ADULT HEALTH 2 HESI QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+

A nurse is caring for a client with DI. Which data warrants the most immediate intervention by the nurse? a. Serum sodium of 185 b. Dry skin with inelastic turgor c. Apical rate of 110 beats per minute d. Polyuria and excessive thirst - ANS a. Serum sodium of 185 The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this medical diagnosis? a. Frequent use of chewable and liquid antacids for indigestion b. severe abdominal cramps and diarrhea after eating spicy foods c. upper mid-abdominal pain described as gnawing and burning. d. Marked loss of weight and appetite over the last 3 or 4 months - ANS c. upper mid-abdominal pain described as gnawing and burning. The nurse assess a client who is newly diagnosed with hyperthyroidism and observes that the client's eyeballs are protuberant, causing a wide-eyed appearance and eye discomfort. Based on this finding, which action should the nurse include in this client's plan of care? a. Assess for signs of increased intracranial pressure b. Prepare to administer intravenous levothyroxine c. Review the client's serum electrolyte values d. Obtain a prescription for artificial tear drops - ANS d. Obtain a prescription for artificial tear drops To reduce the risk for pulmonary complication for a client with Amyotrophic Lateral Sclerosis (ALS), which interventions should the nurse implement? (Select all) a. Perform chest physiotherapy b. Teach the client breathing exercises c. Initiate passive range of motion exercises d. Establish a regular bladder routine e. Encourage use of incentive spriometer - ANS a. Perform chest physiotherapy b. Teach the client breathing exercises e. Encourage use of incentive spriometer A client hospitalized with heart failure (HF). Which intervention should the nurse implement to improve ventilation and reduce venous return? a. Perform passive range of motion exercises b. Place the client in high fowler position c. Administer oxygen per nasal canula d. Increase the client's activity level - ANS b. Place the client in high fowler position A client who was involved in a motor vehicle collision is admitted with a fractured left femur which is immobilized using a fracture traction splint in preparation for an open reduction internal fixation (ORIF). The nurse determines that the client's distal pulses are diminished in the left foot. Which interventions should the nurse implement? (select all) a. Verify pedal pulses using a doppler pulse device b. Evaluate the application of the splint to the left leg. c. Offer ice chips and oral clear liquids. d. Monitor left leg for pain, pallor, paresthesia, paralysis, pressure 3. Administer oral antispasmodics and narcotic analgesics - ANS a. Verify pedal pulses using a doppler pulse device b. Evaluate the application of the splint to the left leg d. Monitor left leg for pain, pallor, paresthesia, paralysis, pressure The healthcare provider prescribes diagnostic tests for a client whose chest X-ray indicates pneumonia. Which diagnostic test should the nurse review for implementation in the most therapeutic treatment of the pneumonia? a. Sputum culture and sensitivity b. Blood cultures c. Arterial blood gases (ABG) d. Computerized tomography (CT) of the chest - ANS a. Sputum culture and sensitivity A client with a history of asthma and bronchitis arrives a the clinic with shortness of breath, productive cough with thickened, tenacious mucous, and the inability to walk up a flight of stairs without experiencing breathlessness. Which is most important for the nurses to instruct the client about self-care? a. Call the clinic if undesirable side effects of medications occur b. Avoid crowded enclosed areas to reduce pathogen exposure c. Increase the daily intake of oral fluids to liquefy secretions d. Teach anxiety reduction methods for feelings of suffocation - ANS c. Increase the daily intake of oral fluids to liquefy secretions The home health nurse provides teaching about insulin self injection to a client who was recently diagnosed with diabetes mellitus. When the client begins to perform a return demonstration of an insulin injection into the abdomen as seen in the video, which instruction should the nurse provide? a. select a different injection site b. Continue with the insulin injection c. keep the skin flat rather than bunched d. Lie down flat for better skin exposure - ANS b. Continue with the insulin injection The nurse observes an increased number of blood clots in the drainage tubing of a client with continuous bladder irrigation following a trans-urethral resection of the prostate (TURP). What is the best initial nursing action? a. Provide additional oral fluid intake b. Measure the client's intake and output c. Increase the flow of the bladder irrigation d. Administer a PRN dose of an antispasmodic agent - ANS c. Increase the flow of the bladder irrigation Four days following an abdominal aortic aneurysm repair, the client is exhibiting edema of both lower extremities, and pedal pulses are not palpable. Which action should the nurse implement first? a. elevate extremities on pillows b. evaluate edema for pitting c. assess pulses with a vascular doppler d. wrap the feet with warmed blankets - ANS c. assess pulses with a vascular doppler A client arrives to the medical surgical unit 4 hours after a transurethral resection of the prostate. A triple-lumen catheter for continuous bladder irrigation with normal saline is infusing and the nurse observes dark, pink- tinged outflow with blood clots in the tubing and collection bag. Which action should the nurse take? a. Monitoring catheter drainage b. decreasing the flow rate