HESI CASE STUDY
HESI CASE STUDY: FLUID BALANCE EXAM QUESTIONS AND
ANSWERS GRADED A+ 100% VERIFIED.
Donna King is an 80-year-old female with coronary artery disease and
hypertension. Her daughter brought her to the Emergency Department
because she has become increasingly weak and confused and was
found by a neighbour wandering her neighbourhood unable to locate
her home. Donna's daughter tells the nurse that her mother takes a
"water pill" for her blood pressure 2 or 3 times a day. The label on the
medication bottle that she brought to the hospital states,
"hydrochlorothiazide (Hydroiodic). Take 1 tablet daily." Donna is
admitted with fluid volume deficit. ANS >> Meet the Client (Title)
*Vital signs: Orthostatic Changes*
,HESI CASE STUDY
Since Donna has fluid volume deficit, the nurse anticipates a decrease in
which vital sign when Donna changes position?
- Respiratory rate
- Blood pressure
- Temperature
- Pulse rate ANS >> Blood pressure
Rationale: Fluid volume deficit often causes orthostatic hypotension
and tachycardia. Because the client may experience dizziness with
orthostatic hypotension, the nurse should take additional safety
precautions during this assessment.
The nurse plans to assess Donna for orthostatic vital sign changes.
Which action will the nurse take first?
- Assist Donna to a standing position.
- Position Donna in a supine position.
- Elevate the head of Donna's bed.
- Dangle Donna's feet at the bedside. ANS >> Position Donna in a
supine position.
Rationale: Orthostatic vital signs are measured in each position: lying,
sitting, standing. The client's vital signs are first assessed in the supine
, HESI CASE STUDY
position so that changes that occur when the client sits and stands can
be determined.
The nurse takes the first blood pressure measurement. After recording
the first blood pressure measurement, what action will the nurse take?
- Count the client's radial pulse rate.
- Remove the blood pressure cuff.
- Help the client changes position.
- Assess for auscultatory gap. ANS >> Count the client's radial pulse
rate.
Rationale: Both the blood pressure and pulse rate are typically
measured in each position: lying, sitting, and standing.
In addition to obtaining Donna's vital signs, the nurse performs
additional assessments. ANS >> Assessment (Title)
For ongoing evaluation of Donna's fluid volume status, it is more
important to obtain which assessment data?
- Urine colour.
- Capillary refill.
- Body weight.
HESI CASE STUDY: FLUID BALANCE EXAM QUESTIONS AND
ANSWERS GRADED A+ 100% VERIFIED.
Donna King is an 80-year-old female with coronary artery disease and
hypertension. Her daughter brought her to the Emergency Department
because she has become increasingly weak and confused and was
found by a neighbour wandering her neighbourhood unable to locate
her home. Donna's daughter tells the nurse that her mother takes a
"water pill" for her blood pressure 2 or 3 times a day. The label on the
medication bottle that she brought to the hospital states,
"hydrochlorothiazide (Hydroiodic). Take 1 tablet daily." Donna is
admitted with fluid volume deficit. ANS >> Meet the Client (Title)
*Vital signs: Orthostatic Changes*
,HESI CASE STUDY
Since Donna has fluid volume deficit, the nurse anticipates a decrease in
which vital sign when Donna changes position?
- Respiratory rate
- Blood pressure
- Temperature
- Pulse rate ANS >> Blood pressure
Rationale: Fluid volume deficit often causes orthostatic hypotension
and tachycardia. Because the client may experience dizziness with
orthostatic hypotension, the nurse should take additional safety
precautions during this assessment.
The nurse plans to assess Donna for orthostatic vital sign changes.
Which action will the nurse take first?
- Assist Donna to a standing position.
- Position Donna in a supine position.
- Elevate the head of Donna's bed.
- Dangle Donna's feet at the bedside. ANS >> Position Donna in a
supine position.
Rationale: Orthostatic vital signs are measured in each position: lying,
sitting, standing. The client's vital signs are first assessed in the supine
, HESI CASE STUDY
position so that changes that occur when the client sits and stands can
be determined.
The nurse takes the first blood pressure measurement. After recording
the first blood pressure measurement, what action will the nurse take?
- Count the client's radial pulse rate.
- Remove the blood pressure cuff.
- Help the client changes position.
- Assess for auscultatory gap. ANS >> Count the client's radial pulse
rate.
Rationale: Both the blood pressure and pulse rate are typically
measured in each position: lying, sitting, and standing.
In addition to obtaining Donna's vital signs, the nurse performs
additional assessments. ANS >> Assessment (Title)
For ongoing evaluation of Donna's fluid volume status, it is more
important to obtain which assessment data?
- Urine colour.
- Capillary refill.
- Body weight.
