NURS HESI (NURSHESI)

Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy? A) Eat a light diet for the rest of the day B) Rest for the next 24 hours since the preparation and the test is tiring. C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2 days D) Measure the urine output for the next day and immediately notify the health care provider if it should decrease. D) Measure the urine output for the next day and immediat...

1. A client is receiving clonidine (Catapres) 0.1 mg/24hr via transdermal patch. Which assessment finding indicates that the desired effect of the medication has been achieved? A. Client denies recent episodes of angina B. Change in peripheral edema from + 3 to +1 C. Client denies N/V D. Blood pressure changed from 180/120 to 140/70 - D. Blood pressure changed from 180/120 to 140/70 2. After abdominal surgery a male is prescribed LMWH. During admin of medication, the client asks why he is ...

1. Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy? A) Eat a light diet for the rest of the day B) Rest for the next 24 hours since the preparation and the test is tiring. C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2 days D) Measure the urine output for the next day and immediately notify the health care provider if it should decrease. The correct answer is D: Measure the urine output for the...

1. The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child? A) Make certain the child is maintained in correct body alignment. B) Be sure the traction weights touch the end of the bed. C) Adjust the head and foot of the bed for the child's comfort D) Release the traction for 15-20 minutes every 6 hours PRN. - A: Make certain the child is maintained in correct body alignment. 2. The nurse is assessing a health...

1. The home health nurse observes that a female client is using a topical preparation that contains echinacea to treat a canker sore. Her husband expresses concern regarding the effectiveness and safety of using herbs. How should the nurse respond? a. many of the herbal preparations are helpful primarily because of their placebo effect b. this product is essentially harmless, but also is not very beneficial in treating skin infections c. topical echinacea is usually used to soothe burns ...

1. The nurse is has just admitted a client with severe depression. From which focus should the nurse identify a priority nursing diagnosis? A) Nutrition B) Elimination C) Activity D) Safety - The correct answer is D: Safety 2. While explaining an illness to a 10 year-old, what should the nurse keep in mind aboutthe cognitive development at this age? A) They are able to make simple association of ideas B) They are able to think logically in organizing facts C) Interpretation of events o...

The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child? A. Make certain the child is maintained in correct body alignment. B. Be sure the traction weights touch the end of the bed. C. Adjust the head and foot of the bed for the child's comfort D. Release the traction for 15-20 minutes every 6 hours PRN. - A. Make certain the child is maintained in correct body alignment. The nurse is assessing a healthy chil...

1. Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy? A) Eat a light diet for the rest of the day B) Rest for the next 24 hours since the preparation and the test is tiring. C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2 days D) Measure the urine output for the next day and immediately notify the health care provider if it should decrease. - D 2. A client has altered renal function and is bein...

1. In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which statement is true regarding note-taking? A) Note-taking may impede the nurse's observation of the patient's nonverbal behaviors. B) Note-taking allows the patient to continue at his or her own pace as the nurse records what is said. C) Note-taking allows the nurse to shift attention away from the patient, resulting in an increased comfort level. D) Note-taking allows the nurse to...

52: Epogen A client who is HIV positive is receiving epoetin (Epogen) for management of anemia secondary to zidovudine (AZT) therapy. Which laboratory finding is most important for the nurse to report to the healthcare provider? Hematocrit (HCT) of 58% the nurse reviews the blood reports of a patient who is receiving epoetin alfa (Epogen) and finds that the medication is effective. Which finding in the blood lab report enables the nurse to reach this conclusion? Hemoglobin levels of 15 g/dL ...