BSN 315 Practice Hesi

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1.The mother of a newborn asks the nurse why her infant needs the vita
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min K injection. Which information should the nurse provide?: Bacteria t
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hat synthe-bs

bssize vitamin K are not present in the newborn's intestinal tract.
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2.A client is diagnosed with peptic ulcer disease and receives a prescrip
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tion for esomeprazole 20 mg capsule daily. When providing this client wi
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th dis-
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bscharge teaching, the nurse should include which instruction?: take at th
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e same time each day one hour before eating a meal
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3.A client at 30 weeks gestation is in preterm labor. The healthcare prov
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ider prescribes two 12-
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mg doses of betamethasone intramuscularly every 12 hours. The client a
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sks the nurse why she is receiving betamethasone. Which information s
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hould the nurse use to explain the action of the medication?: -
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bsstimulates fetal surfactant production bs bs bs


4.A client receives a new prescription for pentazocine, a mixed opioid a
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go- nist- bs

antagonist after an opioid agonist is discontinued. Which is the advantage
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sfor the client when the new prescription is implemented?: used to decre
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ase substance abuse disorder
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5.The healthcare provider prescribes oral antifungal therapy for a client
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with onychomycosis. Which information should the nurse tell the client?:
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the infec- bs

bstion is difficult to eradicate and requires prolonged therapy for 3 to
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6 months
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6.A client receives a new prescription for an angiotensin-
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converting enzyme (ACE) inhibitor. Which client history contraindicates it
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s use?: renal artery stenosis
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7.Which side effects should the nurse monitor for a client who is receivi
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ng dexamethasone following neurosurgery?
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(Select all that apply.): Mood swings, increased weight gain
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Dexamethasone is a long- bs bs bs

acting glucocorticoid prescribed for neurosurgical proce-
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dures because it suppresses inflammation and has a low sodium-
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retaining ability, which is important in averting cerebral edema. Howev
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er, the medication does produce the following side effects such as: mo
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od swings, an increase in appetite, resulting in weight gain, hyperglyc
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emia (serum glucose level above 120 mg/
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esi
dl) which is related to the gluconeogenesis properties of corticosteroid
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s, delayed in wound healing related to immune suppression properties,
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and complete blood count resulting in a decreased in WBC and hemogl
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obin (less than 12mg/
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dl). When a client is receiving dexamethasone, they should be monitor
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ed for these side effects.
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8.A client is taking sulfisoxazole for a urinary tract infection (UTI) and c
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om-
plains of nausea and gastric upset since starting the medication. Which
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addi-
tional adverse reaction should the nurse instruct the client to report?: r
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ash




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9.What pathophysiological action supports the expected outcome for a cli
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ent with chronic cancer pain who is treated with imipramine, a tricyclic a
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nti-
depressant?: decreases transmission of pain impulses by altering ser
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otonin and norepinephrine activity at nerve synapses
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10.Which statement by a client warrants further instruction by the nurse
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about the changing insulin needs of a diabetic client during pregnancy?:
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I will increase my insulin dosage by 5 units each month during the fir
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st trimester bs


11.A client who uses ipratropium reports having nausea, blurred vision,
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headaches, and insomnia after using the inhaler. Which action should th
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e nurse implement first?: withhold medication and report symptoms an
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d vital signs to the healthcare provider
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12.A client is admitted for atrial fibrillation, and the healthcare provider
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prescribes disopyramide. After explaining the action of this antidysrhyth
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mic agent, which complaint should the nurse instruct the client to report
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?: daily weight gain of 2 pounds
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13.A client is taking cyclosporine for renal allograft rejection prevention. A
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fter 9 months of drug therapy, the nurse reviews laboratory data and notes
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that the blood urea nitrogen level is 36 mg/
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dl. What additional finding should the nurse identify?: creatinine 2.8 mg/
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dl
14.The healthcare provider prescribes pyridostigmine bromide tablets f
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or a client with myasthenia gravis (MG). Which instruction should the
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nurse
provide this client?: that the medication is not a cure but it does reliev
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e symptoms bs

15.When prescribed for a client with hepatic encephalopathy, which is
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the therapeutic action of lactulose?: Lowers the pH of the colon
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16.A client with Paget's disease is started on calcitonin 500 mcg su
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bcu-
taneously daily. During the initial treatment, which is the priority nur
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sing action?: Observe the client for signs of hypersensitivity
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17.A client is beginning therapy with montelukast PO 10 mg once a day i
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n the evening. The client asks the nurse, "When should I begin to feel be
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tter?" How should the nurse respond?: peak is 3-
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4 hours with duration of 24 hours
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18.A client is receiving fentanyl via an epidural infusion. Which side effe
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ct should the nurse anticipate in the first 24 hours of epidural analgesia?:
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