HESI EXIT 2 ICHS
) A male purchaser is admitted for the removal of an inner fixation tool that turned into
inserted for a fractured ankle. During the patron's admission records, he tells the nurse that
he these days received vancomycin for a methicillin-resistant Staphylococcus aureus
(MRSA)
wound infection. Which motion(s) ought to the nurse take? (Select all that apply.)
A Collect more than one website online screening cultures for MRSA.
B Place the customer on touch transmission precautions.
C Call healthcare issuer for a prescription for linezolid.
D Obtain a sputum specimen for culture and sensitivity.
E Continue to display the consumer for signs and symptoms of an contamination. - ANS-A
Collect multiple web page screening cultures for MRSA.
B Place the patron on touch transmission precautions.
E Continue to screen the patron for signs of an contamination.
A 6-week-vintage toddler with pyloric stenosis is scheduled for a pyloromyotomy. Which
pre-operative nursing motion has the very best precedence?
A Instruct mother and father concerning care of the incisional location.
B Mark an outline of the "olive-Shaped" mass inside the proper epigastric vicinity.
C Initiate a non-stop infusion of IV fluids per prescription.
D Monitor amount of intake and infant's response to feedings. - ANS-C Initiate a continuous
infusion of IV fluids consistent with prescription.
A toddler with peripheral edema who weighs 44 pounds gets a prescription for furosemide 2
mg/kg intravenously each 12 hours. The vial is classified, "10 mg/mL." How many mL ought
to the nurse administer? (Enter numeric cost best.) - ANS-four mL
A purchaser uncovered to tuberculosis is scheduled to begin prophylactic remedy with
isoniazid. Which facts is maximum critical for the nurse to observe earlier than administering
the initial dose?
A Current analysis of hepatitis B.
B History of intravenous drug abuse.
C Length of time of the publicity to tuberculosis.
D Conversion of the client's PPD test from poor to fine. - ANS-A Current prognosis of
hepatitis B.
A purchaser is receiving continuous ambulatory peritoneal dialysis because the
arteriovenous (AV) graft in the proper arm is now not available to apply for hemodialysis. The
customer has lost weight, has growing peripheral edema, and has a serum albumin stage of
one.Five g/dL (15 g/L). Which intervention is the concern for the nurse to implement?
, Reference Range:
Serum Albumin [Reference Range: 3.5 to 5.5 g/dL (35 to 55 g/L)].
A Evaluate patency of the AV graft for resumption of hemodialysis.
B Ensure the customer gets frequent small food containing complete proteins.
C Instruct the purchaser to retain to follow the prescribed rigid fluid restrict amounts.
D Recommend using guide stockings to beautify venous return. - ANS-B Ensure the patron
receives common small meals containing whole proteins.
A client is receiving lactulose for signs of hepatic encephalopathy. To examine the
consumer's healing reaction to this medicinal drug, which evaluation need to the nurse
attain?
A Blood glucose stage.
B Percussion of abdomen.
C Serum electrolytes.
D Level of cognizance. - ANS-D Level of consciousness.
A patron is not able to void following a system, so the nurse obtains a prescription to carry
out a instantly catheterization. After inserting the catheter, the nurse observes that the patron
has an immediate output of 500 mL of clean yellow urine. Which motion have to the nurse
implement next?
A Remove the catheter and palpate the client's bladder for residual distention.
B Clamp the catheter for thirty minutes after which resume draining.
C Remove the catheter and update it with an indwelling catheter.
D Allow the bladder to empty absolutely or up to 1,000 mL of urine. - ANS-D Allow the
bladder to empty completely or up to one,000 mL of urine.
A consumer gets a prescription for norepinephrine 3 mcg/min IV. The IV bag is carries
norepinephrine 4mg in dextrose 5 % in water 1000mL. How many mL/hr should the nurse
program the infusion pump? (Enter numerical cost most effective). - ANS-
A purchaser getting better from pneumonia who has a history of excessive persistent
obstructive pulmonary ailment (COPD) and peripheral vascular disease (PVD) is being
discharged from a professional nursing facility. Which action is maximum vital for the nurse
to put into effect?
A Explain exercise daily regimen.
B Demonstrate specific strengthening exercises.
C Provide typed commands for healthful weight-reduction plan selection
D Reinforce need for adequate hydration. - ANS-C Provide typed commands for healthy
weight loss program selection
A consumer who is newly recognized with kind 2 diabetes mellitus (DM) gets a prescription
for metformin 500 mg PO two times each day. Which statistics ought to the nurse consist of
on this client's teaching plan? (Select all that practice.)
) A male purchaser is admitted for the removal of an inner fixation tool that turned into
inserted for a fractured ankle. During the patron's admission records, he tells the nurse that
he these days received vancomycin for a methicillin-resistant Staphylococcus aureus
(MRSA)
wound infection. Which motion(s) ought to the nurse take? (Select all that apply.)
A Collect more than one website online screening cultures for MRSA.
B Place the customer on touch transmission precautions.
C Call healthcare issuer for a prescription for linezolid.
D Obtain a sputum specimen for culture and sensitivity.
E Continue to display the consumer for signs and symptoms of an contamination. - ANS-A
Collect multiple web page screening cultures for MRSA.
B Place the patron on touch transmission precautions.
E Continue to screen the patron for signs of an contamination.
A 6-week-vintage toddler with pyloric stenosis is scheduled for a pyloromyotomy. Which
pre-operative nursing motion has the very best precedence?
A Instruct mother and father concerning care of the incisional location.
B Mark an outline of the "olive-Shaped" mass inside the proper epigastric vicinity.
C Initiate a non-stop infusion of IV fluids per prescription.
D Monitor amount of intake and infant's response to feedings. - ANS-C Initiate a continuous
infusion of IV fluids consistent with prescription.
A toddler with peripheral edema who weighs 44 pounds gets a prescription for furosemide 2
mg/kg intravenously each 12 hours. The vial is classified, "10 mg/mL." How many mL ought
to the nurse administer? (Enter numeric cost best.) - ANS-four mL
A purchaser uncovered to tuberculosis is scheduled to begin prophylactic remedy with
isoniazid. Which facts is maximum critical for the nurse to observe earlier than administering
the initial dose?
A Current analysis of hepatitis B.
B History of intravenous drug abuse.
C Length of time of the publicity to tuberculosis.
D Conversion of the client's PPD test from poor to fine. - ANS-A Current prognosis of
hepatitis B.
A purchaser is receiving continuous ambulatory peritoneal dialysis because the
arteriovenous (AV) graft in the proper arm is now not available to apply for hemodialysis. The
customer has lost weight, has growing peripheral edema, and has a serum albumin stage of
one.Five g/dL (15 g/L). Which intervention is the concern for the nurse to implement?
, Reference Range:
Serum Albumin [Reference Range: 3.5 to 5.5 g/dL (35 to 55 g/L)].
A Evaluate patency of the AV graft for resumption of hemodialysis.
B Ensure the customer gets frequent small food containing complete proteins.
C Instruct the purchaser to retain to follow the prescribed rigid fluid restrict amounts.
D Recommend using guide stockings to beautify venous return. - ANS-B Ensure the patron
receives common small meals containing whole proteins.
A client is receiving lactulose for signs of hepatic encephalopathy. To examine the
consumer's healing reaction to this medicinal drug, which evaluation need to the nurse
attain?
A Blood glucose stage.
B Percussion of abdomen.
C Serum electrolytes.
D Level of cognizance. - ANS-D Level of consciousness.
A patron is not able to void following a system, so the nurse obtains a prescription to carry
out a instantly catheterization. After inserting the catheter, the nurse observes that the patron
has an immediate output of 500 mL of clean yellow urine. Which motion have to the nurse
implement next?
A Remove the catheter and palpate the client's bladder for residual distention.
B Clamp the catheter for thirty minutes after which resume draining.
C Remove the catheter and update it with an indwelling catheter.
D Allow the bladder to empty absolutely or up to 1,000 mL of urine. - ANS-D Allow the
bladder to empty completely or up to one,000 mL of urine.
A consumer gets a prescription for norepinephrine 3 mcg/min IV. The IV bag is carries
norepinephrine 4mg in dextrose 5 % in water 1000mL. How many mL/hr should the nurse
program the infusion pump? (Enter numerical cost most effective). - ANS-
A purchaser getting better from pneumonia who has a history of excessive persistent
obstructive pulmonary ailment (COPD) and peripheral vascular disease (PVD) is being
discharged from a professional nursing facility. Which action is maximum vital for the nurse
to put into effect?
A Explain exercise daily regimen.
B Demonstrate specific strengthening exercises.
C Provide typed commands for healthful weight-reduction plan selection
D Reinforce need for adequate hydration. - ANS-C Provide typed commands for healthy
weight loss program selection
A consumer who is newly recognized with kind 2 diabetes mellitus (DM) gets a prescription
for metformin 500 mg PO two times each day. Which statistics ought to the nurse consist of
on this client's teaching plan? (Select all that practice.)
