a nurse is preparing to teach a client to apply a nitroglycerin patch as prophylaxis for angina.
which instruction should the nurse include in the teaching plan? Correct Ans-remove the
previous patch before applying the next one
tissue plasminogen activator is to be administered to a client in the ED. which is the priority
nursing assessment? Correct Ans-signs of bleeding
after a basal cell carcinoma is removed by fulguration, a client is given a topical steroid to
apply to the surgical site. the nurse evaluates that the teaching regarding steroids and skin
lesions is effective when the client identifies which action as the primary purpose of the
medication? Correct Ans-reduce inflammation at the surgical site
a client with type 1 diabetes mellitus has a finger stick glucose level of 258 at bedtime. a
prescription for sliding scale regular insulin exists. what should the nurse do? Correct Ans-
administer the insulin as prescribed
what should a nurse include in a teaching plan to help reduce the side effects associated with
diltiazem? Correct Ans-change slowly from sitting to standing to prevent orthostatic
hypotension
following surgery, TPN is instituted via a central venous infusion. during the 4th hour of the
infusion the client complains of nausea, fatigue and a headache. the hourly urine output is
twice the amount of the previous hour. after contacting the primary health care provider,
what is the next action the nurse should take? Correct Ans-check the serum glucose level
, HESI EAQ Test Questions and Answers
rapid administration can cause glucose overload
what should a nurse teach the client to do to avoid lipodystrophy when self-administering
insulin therapy? Correct Ans-rotate injection sites
what effect of povidone-iodine does a nurse consider when using it on the client's skin before
obtaining a specimen for a blood culture? Correct Ans-eliminates surface bacteria that
may contaminate the culture
during a teaching session about insulin injections, a client asks the nurse, why can't I take the
insulin in pills instead of taking shots? what is the nurse's best response? Correct Ans-
insulin is destroyed by gastric juices, rendering it ineffective
a client with gastric ulcer disease asks the nurse why the health care provider has prescribed
metronidazole. what purpose does the nurse provide? Correct Ans-to treat H. pylori
a client with arthritis is taking large doses of aspirin. what symptom does the nurse include
when teaching the client about the clinical manifestations of aspirin toxicity? Correct Ans-
disturbances in hearing
a nurse is caring for a postoperative client who has an NG tube set to low intermittent
suction. the nurse recalls that the primary reason that an IV of 5% dextrose with 0.45%