Hesi-exit-comprehensive-exam-answers provided. Complete Guide for a GRADE BOOST

A nurse provides home care instructions to a client with coronary artery disease (CAD) who is being discharged from the hospital. Which statement by the client indicates a need for further instruction? A. "I need to carry my nitroglycerin with me at all times." B. "I need to check my pulse before, during, and after exercise." C. "I need to avoid foods with saturated fats and foods high in cholesterol." D. "I need to participate in aerobic and weightlifting exercise three times a week." Correct 137- A nurse provides information to a client who will be undergoing endoscopic retrograde cholangiopancreatography (ERCP). The nurse tells the client that: A. There is no need to fast (NPO status) before the procedure B. The gallbladder is easily removed during this procedure if gallstones are found C. The procedure is performed specifically to visualize the esophagus, stomach, and duodenum D. Dye may be injected during the procedure to permit visualization of the pancreatic and biliary ducts Correct 138.ID: A client who has undergone knee-replacement surgery will be self-administering enoxaparin sodium (Lovenox) at home. The nurse teaches the client about the medication and tells the client to: A. Store the medication in the refrigerator B. Lie down to administer the subcutaneous injection Correct C. Inject the medication in the upper outer aspect of the arm D. Discard the medication if the solution appears pale yellow 139.ID: An intravenous dose of adenosine (Adenocard) is prescribed for a client to treat Wolff-ParkinsonWhite syndrome. Which piece of equipment does the nurse make a priority of obtaining before administering the medication? A. Pulse oximeter B. Cardiac monitor Correct C. Blood-pressure cuff D. Suction catheter and suction machine 140.ID: A nurse provides information to a client with coronary artery disease (CAD) about smoking-cessation measures. Which statement by the client indicates a need for further information? A. "A community support group will help me quit." B. "I should drink a cup of coffee if I feel the urge to smoke." Correct C. "Relaxation exercises will help control my urge to smoke." D. "I can try chewing gum or sucking on hard candy if I feel the urge to smoke." 141.ID: Captopril (Capoten) is prescribed for a hospitalized client with heart failure. Which action is a priority once the nurse has administered the first dose? A. Checking the client's apical heart rate B. Maintaining the client on bed rest for 3 hours Correct C. Monitoring the client for increased urine output D. Checking the client's breath sounds for decreased wheezing 142.ID: A client with heart failure suddenly experiences profound dyspnea, pallor, audible wheezing, and cyanosis, and the nurse suspects pulmonary edema. The nurse would first: A. Obtain a pulse oximetry reading B. Raise the head of the client's bed Correct C. Administer a dose of morphine sulfate D. Obtain a specimen for an arterial blood gas determination 143.ID: The nurse administers intravenous morphine sulfate to a client in pulmonary edema. For which intended effect of the medication does the nurse monitor the client? A. Relief of pain B. Relief of anxiety Correct C. Decreased urine output D. Increased blood pressure 144.ID: A nurse is providing home care instructions to a client with coronary artery disease (CAD) who will be discharged home and will be taking 1 aspirin daily. The nurse tells the client: A. To stop the aspirin if nausea occurs Incorrect B. To take the aspirin on an empty stomach C. That the aspirin is a short-term treatment and will probably be discontinued in 2 weeks 145.ID: A client receiving parenteral nutrition (PN) suddenly experiences chest pain and dyspnea, and the nurse suspects an air embolism. The nurse immediately places the client in a lateral Trendelenburg position, on the left side. What action does the nurse take next? A. Auscultating heart sounds B. Clamping the intravenous catheter Correct C. Checking the client's blood pressure D. Obtaining an arterial blood gas specimen