Fidelwamb2017

1. The nurse is reviewing medical prescriptions for newly admitted clients. It would be a priority for the nurse to follow up with the physician if a client with (a) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene) prescribed (b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions(c) sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol (acetaminophen) (d) sensitivity to Penicillin is prescribed Zithromax (azithromycin) 2. The nurse shou...

1. A nurse is reviewing the techniques for transferring a client from a bed to a chair with a group of assistive personnel (AP). Which of the following instructions should the nurse include? ANS: Use lower-body strength RATIONALE: The nurse should instructthe AP to use lower-body strength when lifting a client to reduce stress on the back 2. A nurse is participating in a quality improvement study about the effectiveness of client pain management in the unit. Which of the following strateg...

HESI RN FUNDAMENTALS EXAM When turning an immobile bedridden client without assistance, which action by the nurse best ensures client safety? A. Securely grasp the client's arm and leg. B. Put bed rails up on the side of bed opposite from the nurse. C. Correctly position and use a turn sheet. D. Lower the head of the client's bed slowly. (ANS- B. Rationale :Because the nurse can only stand on one side of the bed, bed rails should be up on the opposite side to ensure that the cli...

HESI EXIT EXAM- LATEST 2022 COMPLETE QUESTIONS & ANSWERS 1. A nurse is evaluating care of an immobilized patient. Which action will thenurse take? a. Focus on whether the interdisciplinary team is satisfied with the care. Compare the patient’s actual outcomes with the outcomes in the care b. plan. Involve primarily the patient’sfamily and health care team to c. determine goal achievement. Use objective data solely in determining whether interventions have d. been successful. ANS: B ...

A client is admitted to the emergency department (ED). The family reports the client had a sudden onset of left-sided facial droop and slurred speech at home. The nurse observes left-sided muscle weakness. Which is the most important question for the nurse to ask? 1. "What over-the-counter medications does your parent take?" 2. "What was your parent doing when the symptoms began?" 3. "When did you notice the onset of your parent's symptoms?" 4. "Does your parent have a histo...

ATI:/RN Concept-Based Assessment Level 1 A nurse is admitting a client who has pulmonary tuberculosis which of the following transmission based precautions should the nurse initiate {{Correct Ans- Airborne A nurse in a mental health facility is preparing an educational program for a group of staff nurses about the proper use of restraints which of the following information should the nurse plan to include {{Correct Ans- An adult client may be in mechanical restraint for up to four hour...

Question:-A nurse is assessing a client who has been taking antacids frequently for gastrointestinal distress. The assessment findings include drowsiness, muscle weakness, bradycardia, and hypotension. Which of the following electrolyte imbalance should the nurse suspect? a. hypophosphatemia b. hypochloremia c. hypomagnesemia d. hypernatremia {{Correct Ans- c The nurse should indentify that frequent ingestion of antacids adn laxatives that contain Mg can cause hypermangesemia. Malinfe...

Question:- Meningitis and infants {{Correct Ans- Alterations in temperature, vomiting seizures and nuchal rigidity Question:- Heart Failure what action should the nurse initially take {{Correct Ans- Breath sounds Question:- EMTALA states that {{Correct Ans- Clients should be stable before they can be discharged. Prohibits refusing to care for clients who are uninsured. Question:- How to prevent vasovagal response {{Correct Ans- Avoid bearing down, use an arm reacher to grab items, av...

Hesi questions1- A client at 37 weeks gestation presents to labor and delivery with contraction every 2 minutes the nurse observes several shallow small vesicles on her pubis labia and perineum. The nurse should recognize the client is prohibiting symptoms of which condition? Ans- Herpes simplex virus 4- A client who had her first baby three months ago and is breastfeeding her infant tells the nurse that she is currently using the same diaphragm that she used before becoming pregnant. Whic...

PEDS/OB HESI 1. A mother brings her 8 mo. old baby boy to clinic bc he has been vomiting and had diarrhea for last 3 days. Which assessment is most important for nurse to make? a. Assess infant abdomen for tenderness b. Determine if the infant was exposed to a virus c. Measure the infant’s pulse d. Evaluate the infant’s cry 2. While obtaining the vital signs of a 10-year-old who had a tonsillectomy this morning, the nurseobserves the child swallowing every 2-3 minutes. Which assessm...