HESI Rn Exit Exam Test Bank / 800 Complete Study
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Terms in this set (798)
Following discharge teaching, Review with the client the need to avoid foods that are rich in
a male client with duodenal milk and cream
ulcer tells the nurse the he
will drink plenty of dairy Rationale: Diets rich in milk and cream stimulate gastric acid
products, such as milk, to help secretion and should be avoided.
coat and protect his ulcer.
What is the best follow-up
action by the nurse?
a. Remind the client that
itis also important to switch to
decaffeinated coffee and tea.
b. Suggest that the
clientalso plan to eat frequent
small meals to reduce
discomfort
c. Review with the
clientthe need to avoid foods
that are rich in milk and
cream.
d. Reinforce this
teachingby asking the client to
list a dairy food that he might
select.
,A male client with Stroke secondary to hemorrhage
hypertension, who received
new antihypertensive Rationale: Stroke related to cerebral hemorrhage is major risk
prescriptions at his last visit for uncontrolled hypertension.
returns to the clinic two
weeks later to evaluate his
blood 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
tocataracts
b. Acute kidney injury
dueto glomerular damage c.
Stroke secondary to
hemorrhage
d. Heart block due to
myocardial damage
,The nurse observes an Instruct the UAP to obtain soft blankets to secure to the side
unlicensed assistive rails instead of pillows
personnel (UAP) positioning
a newly admitted client who Rationale: The nurse should instruct the UAP to pad the side
has a seizure disorder. The rails with soft blankest because the use of pillows could
result in suffocation and would need to be removed at the
client is supine and the UAP
onset of the seizure. The nurse can delegate paddling the
is placing soft pillows along side rails to the UAP
the side rails. What action
should the nurse implement?
a. Ensure that the UAP
hasplaced the pillows
effectively to protect the
client.
b. Instruct the UAP
toobtain soft blankets to
secure to the side rails
instead of pillows.
c. Assume
responsibilityfor placing the
pillows while the UAP
completes another task.
d. Ask the UAP to
usesome of the pillows to
prop the client in a side lying
position.
, An adolescent with major Describes life without purpose
depressive disorder has been
taking duloxetine (Cymbalta) Rationale: Cymbalta is a selective serotonin and
for the past 12 days. Which norepinephrine reuptake inhibitor that is known to increase
the risk of suicidal thinking in adolescents and young adults
assessment finding requires
with major depressive disorder. B, C and D are side effects
immediate follow-up
a. Describes life
withoutpurpose
b. Complains of
nauseaand loss of appetite
c. States is often
fatiguedand drowsy
d. Exhibits an increase
insweating.
Guide Questions & Answers With
Rationales / Actual Exam / Accurate Expert
Verified For Guaranteed Pass / Latest Update
Terms in this set (798)
Following discharge teaching, Review with the client the need to avoid foods that are rich in
a male client with duodenal milk and cream
ulcer tells the nurse the he
will drink plenty of dairy Rationale: Diets rich in milk and cream stimulate gastric acid
products, such as milk, to help secretion and should be avoided.
coat and protect his ulcer.
What is the best follow-up
action by the nurse?
a. Remind the client that
itis also important to switch to
decaffeinated coffee and tea.
b. Suggest that the
clientalso plan to eat frequent
small meals to reduce
discomfort
c. Review with the
clientthe need to avoid foods
that are rich in milk and
cream.
d. Reinforce this
teachingby asking the client to
list a dairy food that he might
select.
,A male client with Stroke secondary to hemorrhage
hypertension, who received
new antihypertensive Rationale: Stroke related to cerebral hemorrhage is major risk
prescriptions at his last visit for uncontrolled hypertension.
returns to the clinic two
weeks later to evaluate his
blood 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
tocataracts
b. Acute kidney injury
dueto glomerular damage c.
Stroke secondary to
hemorrhage
d. Heart block due to
myocardial damage
,The nurse observes an Instruct the UAP to obtain soft blankets to secure to the side
unlicensed assistive rails instead of pillows
personnel (UAP) positioning
a newly admitted client who Rationale: The nurse should instruct the UAP to pad the side
has a seizure disorder. The rails with soft blankest because the use of pillows could
result in suffocation and would need to be removed at the
client is supine and the UAP
onset of the seizure. The nurse can delegate paddling the
is placing soft pillows along side rails to the UAP
the side rails. What action
should the nurse implement?
a. Ensure that the UAP
hasplaced the pillows
effectively to protect the
client.
b. Instruct the UAP
toobtain soft blankets to
secure to the side rails
instead of pillows.
c. Assume
responsibilityfor placing the
pillows while the UAP
completes another task.
d. Ask the UAP to
usesome of the pillows to
prop the client in a side lying
position.
, An adolescent with major Describes life without purpose
depressive disorder has been
taking duloxetine (Cymbalta) Rationale: Cymbalta is a selective serotonin and
for the past 12 days. Which norepinephrine reuptake inhibitor that is known to increase
the risk of suicidal thinking in adolescents and young adults
assessment finding requires
with major depressive disorder. B, C and D are side effects
immediate follow-up
a. Describes life
withoutpurpose
b. Complains of
nauseaand loss of appetite
c. States is often
fatiguedand drowsy
d. Exhibits an increase
insweating.
