HESI PRACTICE QUESTIONS & ANSWERS + RATIONALES 2025 A+ GRADED

HESI PRACTICE QUESTIONS & ANSWERS + RATIONALES 2025 A+ GRADED For what clinical indicator should a nurse assess a client who is having a gastric lavage? A. decreased serum pH B. increased serum oxygen level C. increased serum bicarbonate level. D. decreased serum osmotic pressure - Correct Answer-increased serum bicarbonate level Gastric lavage causes an excessive loss of gastric fluid, resulting in excessive loss of hydrochloric acid (HCl), which can lead to alkalosis; the HCl is not available to neutralize the sodium bicarbonate (NaHCO 3) secreted into the duodenum by the pancreas. The intestinal tract absorbs the excess bicarbonate, and alkalosis results. Gastric lavage will lead to alkalosis, which is associated with increased pH. Gastric lavage will not affect oxygen levels. Gastric lavage may lead to dehydration, which will increase osmotic pressure. Which critical thinking skill refers to the use of knowledge and experience to choose effective client care strategies? A. Evaluation B. Explanation C. Interpretation D. Self-regulation - Correct Answer-Explanation Explanation involves using knowledge and experience to choose strategies to use to care for clients. Evaluation is applicable when using criteria to determine the results of nursing actions. Interpretation is involved in the orderly collection of data. Self-regulation is applicable when the nurse identifies ways to improve his or her own performance. A nurse is teaching members of a health care team how to help disabled clients stand and transfer from the bed to a chair. To protect the caregivers from injury, the nurse teaches them to lift the client by first placing their arms under the client's axillae and doing what next? Continues...