Hesi Exit Version 3LATEST REAL EXAM

4 pts in ER 15 min apart, who do you see first? - CORRECT ANSWERS-2 year old with Stridor 11 year old client - how to get him to verbalize ways to deal with things at home? - CORRECT ANSWERS-Play a board game 18 year old being assessed.. what needs to be reported to hCP right away? - CORRECT ANSWERS-large, warm tender preauricular nodes A patient with Acute Renal Failue, what instructions do you give if they are getting dialysis? - CORRECT ANSWERS-Report weight gain of 2 lbs in 24 hours Acuity of group of clients in ICU has matrix system, a nurse calls off, what should the charge nurse do now? - CORRECT ANSWERS-Client acuity Mix Acute phase of burn - how to change dressings? - CORRECT ANSWERS-Change each dressing separately Acute Renal Failure - CORRECT ANSWERS-Report weight gain greater than 2 lbs in 24 hours Admitted to rehab following CVA has aphasia, LS paralysis, difficulty swallowing - what is most important? - CORRECT ANSWERS-Obtain consult with speech therapist Advance Directive - CORRECT ANSWERS-Living Will Prepared when person is still alive competent, able to make decisions about life sustaining measures Alcoholism - CORRECT ANSWERS-Hypo magnesium Detox anxiety when driving over bridge? - CORRECT ANSWERS-Listen