Hesi Nursing Critical Thinking

Hesi Nursing Critical Thinking 1. The Patient: A 65-year- old male. The Situation: The family brings the patient to the emergency room because he just took an entire bottle of pills. The Question: What action should the nurse take first? A. Prescribe medicine to induce vomiting. B. Determine the patient's level of consciousness. C. Ask the family why he may have taken an entire bottle of pills. Ans- B. Determine the patient's level of consciousness. 2. The Patient: An 80-year-old male who has used continuous oxygen for the past three years. The Situation: While making a home visit, the wife tells the nurse that her husband was doing well on 2 liters of oxygen per minute until late last night when he developed severe shortness of breath on the way to the bathroom. The Question: What action should the nurse take first? A. Assess the patient's oxygen saturation by a pulse oximeter. B. Ask the patient to lie down and wait to see if it happens again. C. Begin administering 2.5 liters of oxygen per minute. Ans- A. Assess the patient's oxygen saturation by a pulse oximeter. 3. The Patient: A 41-year-old male. The Situation: The patient is complaining of severe stomach pain and states that he has been "vomiting all the time." The Question: What should the nurse do first? A. Prescribe an anti-vomiting medication B. Administer a prescribed pain medication C. Check for dehydration from vomiting. Ans- B. Administer a prescribed pain medication 4. The Patient: The wife of a wealthy owner of the town's bank. The Situation: The patient and her husband arrive on the unit. While orienting the patient to the hospital room, the nurse notices that the patient has placed a large amount of cash and some expensive earrings in the drawer of the bedside table. The Question: What is the best action for the nurse to take? A. Advise the patient to have her husband take the items home when he leaves. B. Offer to put the items in a safe downstairs. C. Offer to put the items in the nurses' station. Ans- A. Advise the patient to have her husband take the items home when he leaves.