HESI PN MEDICAL SURGICAL NGN NEWEST 2024 VERSION 3
COMPLETE 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
TEST
A nurse is caring for a client who is taking lithium and reports
persistent nausea and vomiting for 2 days. Which of the following
laboratory values should the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L - ANS✔️--D. Sodium 132 mEq/L
Rationale:
,The nurse should identify that a sodium level of 132 mEq/L is not
within the expected reference range of 136 to 145 mEq/L. This finding
indicates hyponatremia, which can lead to lithium accumulation and
places the client at risk for lithium toxicity. The nurse should report
this finding to the provider.
Rationale:
To help a client with chronic arthritis who experiences difficulty
eating, applying foam handles to the eating utensils can provide a
larger, more comfortable grip and reduce strain on the joints. Asking
for a puree diet may not be necessary unless swallowing difficulties
are present. Having an assistive personnel feed the client may not
promote independence. While obtaining a referral for physical therapy
may be beneficial for overall mobility, it does not directly address the
client's difficulty with eating.
A nurse is providing directions to an assistive personnel about moving
a client up in bed.
,a. "Place a pillow under the client's head prior to repositioning."
b. "Keep your feet close together while moving the client"
c "Face in the direction of the client's movement"
d. "Move the client's arms to his sides prior to repositioning." - ANS✔️--
C. "Face in the direction of the client's movement."
Rational:
When moving a client up in bed, it is important for the nurse to face in
the direction of the client's movement to maintain proper body
mechanics and ensure safe transfer.
1)Adjust the head of the bed to a flat position.
2)Remove all pillows from under the client.
3)Position the UAP on the side opposite the nurse.
4)Place a friction-reducing sheet under the client.
5)Ask the client to bend the legs and place the chin on the chest.
6)Grasp the sheet and move the client on the count of three.
, A nurse is obtaining a medication history from a client who is to start
taking nitroglycerin for chest discomfort with activity. Which of the
following medications should the nurse instruct the client to avoid
taking within 24 hrs of using nitroglycerin?
a) Atorvastatin
b) Metformin
c) Sildenafil
d) Omeprazole - ANS✔️--C. Sildenafil
Rationale:
Sildenafil treats PAH (pulmonary arterial hypertension) by relaxing the
blood vessels in the lungs to allow blood to flow easily.
Same as, nitroglycerin is a vaso-dilator which is primarily to treat
anginal chest pain and thereby it reduces blood pressure.
Remaining drugs like omeprazole and atorvastatin can be given for
patients with in 24hrs of nitroglycerin administration.
COMPLETE 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
TEST
A nurse is caring for a client who is taking lithium and reports
persistent nausea and vomiting for 2 days. Which of the following
laboratory values should the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L - ANS✔️--D. Sodium 132 mEq/L
Rationale:
,The nurse should identify that a sodium level of 132 mEq/L is not
within the expected reference range of 136 to 145 mEq/L. This finding
indicates hyponatremia, which can lead to lithium accumulation and
places the client at risk for lithium toxicity. The nurse should report
this finding to the provider.
Rationale:
To help a client with chronic arthritis who experiences difficulty
eating, applying foam handles to the eating utensils can provide a
larger, more comfortable grip and reduce strain on the joints. Asking
for a puree diet may not be necessary unless swallowing difficulties
are present. Having an assistive personnel feed the client may not
promote independence. While obtaining a referral for physical therapy
may be beneficial for overall mobility, it does not directly address the
client's difficulty with eating.
A nurse is providing directions to an assistive personnel about moving
a client up in bed.
,a. "Place a pillow under the client's head prior to repositioning."
b. "Keep your feet close together while moving the client"
c "Face in the direction of the client's movement"
d. "Move the client's arms to his sides prior to repositioning." - ANS✔️--
C. "Face in the direction of the client's movement."
Rational:
When moving a client up in bed, it is important for the nurse to face in
the direction of the client's movement to maintain proper body
mechanics and ensure safe transfer.
1)Adjust the head of the bed to a flat position.
2)Remove all pillows from under the client.
3)Position the UAP on the side opposite the nurse.
4)Place a friction-reducing sheet under the client.
5)Ask the client to bend the legs and place the chin on the chest.
6)Grasp the sheet and move the client on the count of three.
, A nurse is obtaining a medication history from a client who is to start
taking nitroglycerin for chest discomfort with activity. Which of the
following medications should the nurse instruct the client to avoid
taking within 24 hrs of using nitroglycerin?
a) Atorvastatin
b) Metformin
c) Sildenafil
d) Omeprazole - ANS✔️--C. Sildenafil
Rationale:
Sildenafil treats PAH (pulmonary arterial hypertension) by relaxing the
blood vessels in the lungs to allow blood to flow easily.
Same as, nitroglycerin is a vaso-dilator which is primarily to treat
anginal chest pain and thereby it reduces blood pressure.
Remaining drugs like omeprazole and atorvastatin can be given for
patients with in 24hrs of nitroglycerin administration.
