Hesi Critical Thinking
QUESTIONS AND
Answers ALL 100%
VERIFIED
The Situation: The family brings the patient to the emergency room because
he just took an entire bottle of pills.The Question: What action should the
nurse take first? ANS>>- Determine the patient's level of consciousness.
The Patient: An 80 year-old male who has used continuous oxygen for the
past three years.
The Situation: While making a home visit, the wife tells the nurse that her
husband was doing well on 2 litres of oxygen per minute until late last night
when he developed severe shortness of breath on the way to the
bathroom.The Question: What action should the nurse take first? ANS>>-
Assess the patient's oxygen saturation by pulse oximeter.
The Patient: A 41-year-old male.The Situation: The patient is complaining of
severe stomach pain and states that he has been "vomiting all the time."The
Question: What should the nurse do first? ANS>>- Administer a prescribed
pain medication.
The Patient: The wife of a wealthy owner of the town's bank.The Situation:
The patient and her husband arrive on the unit. While orienting the patient
to the hospital room, the nurse notices that the patient has placed a large
amount of cash and some expensive earrings in the drawer of the bedside
table.
The Question: What is the best action for the nurse to take? ANS>>- Advise
the patient to have her husband take the items home when he leaves.
The Patient: A 45-year-old female who is 5' 2" tall, weighs 200 pounds, and
has smoked since age 21.The Situation: The patient comes to the clinic with a
, complaint of "leg pain."The Question: It is most important for the nurse to
obtain information about which previous occurrence? ANS>>- A previous
blood clot in the leg.
The Patient: A 61-year-old female.The Situation: The patient has a fever of
unknown origin. The nurse administered a fever-reducing medication 30
minutes ago. At this time there has been no decrease in the patient's
fever.The Question: What action would be best for the nurse to take? ANS>>-
Sponge the patient with cool water.
The Patient: A 70-year-old male who is relatively healthy.The Situation: A
liquid mediation is prescribed for this patient.The Question: Prior to
administering the prescribed medication, what intervention has the highest
priority? ANS>>- Determine if the patient is allergic to the medication.
The Patient: A fifty-eight-year-old female.The Situation: While the nurse is
offering the patient her morning medications, she tells the nurse that she
does not recall ever taking a pill that was pink-colored.The Question: What
should the nurse do in response to this patient's comment? ANS>>-
Withhold the mediation until the patient's prescription is verify.
The Patients:
A 63-year-old with a burn on the left lower leg who is complaining of pain.
A 45-year-old with pneumonia, complaining of shortness of breath.
A 31-year-old with abdominal pain who has just vomited blood.
An 88-year-old who has right-sided paralysis and wants to be helped to the
bathroom immediately.
The Situation: The nurse is caring for these patients. The Question: Who
should the nurse see first? ANS>>- The 45-years old with pneumonia and
shortness of breath.
The Patients:
A 13-year-old female with a kidney infection who reports that there is "lots
of
blood" in her urine.
An 18-year-old male with acute alcohol poisoning who is seeing "bugs on the
.
QUESTIONS AND
Answers ALL 100%
VERIFIED
The Situation: The family brings the patient to the emergency room because
he just took an entire bottle of pills.The Question: What action should the
nurse take first? ANS>>- Determine the patient's level of consciousness.
The Patient: An 80 year-old male who has used continuous oxygen for the
past three years.
The Situation: While making a home visit, the wife tells the nurse that her
husband was doing well on 2 litres of oxygen per minute until late last night
when he developed severe shortness of breath on the way to the
bathroom.The Question: What action should the nurse take first? ANS>>-
Assess the patient's oxygen saturation by pulse oximeter.
The Patient: A 41-year-old male.The Situation: The patient is complaining of
severe stomach pain and states that he has been "vomiting all the time."The
Question: What should the nurse do first? ANS>>- Administer a prescribed
pain medication.
The Patient: The wife of a wealthy owner of the town's bank.The Situation:
The patient and her husband arrive on the unit. While orienting the patient
to the hospital room, the nurse notices that the patient has placed a large
amount of cash and some expensive earrings in the drawer of the bedside
table.
The Question: What is the best action for the nurse to take? ANS>>- Advise
the patient to have her husband take the items home when he leaves.
The Patient: A 45-year-old female who is 5' 2" tall, weighs 200 pounds, and
has smoked since age 21.The Situation: The patient comes to the clinic with a
, complaint of "leg pain."The Question: It is most important for the nurse to
obtain information about which previous occurrence? ANS>>- A previous
blood clot in the leg.
The Patient: A 61-year-old female.The Situation: The patient has a fever of
unknown origin. The nurse administered a fever-reducing medication 30
minutes ago. At this time there has been no decrease in the patient's
fever.The Question: What action would be best for the nurse to take? ANS>>-
Sponge the patient with cool water.
The Patient: A 70-year-old male who is relatively healthy.The Situation: A
liquid mediation is prescribed for this patient.The Question: Prior to
administering the prescribed medication, what intervention has the highest
priority? ANS>>- Determine if the patient is allergic to the medication.
The Patient: A fifty-eight-year-old female.The Situation: While the nurse is
offering the patient her morning medications, she tells the nurse that she
does not recall ever taking a pill that was pink-colored.The Question: What
should the nurse do in response to this patient's comment? ANS>>-
Withhold the mediation until the patient's prescription is verify.
The Patients:
A 63-year-old with a burn on the left lower leg who is complaining of pain.
A 45-year-old with pneumonia, complaining of shortness of breath.
A 31-year-old with abdominal pain who has just vomited blood.
An 88-year-old who has right-sided paralysis and wants to be helped to the
bathroom immediately.
The Situation: The nurse is caring for these patients. The Question: Who
should the nurse see first? ANS>>- The 45-years old with pneumonia and
shortness of breath.
The Patients:
A 13-year-old female with a kidney infection who reports that there is "lots
of
blood" in her urine.
An 18-year-old male with acute alcohol poisoning who is seeing "bugs on the
.
