HESI EXIT COMPREHENSIVE REVIEW B/
PROFESSOR VERIFIED /GRADE A+
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Terms in this set (132)
1-Enalapril maleate A. Checking the client's blood pressure
(Vasotec) is prescribed for
a hospitalized client. Checking the client's blood pressure
Which assessment does Enalapril maleate is an angiotensin-converting
the nurse perform as a enzyme (ACE) inhibitor used to treat hypertension.
priority before One common side effect is postural hypotension.
administering the Therefore the nurse would check the client's blood
medication? pressure immediately before administering each dose.
Checking the client's peripheral pulses, the results of
A. Checking the client's the most recent potassium level, and the intake and
blood pressure output for the previous 24 hours are not specifically
B. Checking the client's associated with this mediation.
peripheral pulses
C. Checking the most
recent potassium level
D. Checking the client's
intake-and-output record
for the last 24 hours
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2-A client is scheduled to C. "I need to drink citrate of magnesia the night before
undergo an upper the test and give myself a Fleet enema on the
gastrointestinal (GI) series, morning of the test."
and the nurse provides
instructions to the client An upper GI series involves visualization of the
about the test. Which esophagus, duodenum, and upper jejunum by means
statement by the client of the use of a contrast medium. It involves
indicates a need for swallowing a contrast medium (usually barium), which
further instruction? is administered in a flavored milkshake. Films are taken
at intervals during the test, which takes about 30
A. "The test will take about minutes. No special preparation is necessary before a
30 minutes." GI series, except that NPO status must be maintained
B. "I need to fast for 8 for 8 hours before the test. After an upper GI series,
hours before the test." the client is prescribed a laxative to hasten elimination
C. "I need to drink citrate of the barium. Barium that remains in the colon may
of magnesia the night become hard and difficult to expel, leading to fecal
before the test and give impaction.
myself a Fleet enema on
the morning of the test."
D. "I need to take a
laxative after the test is
completed, because the
liquid that I'll have to drink
for the test can be
constipating."
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3-A nurse on the evening B. Ask the answering service to contact the on-call
shift checks a physician's physician
prescriptions and notes
that the dose of a
prescribed medication is
higher than the normal
dose. The nurse calls the
physician's answering
service and is told that the
physician is off for the
night and will be available
in the morning. The nurse
should:
A. Call the nursing
supervisor
B. Ask the answering
service to contact the on-
call physician
C. Withhold the
medication until the
physician can be reached
in the morning
D. Administer the
medication but consult the
physician when he
becomes available
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4.An emergency B. Asking the ED physician to check the client
department (ED) nurse is
monitoring a client with
suspected acute
myocardial infarction (MI)
who is awaiting transfer to
the coronary intensive
care unit. The nurse notes
the sudden onset of
premature ventricular
contractions (PVCs) on the
monitor, checks the
client's carotid pulse, and
determines that the PVCs
are not resulting in
perfusion. The appropriate
action by the nurse is:
A. Documenting the
findings
B. Asking the ED physician
to check the client
C. Continuing to monitor
the client's cardiac status
D. Informing the client that
PVCs are expected after
an MI
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