hesi 366 v1 Questions With Complete Solutions
. An older client is being admitted to a rehabilitation unit from a
medical-surgical unit following a left hip replacement. When
reviewing the client's prescribed medications, which
intervention should the nurse implement FIRST?
a. reconcile prescribed medication dosages with published
recommended dosage ranges
b. compare admission prescriptions with the list of medications
previously taken by the client
c. determine which medications may be given in generic form
rather than brand name only
d. provide client teaching regarding the desired effects of the
client's admission prescriptions Correct Answers b. compare
admission prescriptions with the list of medications previously
taken by the client
.assessment findings for a client following a colectomy for
familial polyposis include an ileostomy bag that contains large
amount of fecal liquid and an IV infusion of dextrose 5% in
lactated ringer's infusing at a rate of 100ml/hour. Which
assessment is most important for the nurse monitor? Serum
electrolytes.
a. urinary output
b. serum electrolytes
c. peristomal skin integrity
d. skin turgor Correct Answers b. serum electrolytes
10. The adult child of an older adult client who has Parkinson's
disease, calls the clinic and reports that the client has been
,confused for the past week. Which action Should the nurse take?
Select all that apply.
A.
Determine if the mother has recently experienced a fall.
B.
Review the client's current food and medication allergies.
C.
Encourage increased intake of high-protein foods.
D.
Instruct the daughter to check her mother's temperature.
E.
Ask if the mother is experiencing any pain with urination.
Correct Answers A.
Determine if the mother has recently experienced a fall.
D.
Instruct the daughter to check her mother's temperature.
E.
Ask if the mother is experiencing any pain with urination.
122. .An older woman who has difficulty hearing is being
discharged from day surgery following a cataract extraction and
lens implantation. Which intervention is most important for the
nurse to implement to help ensure the client's compliance with
self-care? Provide written instructions for eye drop
administration.--------NOT SURE HAS 2 ANSWERS Correct
Answers
123. The nurse is using a straight urinary catheter kit to collect a
sterile urine specimen from a female client. After positioning
and prepping the client, rank the actions in the sequence they
, should be implemented. (place the first action at the top, and last
action at the bottom)
a. Place distal end of the catheter in sterile specimen cup and
insert catheter into meatus Open
b. Cleans the urinary meatus using the solution, swabs, and
forceps
c. Don sterile gloves and prepare the sterile field
d. the sterile catheter kit close to the clients perineum Correct
Answers Open the sterile catheter kit close to the client's
perineum.
Don sterile gloves and prepare to sterile field.
Cleanse the urinary meatus using the solution, swabs, and
forceps provided.
Place distal end of the catheter in sterile specimen cup and insert
catheter into meatus.
15. A client who weighs 65kg receives a prescription for
lorazepam 44mcg/kg IV to be administered 20 minutes before
scheduled procedure. The medication is available as " lorazepam
2mg/ml vial". How many ml should the nurse administer. ( enter
numerical value only. If rounding is required, round to the
nearest tenth). Correct Answers 1.4ml
15. The client demonstrates effective epidural anesthesia by
Vital signs, pain relief, augmentation of labor
A. pain relief
B. labor augmentation
C. progression of labor
D. stable vital signs
E. good urine output
F. fetal heart rate Correct Answers A. pain relief
. An older client is being admitted to a rehabilitation unit from a
medical-surgical unit following a left hip replacement. When
reviewing the client's prescribed medications, which
intervention should the nurse implement FIRST?
a. reconcile prescribed medication dosages with published
recommended dosage ranges
b. compare admission prescriptions with the list of medications
previously taken by the client
c. determine which medications may be given in generic form
rather than brand name only
d. provide client teaching regarding the desired effects of the
client's admission prescriptions Correct Answers b. compare
admission prescriptions with the list of medications previously
taken by the client
.assessment findings for a client following a colectomy for
familial polyposis include an ileostomy bag that contains large
amount of fecal liquid and an IV infusion of dextrose 5% in
lactated ringer's infusing at a rate of 100ml/hour. Which
assessment is most important for the nurse monitor? Serum
electrolytes.
a. urinary output
b. serum electrolytes
c. peristomal skin integrity
d. skin turgor Correct Answers b. serum electrolytes
10. The adult child of an older adult client who has Parkinson's
disease, calls the clinic and reports that the client has been
,confused for the past week. Which action Should the nurse take?
Select all that apply.
A.
Determine if the mother has recently experienced a fall.
B.
Review the client's current food and medication allergies.
C.
Encourage increased intake of high-protein foods.
D.
Instruct the daughter to check her mother's temperature.
E.
Ask if the mother is experiencing any pain with urination.
Correct Answers A.
Determine if the mother has recently experienced a fall.
D.
Instruct the daughter to check her mother's temperature.
E.
Ask if the mother is experiencing any pain with urination.
122. .An older woman who has difficulty hearing is being
discharged from day surgery following a cataract extraction and
lens implantation. Which intervention is most important for the
nurse to implement to help ensure the client's compliance with
self-care? Provide written instructions for eye drop
administration.--------NOT SURE HAS 2 ANSWERS Correct
Answers
123. The nurse is using a straight urinary catheter kit to collect a
sterile urine specimen from a female client. After positioning
and prepping the client, rank the actions in the sequence they
, should be implemented. (place the first action at the top, and last
action at the bottom)
a. Place distal end of the catheter in sterile specimen cup and
insert catheter into meatus Open
b. Cleans the urinary meatus using the solution, swabs, and
forceps
c. Don sterile gloves and prepare the sterile field
d. the sterile catheter kit close to the clients perineum Correct
Answers Open the sterile catheter kit close to the client's
perineum.
Don sterile gloves and prepare to sterile field.
Cleanse the urinary meatus using the solution, swabs, and
forceps provided.
Place distal end of the catheter in sterile specimen cup and insert
catheter into meatus.
15. A client who weighs 65kg receives a prescription for
lorazepam 44mcg/kg IV to be administered 20 minutes before
scheduled procedure. The medication is available as " lorazepam
2mg/ml vial". How many ml should the nurse administer. ( enter
numerical value only. If rounding is required, round to the
nearest tenth). Correct Answers 1.4ml
15. The client demonstrates effective epidural anesthesia by
Vital signs, pain relief, augmentation of labor
A. pain relief
B. labor augmentation
C. progression of labor
D. stable vital signs
E. good urine output
F. fetal heart rate Correct Answers A. pain relief
