HESI Critical Care Exam | Latest 2023/24 | Updated & Verified | Guaranteed Success | 60 Pages

A 56-year-old female client is receiving intracavitary radiation via a radium implant. Which nurse should be assigned to care for this client? A. The nurse who is caring for another client receiving intracavitary radiation. B. A nurse with Marfan's syndrome who is postmenopausal. C. A nurse with oncology experience who may be pregnant. D. The nurse who is caring for another client who has Clostridium difficile. - B. A nurse with Marfan's syndrome who is postmenopausal. RATIONALE: A client receiving intracavity radiation poses a radiation hazard as long as the intracavity radiation source is in place. A nurse's ability to care of this client is not affected by Marfan's syndrome (B), which is a hereditary disorder of connective tissues, bones, muscles, ligaments and skeletal structures. The goal is to limit any one staff member's exposure to the calculated time span based on the half-life of radium, such as the number of minutes at the bedside per day, so (A) should not be assigned. (C) should not be exposed to the radiation due to the possible effect on the fetus. A radiation exposure decreases the immune response in the client who should not be exposed to the potential inadvertent transmission of an infectious organism (D). 1.A client who has active tuberculosis (TB) is admitted to the medical unit. What action is most important for the nurse to implement? A. Fit the client with a respirator mask. B. Assign the client to a negative air-flow room. C. Don a clean gown for client care. D. Place an isolation cart in the hallway - Assign the client to a negative air-flow room RATIONALE: Active tuberculosis requires implementation of airborne precautions, so the client should be assigned to a negative pressure air-flow room (D). Although (A and C) should be implemented for clients in isolation with contact precautions, it is most important that air flow from the roomis minimized when the client has TB. (B) should be implemented when the client leaves the isolation environment. 2.A client is receiving atenolol (Tenormin) 25 mg PO after a myocardial infarction. The nurse determines the client's apical pulse is 65 beats per minute. What action should the nurse implement next? A. Measure the blood pressure. B. Reassess the apical pulse. C. Notify the healthcare provider. D. Administer the medication. - Administer the medication RATIONALE: Atenolol, a beta-blocker, blocks the beta receptors of the sinoatrial node to reduce the heart rate, so the medication should be administered (C) because the client's apical pulse is greater than 60. (A, B, and D) are not indicated at this time. 3.The nurse is assessing a client and identifies a bruit over the thyroid. This finding is consistent with which interpretation? A. Hypothyroidism. B. Thyroid cyst. C. Thyroid cancer. D. Hyperthyroidism - Hyperthyroidism