ADVANCED HEALTH ASSESSMENT HESI RN Q&A

ADVANCED
HEALTH
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ASSESSMEN
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T HESI RN
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Q&A

, ADVANCED HEALTH ASSESSMENT HESI RN v v v v




QUESTIONS AND ANSWERS v v v




1. An antacid (Maalox) is prescribed for a client with peptic ulcer disease. The nurse knows
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that the purpose of this medication is to
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A. Decrease production of gastric secretions. v v v v


B. Produce an adherent barrier over the ulcer. v v v v v v


C. Correct Maintain a gastric pH of 3.5 or above.v v v v v v v v


D. Decrease gastric motor activity. v v v




2. In evaluating the effects of lactulose (Cephulac), which outcome would indicate that the
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drug is performing as intended?
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A. An increase in urine output.
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B. Correct. Two or three soft stools per day.
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C. Watery, diarrhea stools v v


D. Increased serum bilirubin. v v




3. The healthcare provider prescribes digitalis (Digoxin) for a client diagnosed with
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congestive heart failure. Which intervention should the nurse implement prior to
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administering the digoxin? The healthcare provider prescribes digitalis (Digoxin) for a
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client diagnosed with congestive heart failure. Which intervention should the nurse
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implement prior to administering the digoxin?
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a. Observe respiratory rate and depth. v v v v


b. Correct Assess the serum potassium level.
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c. Obtain the client's blood pressure.
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d. Monitor the serum glucose level. v v v v




4. Following the administration of sublingual nitroglycerin to a client experiencing an
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acute anginal attack, which assessment finding indicates to the nurse that the desired
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effect has been achieved?
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A. Correct Client states chest pain is relieved.
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B. Client's pulse decreases from 120 to 90.v v v v v v


C. Client's systolic blood pressure decreases from 180 to 90.
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D. Client's SaO2 level increases from 92% to 96%.
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5. A client with congestive heart failure (CHF) is being discharged with a new prescription for
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the angiotensin-converting enzyme (ACE) inhibitor captopril (Capoten). The nurse's
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discharge instruction should include reporting which problem to the healthcare provider?
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