HESI EVOLVE PRACTICE EXAM WITH RATIONALES QUESTIONS AND ANSWERS

HESI EVOLVE PRACTICE EXAM WITH RATIONALES QUESTIONS AND ANSWERS the nurse is assessing the effectiveness of high doese aspirin therapy for an 88 year old client with arthritis. The client reports that she can't hear the nurse's question because her ears are ringing. what action should the nurse implement. A. refer the client to an audiologist for evalutation for her hearing. B.advise the patient that this is a common side effect of aspirin therapy. C. notify the healthcare provider of this finding immediately. D. ask the client to turn off her hearing aid during the exam - Answer-C. notify the healthcare provider of this finding immediately. tinittis is an early sign of salicylate toxicity. the health care provider should be notified immediately, and the medication discontinued the nurse is reviewing the use of the patient-controlled analgesia (PCA) pump with a client int he immediate postop period. the client will receive morphine 1 mg IV per hour basal rate with 1 mg IV every 15 minutes per PCA pump to a total 5 mg IV maximally per hour. what assessment has the highest priority before initiating the PCA pump. A. the expiration date on the morphine syringe in the pump B. the rate and depth of the client's respirations C. the type of anesthesia used during the surgical procedure. D. the client's subjective and objective signs of pain. - Answer-B. the rate and depth of the client's respirations the healthcare provider prescribes naloxone (narcan) for a client in the emergency room. which assessment data would indicate that the naloxone has been effective? the client's: A. statement that the chest pain is better B. respiratory rate is 16 breaths/ min C. seizure activity has stopped temporarily D. pupils are constricted bilaterally. - Answer-B. respiratory rate is 16 breaths/ min rationale: narcan is a narcotic antagonist (DOC forr opioid overdose) that reverses the respiratory depressed effects of opiate overdose. thus, assessment of a normal respiratory rate would indicate that the respiratory depression (ADV/E of opioids) has been reversed A client is admitted to the hospital for diagnostic testing for possible myasthenia gravis. the nurse prepares for intravenous administration of edrophonium chloride (tensilon). what is the expected outcome for this client following administration of this pharmacologic agent? A. progressive difficulty with swallowing. B. decreased respiratory effort. C. improvement in generalized fatigue D.decreased muscle weakness - Answer-D.decreased muscle weakness