HESI comp exam 1 questions and answers rated 5 stars with latest updates summer 2023

HESI comp exam 1 questions and answers rated 5 stars with latest updates summer 2023 A client with asthma receives a prescription for high blood pressure during a clinic visit. Which prescription should the nurse anticipate the client to receive that is at least likely to exacerbate asthma? - Metoprolol tartrate (Lopressor) Best antihypertensive med for asthmatics. Beta2 blocking agent -- also a cardioselective and less likely to cause bronchoconstriction. A male client who has been taking propranolol (Inderal) for 18 months tells the nurse that the healthcare provider discontinued the medication because his blood pressure has been normal for the past 3 months. Which instruction should the nurse provide? - Ask the healthcare provider about tapering the drug dose over the next week. HCP discontinued drug BUT measures to prevent rebound cardiac excitation, such as progressively reducing the dose over 1 or 2 weeks, should be recommended to prevent rebound tachycardia, hypertension, and ventricular dysrhythmias. A client who is taking clonidine ( Catapres, Duraclon) reports drowsiness. Which additional assessment should the nurse make? - How long has the client been taking the medication? Drowsiness can occur in the early weeks of treatment with clonidine and with continued use becomes less intense, so the length of time the client has been on the medication provides information to direct additional instruction. The nurse is preparing to administer atropine, an anticholinergic, to a client who is scheduled for a cholecystectomy. The client asks the nurse to explain the reason for the prescribed medication. What response is best for the nurse to provide? - Decrease the risk of bradycardia during surgery Atropine may be prescribed preoperatively to increase the automaticity of the sinoatrial node and prevent a dangerous reduction in heart rate during surgical anesthesia. An 80-year old client is given morphine sulfate for post-op pain. Which concomitant med should the nurse question that poses a potential development of urinary retention in this geriatric client? - Tricyclic antidepressants Drugs with anticholinergic properties can exacerbate urinary retention associated with opioids in the older client. A client with osteoarthritis is given a new script for a NSAID. The client asks the nurse, "How is this med different from the acetaminophen I have been taking?" Which information about the therapeutic action of NSAIDs should the nurse provide? - Provide anti-inflammatory response NSAIDs relieve pain associated with osteoarthritis and differs from acetaminophen(a non-narcotic & antipyretic). Also potentially hepatotoxic. A client with cancer has a history of alcohol abuse and is taking acetaminophen (Tylenol) for pain. Which organ function is most important for the nurse to monitor? - Liver Acetaminophen & alcohol both metabolized in the liver. Pt at risk of hepatotoxicity & potentially fatal liver damage. The nurse obtains a heart rate of 92 and a BP of 110/76 prior to administering a scheduled does of verapamil (Calan) for a client with atrial flutter. Which action should the nurse implement? - Administer the dose as prescribed. Verapamil slows SA nodal automaticity, delays AV nodal conduction, slowing ventricular rate & treats atrial flutter. HR is above 60 and BP is WNL. A client is admitted to the hospital with a diagnosis of Type 2 diabetes mellitus and influenza. Which categories of illness should the nurse develop goals for the client's plan of care? - One chronic and one acute illness Adult onset DM is