HESI (nursing)

Client w/ COPD, oxygen 2/l. Nurse observes SOB w/23BPM - Assess the delivery mechanism of the oxygen tank, tubing, and cannula. Client w/ HF, SOB. Nurse to administer morphine sulfate IV - Withhold the morphine till client's dyspnea resolves. two medications at same time. Which property of drugs to watch out for? - Short half life ordered 15000 iu, on hand 25000 iu/ml - 0.6 mL 4 clients admitted to acute neuro unit. which client to be assigned a private room - bacterial meningitis An ol...

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25 páginas

Escrito en 2023/2024

Grado A+

Preach

1. Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy? A) Eat a light diet for the rest of the day B) Rest for the next 24 hours since the preparation and the test is tiring. C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2 days D) Measure the urine output for the next day and immediately notify the health care provider if it should decrease. - The correct answer is D: Measure the urine output for...

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28 páginas

Escrito en 2023/2024

Grado A+

Preach

The home care nurse is visiting an older client whose spouse died 6 months ago. Which behavior by the client indicates ineffective coping? 1. Neglecting personal grooming 2. Looking at old snapshots of family 3. Participating in a senior citizens' program 4. Visiting their spouse's grave once a month - 1. Neglecting personal grooming Rationale: Coping mechanisms are behaviors used to decrease stress and anxiety. In response to a death, ineffective coping is manifested by an extreme beh...

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54 páginas

Escrito en 2023/2024

Grado A+

Preach

A client is prescribed phenobarbital sodium (Luminal) for a seizure disorder. The medication has a long half-life of 4 days. Based on this half-life, the medication will most likely be prescribed A. once a day. B. twice a day. C. three times a day. D. four times a day. - ANS: A Medication with long half-lives remain at their therapeutic levels between doses for long periods of time. Therefore, this medication can be administered once a day. A nurse educator is reviewing medication dosage...

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54 páginas

Escrito en 2023/2024

Grado A+

Preach

A client who is taking an oral dose of tetracycline reports gastrointestinal upset. Which snack should the nurse instruct the client to take with the tetracycline? a. Fruit-flavored yogurt b. Toasted wheat bread and jelly c. Cold cereal with skim milk d. Cheese and crackers - B. The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which physiological function of the eye will not respond during the therapeutic period after administration of eye drops? a. Refr...

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14 páginas

Escrito en 2023/2024

Grado A+

Preach

Digoxin (Lanoxin) - positive inotrope (increases force of contraction); negative chronotrope (decreases heart rate). How do you assess for this? - Always take apical pulse for one full minute Client with a long hx of daily digoxin and fourosemide (Lasix) use; creates a high risk for dig toxicity because - Lasix can cause hypokalemia, which can lead to dig toxicity What can happen when Digoxin is taken with Dronedarone (Multaq), which is another anti-dysrhythmic drug)? - Digoxin can increase...

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6 páginas

Escrito en 2023/2024

Grado A+

Preach

The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain? A. Liver function laboratory results B. Family history of mental illness C. Recent use of other antidepressants D. Weight change in the last month Answer: A. Liver function laboratory result - A. Liver function laboratory results The nurse is preparing a client with chronic obstructive pulmonary disease (COPD)and a c...

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10 páginas

Escrito en 2023/2024

Grado A+

Preach

A 19-year-old male client who has sustained a severe head injury is intubated and placed on assisted mechanical ventilation. To facilitate optimal ventilation and prevent the client from "fighting" the ventilator, the health care provider administers pancuronium bromide IV, with adjunctive opioid analgesia. What medication should be immediately accessible for a potential complication with this drug? A. Dantrolene sodium B. Neostigmine bromide C. Succinylcholine bromide D. Epinephrine -...

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54 páginas

Escrito en 2023/2024

Grado A+

Preach

Which of the following is a rapid acting insulin and should be administered immediately before a meal? A. Glargine B. Aspart (Lispro) C. NPH D. Regular - B. Aspart rationale: onset is 5 minutes Glargine=Lantus (long lasting) A PT has an anaphylactic allergy to sulfa drugs. She receives sulfamethoxazole. She becomes flushed and SOB. Her HR is normal but her BP is dropping. You first administer A. Epinephrine B. Diphenhydramine C. Albuterol D. Atropine - A. Epi rationale: raises BP W...

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15 páginas

Escrito en 2023/2024

Grado A+

Preach

The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider recently changed the medication to enalapril to manage the client's blood pressure. Which instruction should the nurse provide the client regarding the new medication? A. Take the medication at bedtime. B. Report presence of increased bruising. C. Check pulse before taking medication. D. Rise slowly when getting out of bed or chair. - D. Rise slowly when getting out of bed or chair. A female clie...

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21 páginas

Escrito en 2023/2024

Grado A+

Preach

Monitoring for fetal position is important because the mother cannot tell you she has back pain, which is the cardinal sign of persistant posterior fetal position. Why do the regional blocks, especially epidural and caudal, often result in assisted delivery? A. inability to push effectively in 3rd stage B. inability to push effectively in 4th stage C. inability to push effectively in 1st stage D. inability to push effectively in 2nd stage - D. Regional blocks, especially epidural and caud...

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31 páginas

Escrito en 2023/2024

Grado A+

Preach

A mother brings her 8 mo. old baby boy to clinic because he has been vomiting and had diarrhea for the last 3 days. Which assessment is most important for the nurse to make? - Measure the infant's pulse While obtaining the vital signs of a 10 year old boy who had a tonsillectomy this morning, the nurse observes the child swallowing every 2-3 minutes. Which assessment should the nurse implement? - Inspect the posterior oropharynx The parents of a 3-year-old boy who has Duchenne muscular dys...

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114 páginas

Escrito en 2023/2024

Grado A+

Preach

An alert child has been treated for a submersion injury (near drowning). Which complication should the nurse anticipate? A. hypertension B. Edema C. Oliguria D. Hypothermia - D. Hypothermia Almost half of all children who experience near drowning, whether they are asymptomatic or minimally symptomatic, will experience complications during the first 24 hours after the incident. Hypothermia is common in children due to their large surface area relative to body mass, decreased subcutaneous ...

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24 páginas

Escrito en 2023/2024

Grado A+

Preach

Which formula is most preferable for a child who has lactose intolerance? a. Soy-based formula b. Whey hydrolysate formula c. Cow's milk-based formula d. Amino acid-based formula - a Soy-based formula is a commercially available formula that has a high amount of protein but does not contain lactose. Amino acid-based formula is preferable for a child who has food allergies. However, it is not the most preferable formula for the child with lactose intolerance. Whey hydrolysate formula and ...

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31 páginas

Escrito en 2023/2024

Grado A+

Preach

The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac catheterization via the right femoral artery. Which assessment finding is an indication of arterial obstruction? A. Blood pressure trend is downward and pulse is rapid and irregular B. Right foot I cool to the touch and appears pale and blanched C. Pulse distal to the femoral artery is weaker on the left foot than right foot D. The pressure dressing at right femoral area is moist and oozing blood - B. Right foot...

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16 páginas

Escrito en 2023/2024

Grado A+

Preach

The practical nurse (PN) is monitoring a child who is manifesting signs of shock after a motor vehicle collision. Which finding is most important for the PN to report to the charge nurse? a) narrowing pulse pressure b) apprehension c) irritability d) thirst - Answer: A Rationale: As shock progresses, perfusion in the microcirculation becomes marginal despite compensatory adjustments, and the signs of decompensated shock become pronounced, such as tachycardia and narrowing pulse pressure...

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23 páginas

Escrito en 2023/2024

Grado A+

Preach

A client who had her first baby 3 months ago & is breastfeeding her infant tells the nurse that she is currently using the same diaphragm that she used before becoming pregnant. Which information should the nurse provide this client? A. After ceasing breastfeeding, the diaphragm should be resized. B. Avoid intercourse during ovulation until the size of the diaphragm has been evaluated. C. If no more than 20 pounds was gained during pregnancy, the diaphragm is safe to use. D. Use an alterna...

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11 páginas

Escrito en 2023/2024

Grado A+

Preach

A pt presses the call bell and requests pain medication for a severe headache. To assess the quality of the pt. Pain, which approach should the nurse use? - Ask the patient to describe the pain The nurse is wearing personal protective equipment while caring for a pt. When exiting the room, which PPE should be removed first? - Gloves An older pt is brought to the ED with a sudden onset of confusion that occurred after experiencing a fall at home. The daughter, who has power of attorney, has ...

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12 páginas

Escrito en 2023/2024

Grado A+

Preach

A nurse designs a product to investigate the use of smokeless tobacco by male graduates from a local high school and incidence of oral cancer 10 years later. This represents what type of study? A. Experimental B. Prospective C. Cross-sectional D. Retrospective - B. Prospective; looks forward to find a causal relationship Which of the following represents secondary prevention? A. Meals On Wheels for the homebound B. Breast self-exam C. Seatbelt use D. Flu vaccine - B. Breast self-exam; ...

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8 páginas

Escrito en 2023/2024

Grado A+

Preach

The nurse is assessing a 48-year-old client with a history of smoking during a routine clinic visit. The client, who exercises regularly, reports having pain in the calf during exercise that disappears at rest. Which of the following findings requires further evaluation? 1. Heart rate 57 bpm. 2. SpO2 of 94% on room air. 3. Blood pressure 134/82. 4. Ankle-brachial index of 0.65. - 4 An Ankle-Brachial Index of 0.65 suggests moderate arterial vascular disease in a client who is experiencin...

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53 páginas

Escrito en 2023/2024

Grado A+

Preach