HESI RN EXIT EXAM V1 2023 WITH COMPLETE SOLUTIONS

HESI RN EXIT EXAM V1 2023 WITH COMPLETE SOLUTIONS HESI RN EXIT EXAM V1 2023 A mother runs into the emergency department with a toddler in her arms and tells the nurse that her child got into some cleaning products. The child smells of chemicals on hands, face and on the front of the child's clothes. After ensuring the airway is patent, what action should the nurse implement first? - ansDetermine type of chemical exposure. When should the nurse conduct an Allen's test - ansJust before arterial blood gasses are drawn peripherally. When administering brompheniramine maleate, an extended release antihistamine tablet, the nurse is told by the male client that he cannot swallow tablets. Which intervention should the nurse implement? - ansAsk the pharmacist to send it in liquid form. The nurse is planning care for a client who admits having suicidal thoughts. Which client behavior indicates the highest risk for the client acting on these suicidal thoughts? - ansBegin to show signs of improvement in affect. An unconscious client is admitted to the intensive care unit and is placed on a ventilator. The ventilator alarms continuously and the client's oxygen saturation level is 62%. What action should the nurse take first? - ansBegin manual ventilation immediately. The nurse is caring for a client who is receiving continuous ambulatory dialysis (CAPD) and notes that the output flow is 100ml less than the input actions should the nurse implement first? - ansChange the client's position A client with bladder cancer had surgical placement of a ureteroileostomy (ileal conduit) yesterday. Which postoperative assessment finding should the nurse report to the healthcare provider immediately? - ansRed edematous stomal appearance. During the administration of albuterol per nebulizer, the client complains of shakiness. The client's vital signs are heart rate 120 beats/minutes, respirations 20 breaths/minute, blood pressure 140/88. What action should the nurse take? - ansEducate client about the side effects of albuterol. The nurse determines that a client with acute renal failure has a 24-hour urinary output of 400 ml. Which prescription should the nurse question? - ansRestrict fluid intake to 400 ml per 24 hours.