmental temperature.
Difficulty in swallowing
2
Diminished sensation of pain
3
Heightened response to stimuli
4
Impaired hearing of high-frequency
sounds
5
Increased ability to tolerate
environmental heat
, HESI Fundamentals Practice (5)
1
Gastric secretions, which are electrolyte rich, are lost through the
nasogastric tube; the imbalances that result can be life threatening.
Changing the nasogastric tube every 48 hours is unnecessary and can
After gastric surgery a client has a damage the suture line. High continuous suction can cause trauma to the
nasogastric tube in place. What suture line. Injecting 10 mL of water into the nasogastric tube to test for
should the nurse do when caring for placement is unsafe; if respiratory intubation has occurred aspiration will
this client? result
1
Monitor for signs of electrolyte
imbalance.
2
Change the tube at least once every
48 hours.
3
Connect the nasogastric tube to high
continuous suction.
4
Assess placement by injecting 10 mL
of water into the tube
, HESI Fundamentals Practice (5)
Prayer is an alternative therapy that may relax the client and provide
strength, solace, or acceptance. The relief of pain through hypnosis is
based on suggestion; also, it focuses attention away from the pain. Some
clients learn to hypnotize themselves. Aromatherapy can help relax and
Alternative therapy measures have distract the individual and thus increase tolerance for pain, as well as
become increasingly accepted within relieve pain. Guided imagery can help relax and distract the individual
the past decade, especially in the and thus increase tolerance for pain, as well as relieve pain. Analgesics,
relief of pain. Which methods qualify both opioid and nonopioid, long have been part of the standard medical
as alternative therapies for pain?
regimen for pain relief, so they are not considered an alternative therapy.
Select all that apply.
1
Prayer
2
Hypnosis
3
Medication
4
Aromatherapy
5
Guided imagery
, HESI Fundamentals Practice (5)
1
A low pH and low bicarbonate level are consistent with metabolic
acidosis. The pH indicates acidosis. The CO2 concentration is within
normal limits, which is inconsistent with respiratory acidosis; it is elevated
with respiratory acidosis.
An arterial blood gas report indicates
the client's pH is 7.25, PCO2 is 35 Ph-7.35-7.45
mm Hg, and HCO3 is 20 mEq/L. PCO2 - 35-45
Which disturbance should the nurse HCO3 - 22-30
identify based on these results?
1
Metabolic acidosis
2
Metabolic alkalosis
3
Respiratory acidosis
4
Respiratory alkalosis
A low pH and low bicarbonate level
are consistent with metabolic
acidosis. The pH indicates acidosis.
The CO2 concentration is within
normal limits, which is inconsistent
with respiratory acidosis; it is
elevated with respiratory acidosis.
