HESI PN MEDICAL SURGICAL 2024 TEST BANK /MEDICAL SURGICAL
HESI EXIT 2024 TEST BANK
Study online at https://quizlet.com/_fzkcw0
1. TEST
A nurse is caring for a client who is taking lithium and reports
persistent nausea and vomiting for 2 days. Which of the following
laboratory values should the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c)BUN 12 mg/dL
d) Sodium 132 mEq/L: D. Sodium 132
mEq/L Rationale:
The nurse should identify that a sodium level of 132 mEq/L is not within the expected reference range
of 136 to 145 mEq/L. This finding indicates hyponatremia, which can lead to lithium accumulation and
places the client at risk for lithium toxicity. The nurse should report this finding to the provider.
2. A nurse is caring for a client who has cancer and has a
WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c)Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products.: A. Cleanse
the client's toothbrush with hydrogen peroxide.
Rationale:
A WBC count of 4,000/mm3 is considered low and is known as leukopenia. A low WBC count can be
caused by cancer or cancer treatment. The nurse should instruct the client to cleanse their toothbrush
with hydrogen peroxide. People with leukemia or leukopenia should avoid using disposable razors,
which can cause cuts and bleeding that can lead to infections. Instead, they recommend using an
electric razor to reduce the risk of injury. Encouraging the client to eat unpasteurized dairy products is
, HESI PN MEDICAL SURGICAL 2024 TEST BANK /MEDICAL SURGICAL
HESI EXIT 2024 TEST BANK
Study online at https://quizlet.com/_fzkcw0
not recommended as they can contain harmful bacteria that can cause infections.
, HESI PN MEDICAL SURGICAL 2024 TEST BANK /MEDICAL SURGICAL
HESI EXIT 2024 TEST BANK
Study online at https://quizlet.com/_fzkcw0
Decreasing the client's protein intake is not recommended as protein is important for wound healing
and immune function
3. TEST
A nurse enters a client's room and sees smoke coming from the
bathroom. Which of the following actions should the nurse take
first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source
of the smoke.
c)Assist the client to a nearby common area.
d) Close the doors to the room and to
the bathroom.: C. Assist the client to a nearby
common area.
Rationale:
use
Rescue
Alarm
Contain
Extinguis
h
4. TEST
A nurse is contributing to the plan of care for a client who
reports difficulty eating due to chronic arthritis. Which of the
following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating utensils.
b) Obtain a referral for physical therapy.
c)Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a pureed diet.: A. Apply foam
, HESI PN MEDICAL SURGICAL 2024 TEST BANK /MEDICAL SURGICAL
HESI EXIT 2024 TEST BANK
Study online at https://quizlet.com/_fzkcw0
handles to the client's eating utensils.
Rationale:
HESI EXIT 2024 TEST BANK
Study online at https://quizlet.com/_fzkcw0
1. TEST
A nurse is caring for a client who is taking lithium and reports
persistent nausea and vomiting for 2 days. Which of the following
laboratory values should the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c)BUN 12 mg/dL
d) Sodium 132 mEq/L: D. Sodium 132
mEq/L Rationale:
The nurse should identify that a sodium level of 132 mEq/L is not within the expected reference range
of 136 to 145 mEq/L. This finding indicates hyponatremia, which can lead to lithium accumulation and
places the client at risk for lithium toxicity. The nurse should report this finding to the provider.
2. A nurse is caring for a client who has cancer and has a
WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c)Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products.: A. Cleanse
the client's toothbrush with hydrogen peroxide.
Rationale:
A WBC count of 4,000/mm3 is considered low and is known as leukopenia. A low WBC count can be
caused by cancer or cancer treatment. The nurse should instruct the client to cleanse their toothbrush
with hydrogen peroxide. People with leukemia or leukopenia should avoid using disposable razors,
which can cause cuts and bleeding that can lead to infections. Instead, they recommend using an
electric razor to reduce the risk of injury. Encouraging the client to eat unpasteurized dairy products is
, HESI PN MEDICAL SURGICAL 2024 TEST BANK /MEDICAL SURGICAL
HESI EXIT 2024 TEST BANK
Study online at https://quizlet.com/_fzkcw0
not recommended as they can contain harmful bacteria that can cause infections.
, HESI PN MEDICAL SURGICAL 2024 TEST BANK /MEDICAL SURGICAL
HESI EXIT 2024 TEST BANK
Study online at https://quizlet.com/_fzkcw0
Decreasing the client's protein intake is not recommended as protein is important for wound healing
and immune function
3. TEST
A nurse enters a client's room and sees smoke coming from the
bathroom. Which of the following actions should the nurse take
first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source
of the smoke.
c)Assist the client to a nearby common area.
d) Close the doors to the room and to
the bathroom.: C. Assist the client to a nearby
common area.
Rationale:
use
Rescue
Alarm
Contain
Extinguis
h
4. TEST
A nurse is contributing to the plan of care for a client who
reports difficulty eating due to chronic arthritis. Which of the
following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating utensils.
b) Obtain a referral for physical therapy.
c)Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a pureed diet.: A. Apply foam
, HESI PN MEDICAL SURGICAL 2024 TEST BANK /MEDICAL SURGICAL
HESI EXIT 2024 TEST BANK
Study online at https://quizlet.com/_fzkcw0
handles to the client's eating utensils.
Rationale:
