HESI COMPASS - MODULE 7 Exam - Basic Care and Comfort

1.ID: 41 A nurse is providing information to a mother of a 1-year-old who has asked about bladder-training her child. The nurse should provide which information to the mother? A. That a child cannot begin to control urination until approximately the age of 24 months Correct B. That her child is too young and that she should not yet be worrying about it C. That bowel training should be started immediately and then begin bladder training in about 1 month D. That she may start bladder training at any time 2.ID: 34 A client with renal calculi is instructed to follow an alkaline ash diet. Which menu choice by the client indicates to the nurse that the client understands the prescribed regimen? E. Linguini with shrimp, tossed salad, and a plum F. Chicken, potatoes, and cranberries G. Spinach salad, milk, and a banana Correct H. Peanut butter sandwich, milk, and prunes 3.ID: 90 The nurse is assigned to care for four clients. Which client does the nurse expect is likely to experience chronic pain? I. A client with a leg fracture who is in skeletal traction J. A client who has undergone appendectomy K. A client with osteoarthritis Correct L. A client with angina pectoris 4.ID: 71 A client arrives at the emergency department after sustaining an ankle injury, and the health care provider (HCP) prescribes the application of a cold compress to the ankle. The nurse, preparing to apply the compress, assesses the ankle and notes that it is extremely edematous. The nurse should take which action? M. Apply the cold compress for 20 minutes, and then apply a hot compress for 20 minutes N. Elevate the ankle and place cold compresses under and on top of the ankle O. Apply the cold compress to the ankle P. Consult with the HCP before applying the cold compress Correct 5.ID: 74 A client has been told to apply cold packs to a knee injury, and the client asks the nurse how this will help the injury. The nurse hould provide the clent with which information about a cold pack? Q. Reduces muscle tension R. Dilates the blood vessels S. Promotes muscle relaxation T. Reduces blood flow to the extremity Correct 6.ID: 38 A client has been found to have a bladder infection. When planning care, which area of dysfunction would cause the nurse to monitor the client most closely for signs of a kidney infection? U. Glomerulus V. Urethra W. Nephron X. Ureterovesical junction Correct 7.ID: 25 A nurse has administered a dose of furosemide to a client with diminished urine output. How does the nurse BEST determine effectiveness? Y. The client reports less thirst as compared with yesterday Z. The client reports socks which seem less tight on the ankle area AA. The client’s weight remains stable, over the past two to three days BB. The client’s urine output is 1500 ml more than the fluid intake Correct Rationale: Furosemide works by inducing excretion of sodium, potassium and chloride. Body fluid is also excreted. The best way to determine if the medication is effective is if the urine output is more than the fluid intake. Thirst is subjective, and not the best determinate of fluid status. Many clients can detect a change in the tightness of their socks over the ankle area, but this is subjective, not objective data. The client should lose some weight when furosemide causes fluid and sodium excretion. Test Taking Strategy: Note the strategic words “best determine effectiveness”. Use data in the question (diminished urine output) and search the options for related information regarding an increasing urine output. Eliminate the comparable or alike options that depict non-objective ways of determining effectiveness. Review: effects of furosemide Level of Cognitive Ability: Evaluating Client Needs: Physiological Integrity Integrated Process: Nursing Process/Evaluation Content Area: Pharmacology Giddens Concepts: Elimination,Fluids and Electrolytes HESI Concepts: Elimination, Fluid & Electrolyte Awarded 100.0 points out of 100.0 possible points. 2. 8.ID: 87 A nurse develops a plan of care for a postoperative client who is receiving intravenous morphine sulfate every 4 hours as needed for pain. Which priority intervention does the nurse include in the plan?