HESI RN Pharmacology
Save
Terms in this set (160)
,1. A male client with d. Increase the infusion rate of Lactated
stomach cancer Ringer's solution.
returns to the unit
following a total
gastrectomy. He has
a nasogastric tube to
suction and is
receiving Lactated
Ringer's solution at 75
mL/hour IV. One hour
after admission to the
unit, the nurse notes
300 mL of blood in
the suction canister,
the client's heart rate
is 155 beats/minute,
and his blood
pressure is 78/48
mmHg. In addition to
reporting the finding
to the surgeon. Which
action should the
nurse implement
first?
,2. an adult male who a. Add sterile water to the suction control
fell 20 feet from the chamber.
roof of this home has
multiple injuries,
including a right
pneumothorax. Chest
tubes were inserted
in the emergency
department prior to
his transfer to the
intensive care unit
(ICU). the nurse notes
that the suction
control chamber is
bubbling at the
- 10 cm H2O mark,
with fluctuation in the
water seal, and over
the past hour 75 ml of
bright red blood is
measured in the
collection chamber.
Which intervention
should the nurse
implement?
, 2. The nurse is C) Laxatives
teaching an 87 year-
old client methods
for maintaining
regular bowel
movements. The
nurse would caution
the client to AVOID
3. A client who c. Begin supplemental oxygen.
received
hemodialysis
yesterday is
experiencing a blood
pressure of 200/100
mmHg, heart rate 110
beats/minute, and
respiratory rate 36
breaths/minute. The
client is manifesting
shortness of breath,
bilateral 2+ pedal
edema, and an
oxygen saturation on
room air of 89%.
Which action should
the nurse take first?
Save
Terms in this set (160)
,1. A male client with d. Increase the infusion rate of Lactated
stomach cancer Ringer's solution.
returns to the unit
following a total
gastrectomy. He has
a nasogastric tube to
suction and is
receiving Lactated
Ringer's solution at 75
mL/hour IV. One hour
after admission to the
unit, the nurse notes
300 mL of blood in
the suction canister,
the client's heart rate
is 155 beats/minute,
and his blood
pressure is 78/48
mmHg. In addition to
reporting the finding
to the surgeon. Which
action should the
nurse implement
first?
,2. an adult male who a. Add sterile water to the suction control
fell 20 feet from the chamber.
roof of this home has
multiple injuries,
including a right
pneumothorax. Chest
tubes were inserted
in the emergency
department prior to
his transfer to the
intensive care unit
(ICU). the nurse notes
that the suction
control chamber is
bubbling at the
- 10 cm H2O mark,
with fluctuation in the
water seal, and over
the past hour 75 ml of
bright red blood is
measured in the
collection chamber.
Which intervention
should the nurse
implement?
, 2. The nurse is C) Laxatives
teaching an 87 year-
old client methods
for maintaining
regular bowel
movements. The
nurse would caution
the client to AVOID
3. A client who c. Begin supplemental oxygen.
received
hemodialysis
yesterday is
experiencing a blood
pressure of 200/100
mmHg, heart rate 110
beats/minute, and
respiratory rate 36
breaths/minute. The
client is manifesting
shortness of breath,
bilateral 2+ pedal
edema, and an
oxygen saturation on
room air of 89%.
Which action should
the nurse take first?
