BSN 246 Practice HESI (1 & 2) With complete solution Newest RATED A+

BSN 246 Practice HESI (1 & 2) With complete solution
Newest RATED A+
The registered nurse (RN) is caring for a young adult who is having an oral glucose tolerance
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




tests (OGTT). Which laboratory result should the RN assess as a normal value for the two hour
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




postprandial result?
Il` Il` Il`




140 mg/dl. Il`




160 mg/dl. Il`




180 mg/dl. Il`




200 mg/dl. Il`




140 mg/dl. Il`




Rationale

The two hour postprandial level should be less 140 mg/dl for a young adult client.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




We have an expert-written solution to this problem!



The registered nurse (RN) is caring for a client who has a closed head injury from a motor vehicle
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




collision. Which finding should the RN assess the client for the risk of diabetes insipidus (DI)?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




High fever. Il`




Low blood pressure.
Il` Il`




Muscle rigidity. Il`




Polydipsia.

Polydipsia.

Rationale

A characteristic finding of DI is excretion of large quantities of urine (5 to 20L/day), and most
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




clients compensate for fluid loss by drinking large amounts of water (polydipsia). DI can occur
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




when there has been damage or injury to the pituitary gland or hypothalamus as a result of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




head trauma, tumor or an illness such as meningitis. This damage interrupts the ADH
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




production, storage and release causing the excessive urination and thirst.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`

,We have an expert-written solution to this problem!



AD

The registered nurse (RN) is caring for a client who developed oliguria and was diagnosed with
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




sepsis and dehydration 48 hours ago. Which assessment finding indicates to the RN that the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




client is stabilizing?
Il` Il` Il`




Urine output of 40 mL/hour.
Il` Il` Il` Il`




Apical pulse 100 and blood pressure 76/42.
Il` Il` Il` Il` Il` Il`




Urine specific gravity 1.001.
Il` Il` Il`




Tented skin on dorsal surface of hands. Il` Il` Il` Il` Il` Il`




Urine output of 40 mL/hour.
Il` Il` Il` Il`




Rationale

A decrease in urinary output is a sign of dehydration. When the urine output returns to a
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




normal range, 40 mL/hour, the client's kidneys are perfusing adequately and indicates the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




client's status is stablizing.
Il` Il` Il` Il`




We have an expert-written solution to this problem!



A client who is uses ipratropium reports having nausea, blurred vision, headaches, and
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




insomnia after using the inhaler. Which action should the registered nurse (RN) implement
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




first?
Il`




Withhold medication and report symptoms and vital signs to healthcare provider.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Give PRN medication for nausea and vomiting and evaluate client in 30 minutes.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Reassure client that the ipratropium given will alleviate the symptoms.
Il` Il` Il` Il` Il` Il` Il` Il` Il`




Delay administration of ipratropium until next maintenance medication is scheduled.
Il` Il` Il` Il` Il` Il` Il` Il` Il`




Withhold medication and report symptoms and vital signs to healthcare provider.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Rationale

, Headache, nausea, blurred vision and insomnia are symptoms of excessive use of ipratropium,
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




so withholding the medication until the healthcare provider is notified should be initiated to
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




maintain client safety.
Il` Il` Il`




The registered nurse (RN) is assessing a client who was discharged home after management of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




chronic hypertension. Which equipment should the RN instruct the client to use at home?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Exercise bicycle. Il`




Sphygmomanometer.

Blood glucose monitor.
Il` Il`




Weekly medication box. Il` Il`




Sphygmomanometer.

Rationale

Self-awareness is the best way for a client to manage chronic hypertension, so the client should
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




obtain a sphygmomanometer and learn how to monitor blood pressure daily and maintain a
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




record.
Il`




The registered nurse (RN) is teaching a client who is newly diagnosed with emphysema how to
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




perform pursed lip breathing. What is the primary reason for teaching the client this method of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




breathing?
Il`




Decreases respiratory rate. Il` Il`




Increases O2 saturation throughout the body. Il` Il` Il` Il` Il`




Conserves energy while ambulating. Il` Il` Il`




Promotes CO2 elimination. Il` Il`




Promotes CO2 elimination. Il` Il`




Rationale

Pursed lip breathing helps eliminate CO2 by increasing positive pressure within the alveoli
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




increasing the surface area of the alveoli making it easier for the O2 and CO2 gas exchange to
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




occur .
Il` Il`




The registered nurse (RN) reviews the new prescription, phenelzine (Nardil), a monoamine
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




oxidase inhibitor (MAOI), for a client on the psychiatric unit with depression. Which
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




information is most important for the RN to assess?
Il` Il` Il` Il` Il` Il` Il` Il` Il`