11/26/23, 9:08 AM HESI 700 Flashcards Quizlet
HESI 700 Flashcards | Quizlet 11/6/22, 2 : 50 PM
HESI 700
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Terms in this set (799)
Following discharge teaching, a male client Review with the client the need to avoid foods that are rich in milk
with duodenal ulcer tells the nurse the he and cream
will drink plenty of dairy products, such as
milk, to help coat and protect his ulcer. Rationale: Diets rich in milk and cream stimulate gastric acid secretion
What is the best follow-up action by the and should be avoided.
nurse?
a. Remind the client that it is also important
to switch to decaffeinated coffee and tea.
b. Suggest that the client also plan to eat
frequent small meals to reduce discomfort
c. Review with the client the need to avoid
foods that are rich in milk and cream.
d. Reinforce this teaching by asking the
client to list a dairy food that he might
select.
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,11/26/23, 9:08 AM HESI 700 Flashcards Quizlet
HESI 700 Flashcards | Quizlet 11/6/22, 2 : 50 PM
A male client with hypertension, who Stroke secondary to hemorrhage
received new antihypertensive
prescriptions at his last visit returns to the Rationale: Stroke related to cerebral hemorrhage is major risk for
clinic two weeks later to evaluate his blood uncontrolled hypertension.
pressure (BP). His BP is 158/106 and he
admits that he has not been taking the
prescribed medication because the drugs
make him "feel bad". In explaining the need
for hypertension control, the nurse should
stress that an elevated BP places the client
at risk for which pathophysiological
condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular
damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
The nurse observes an unlicensed assistive Instruct the UAP to obtain soft blankets to secure to the side rails
personnel (UAP) positioning a newly instead of pillows
admitted client who has a seizure disorder.
The client is supine and the UAP is placing Rationale: The nurse should instruct the UAP to pad the side rails with
soft pillows along the side rails. What soft blankest because the use of pillows could result in suffocation
action should the nurse implement? and would need to be removed at the onset of the seizure. The nurse
can delegate paddling the side rails to the UAP
a. Ensure that the UAP has placed the
pillows effectively to protect the client.
b. Instruct the UAP to obtain soft blankets
to secure to the side rails instead of
pillows.
c. Assume responsibility for placing the
pillows while the UAP completes another
task.
d. Ask the UAP to use some of the pillows
to prop the client in a side lying position.
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,11/26/23, 9:08 AM HESI 700 Flashcards Quizlet
HESI 700 Flashcards | Quizlet 11/6/22, 2 : 50 PM
An adolescent with major depressive Describes life without purpose
disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which Rationale: Cymbalta is a selective serotonin and norepinephrine
assessment finding requires immediate reuptake inhibitor that is known to increase the risk of suicidal thinking
follow-up in adolescents and young adults with major depressive disorder. B, C
and D are side effects
a. Describes life without purpose
b. Complains of nausea and loss of
appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.
A 60-year-old female client with a positive Further evaluation involving surgery may be needed
family history of ovarian cancer has
developed an abdominal mass and is Rationale: An abdominal mass in a client with a family history for
being evaluated for possible ovarian ovarian cancer should be evaluated carefully
cancer. Her Papanicolau (Pap) smear
results are negative. What information
should the nurse include in the client's
teaching plan
a. Further evaluation involving surgery may
be needed
b. A pelvic exam is also needed before
cancer is ruled out
c. Pap smear evaluation should be
continued every six month
d. One additional negative pap smear in six
months is needed.
A client who recently underwent a Teach tracheal suctioning techniques
tracheostomy is being prepared for
discharge to home. Which instructions is Rationale: Suctioning helps to clear secretions and maintain an open
most important for the nurse to include in airway, which is critical.
the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy
site.
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, 11/26/23, 9:08 AM HESI 700 Flashcards Quizlet
HESI 700 Flashcards | Quizlet 11/6/22, 2 : 50 PM
In assessing an adult client with a partial Document the assessment data
rebreather mask, the nurse notes that the
oxygen reservoir bag does not deflate Rational: reservoir bag should not deflate completely during
completely during inspiration and the inspiration and the client's respiratory rate is within normal limits.
client's respiratory rate is 14 breaths /
minute. What action should the nurse
implement
a. Encourage the client to take deep
breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data
During shift report, the central Respiratory apnea of 30 seconds
electrocardiogram (EKG) monitoring
system alarms. Which client alarm should Rationale: The priority is the client whose alarm indicating respiratory
the nurse investigate first? apnea that should be assessed first.
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every
minute
d. Disconnected monitor signal for the last
6 minutes.
During a home visit, the nurse observed an Check the client for lacerations or fractures
elderly client with diabetes slip and fall.
What action should the nurse take first? Rationale: After the client falls, the nurse should immediately assess
for the possibility of injuries and provide first aid as needed
a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency
assistance
c. Check the client for lacerations or
fractures
d. Asses clients blood sugar level
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HESI 700 Flashcards | Quizlet 11/6/22, 2 : 50 PM
HESI 700
44 studying now 4.7 (116 reviews)
Find free textbook solutions
Solve tough problems on your own with expert-written solutions for your
textbook
Search on Quizlet
Terms in this set (799)
Following discharge teaching, a male client Review with the client the need to avoid foods that are rich in milk
with duodenal ulcer tells the nurse the he and cream
will drink plenty of dairy products, such as
milk, to help coat and protect his ulcer. Rationale: Diets rich in milk and cream stimulate gastric acid secretion
What is the best follow-up action by the and should be avoided.
nurse?
a. Remind the client that it is also important
to switch to decaffeinated coffee and tea.
b. Suggest that the client also plan to eat
frequent small meals to reduce discomfort
c. Review with the client the need to avoid
foods that are rich in milk and cream.
d. Reinforce this teaching by asking the
client to list a dairy food that he might
select.
Combine
Embed
Report
https://quizlet.com/647625338/hesi-700-flash-cards/ Page 1 of 57
about:blank 1/58
,11/26/23, 9:08 AM HESI 700 Flashcards Quizlet
HESI 700 Flashcards | Quizlet 11/6/22, 2 : 50 PM
A male client with hypertension, who Stroke secondary to hemorrhage
received new antihypertensive
prescriptions at his last visit returns to the Rationale: Stroke related to cerebral hemorrhage is major risk for
clinic two weeks later to evaluate his blood uncontrolled hypertension.
pressure (BP). His BP is 158/106 and he
admits that he has not been taking the
prescribed medication because the drugs
make him "feel bad". In explaining the need
for hypertension control, the nurse should
stress that an elevated BP places the client
at risk for which pathophysiological
condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular
damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
The nurse observes an unlicensed assistive Instruct the UAP to obtain soft blankets to secure to the side rails
personnel (UAP) positioning a newly instead of pillows
admitted client who has a seizure disorder.
The client is supine and the UAP is placing Rationale: The nurse should instruct the UAP to pad the side rails with
soft pillows along the side rails. What soft blankest because the use of pillows could result in suffocation
action should the nurse implement? and would need to be removed at the onset of the seizure. The nurse
can delegate paddling the side rails to the UAP
a. Ensure that the UAP has placed the
pillows effectively to protect the client.
b. Instruct the UAP to obtain soft blankets
to secure to the side rails instead of
pillows.
c. Assume responsibility for placing the
pillows while the UAP completes another
task.
d. Ask the UAP to use some of the pillows
to prop the client in a side lying position.
https://quizlet.com/647625338/hesi-700-flash-cards/ Page 2 of 57
about:blank 2/58
,11/26/23, 9:08 AM HESI 700 Flashcards Quizlet
HESI 700 Flashcards | Quizlet 11/6/22, 2 : 50 PM
An adolescent with major depressive Describes life without purpose
disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which Rationale: Cymbalta is a selective serotonin and norepinephrine
assessment finding requires immediate reuptake inhibitor that is known to increase the risk of suicidal thinking
follow-up in adolescents and young adults with major depressive disorder. B, C
and D are side effects
a. Describes life without purpose
b. Complains of nausea and loss of
appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.
A 60-year-old female client with a positive Further evaluation involving surgery may be needed
family history of ovarian cancer has
developed an abdominal mass and is Rationale: An abdominal mass in a client with a family history for
being evaluated for possible ovarian ovarian cancer should be evaluated carefully
cancer. Her Papanicolau (Pap) smear
results are negative. What information
should the nurse include in the client's
teaching plan
a. Further evaluation involving surgery may
be needed
b. A pelvic exam is also needed before
cancer is ruled out
c. Pap smear evaluation should be
continued every six month
d. One additional negative pap smear in six
months is needed.
A client who recently underwent a Teach tracheal suctioning techniques
tracheostomy is being prepared for
discharge to home. Which instructions is Rationale: Suctioning helps to clear secretions and maintain an open
most important for the nurse to include in airway, which is critical.
the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy
site.
https://quizlet.com/647625338/hesi-700-flash-cards/ Page 3 of 57
about:blank 3/58
, 11/26/23, 9:08 AM HESI 700 Flashcards Quizlet
HESI 700 Flashcards | Quizlet 11/6/22, 2 : 50 PM
In assessing an adult client with a partial Document the assessment data
rebreather mask, the nurse notes that the
oxygen reservoir bag does not deflate Rational: reservoir bag should not deflate completely during
completely during inspiration and the inspiration and the client's respiratory rate is within normal limits.
client's respiratory rate is 14 breaths /
minute. What action should the nurse
implement
a. Encourage the client to take deep
breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data
During shift report, the central Respiratory apnea of 30 seconds
electrocardiogram (EKG) monitoring
system alarms. Which client alarm should Rationale: The priority is the client whose alarm indicating respiratory
the nurse investigate first? apnea that should be assessed first.
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every
minute
d. Disconnected monitor signal for the last
6 minutes.
During a home visit, the nurse observed an Check the client for lacerations or fractures
elderly client with diabetes slip and fall.
What action should the nurse take first? Rationale: After the client falls, the nurse should immediately assess
for the possibility of injuries and provide first aid as needed
a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency
assistance
c. Check the client for lacerations or
fractures
d. Asses clients blood sugar level
https://quizlet.com/647625338/hesi-700-flash-cards/ Page 4 of 57
about:blank 4/58
