HESI EXIT 2023 GRADED A+

A morbidly obese client is scheduled for gastric bypass surgery. The client completes the required preoperative nutritional counseling and signs the operative permit. To promote effective discharge planning, which intervention is most important for the nurse to implement? - ANSWER Discuss small, low fat, low sugar meal preparation techniques. A client who was splashed with a chemical has both eyes covered with bandages. When assisting the client with eating, which intervention should the nurse instruct the UAP to implement? - ANSWER Orient the client to the location of the food on the plate. A client is admitted for an exacerbation of heart failure (HF) and is being treated with diuretics for fluid volume excess. In planning nursing care, which interventions should the nurse include? (Select all that apply.) - ANSWER • Observe for evidence of hypokalemia • Teach the client how to restrict dietary sodium • Weight the client daily, in the morning While changing the dressing of a client who is immobile, the nurse observes a red and swollen wound with a moderate amount of yellow and green drainage and a foul odor. Given there is a positive methicillin-resistant Staphylococcus aureus (MRSA), which is the most important action for the nurse to take? - ANSWER Administer prescribed antibiotics. A client who has asthma receives a new prescription for a corticosteroid inhaler. The client expresses concern about taking steroid medications. What information should the nurse provide the client about the use of this maintenance inhaler? - ANSWER Systemic side effects are reduced when taken by inhalation The healthcare provider prescribes a sedative for a client with severe hypothyroidism. The nurse plans to contact the provider to review the safety of the prescription for the client and consults first with the charge nurse. The charge nurse notes that the prescription is written legally and completely. How should the charge nurse respond? - ANSWER Assume responsibility for discussing the concern with the provider. In assessing a client twelve hours following transurethral resection of the prostate (TURP), the nurse observes that the urinary drainage tubing contains a large amount of clear pale pink urine and the continuous bladder irrigation is infusing slowly. Which action should the nurse implement? - ANSWER Ensure that no dependent loops are present in the tubing. Which information should the nurse include in the discharge teaching plan of a client with low back pain who is taking cyclobenzaprine to control muscle spasms? - ANSWER Use cold and allergy medications only as directed by a healthcare provider. A client with deep vein thrombosis (DVT) is receiving a continuous intravenous heparin infusion. The client now has tarry, black diarrhea and reports abdominal pain. Which actions should the nurse implement? (Select all that apply) - ANSWER • Monitor stools for presence of blood • Auscultate bowel sounds in all quadrants • Review last partial thromboplastin time results. Which laboratory results should the nurse closely monitor in a client who has end-stage renal disease (ESRD)? - ANSWER • Serum potassium, calcium, and phosphorus. A mal client who was in a motor vehicle collision yesterday is receiving a unit of packed red blood cells. When half of the unit is infused, the client reports lower back pain, and the nurse observes a fine rash over his chest and back. Which intervention should the nurse implement? - ANSWER Replace the transfusion with normal saline When developing a teaching plan for a client with newly diagnosed Type 1 diabetes, the nurse should explain that an increased thirst is an early sign of diabetic ketoacidosis (DKA). Which action should the nurse instruct the client to implement if this sign of DKA occurs? - ANSWER Give a dose of regular insulin as prescribed Which information is most important to include in the teaching plan for a client who is discharged after a thyroidectomy for Grave's disease? - ANSWER Daily hormone replacement will be needed for the rest of the client's life. The nurse is planning discharge instructions for a client with type 2 diabetes who will be starting exenatide. Which information should be included in the discharge instructions? - ANSWER Notify your healthcare provider if you start having abdominal pain. Which breakfast selection should he nurse recommend for a 16-year-old with diarrhea? - ANSWER Oatmeal, banana, and herbal tea. The nurse is preparing to administer 1.6 mL of medication intramuscularly to a 4-month-old infant. Which action should the nurse include? - ANSWER Divide the medication into two injections with volumes under 1 mL. A school-aged child with chronic renal failure receives a prescription from the healthcare provider for losartan. Which action should the nurse implement prior to administering the medication? - ANSWER Evaluate the abilit