HESI A2 Critical Thinking Questions Latest Updates 2023 A Grade

HESI A2 Critical Thinking Questions Latest Updates 2023 A Grade. The patient: A 65 yr old male The situation: the family brings the patient to the emergency room because he just took an entire bottle of pills. The question: what action should the nurse take first? - answers-determine the patients level of consciousness The patient: an 80 yr old male who has used continuous oxygen for the past 3 years. The situation: while making a home visit, the wife tells the nurse that her husband was doing well on 2 liters of oxygen per min until late last night when he developed severe shortness of breath on the way to the bathroom. The question: what action should the nurse take first? - answers-assess the patients oxygen saturation by pulse oximeter The patient: 41 y/o male The situation: the patient is complaining of severe stomach pain and states that he has been "vomiting all the time". The question: what should the nurse do first? - answers-administer a prescribed pain medication The patient: the wife of a wealthy owner of towns bank. The situation: the patient and her husband arrive on the unit. While orienting the patient to the hospital room, the nurse notices that the patient has places a large amount of cash and some expensive earrings in the drawer of the bedside table. The question: what is the best action for the nurse to take? - answers-advise the patient to have her husband take the items home when he leaves The patient: A 45 y/o female who is 5`2`` tall, weighs 200 lbs and has smoked since age 21 The situation: the patient comes to the clinic with a complaint of "leg pain" The question: it is most important for the nurse to obtain information about which pervious occurrence? - answers-a pervious blood clot in the leg The patient: 61 y/o female situation: the patient has a fever of unknown origin. The nurse administered a feverreducing medication 30 mins ago. At this time there has been no decrease in the patients fever. The question: what action would be best for the nurse to take? - answers-sponge the patient with cool water The patient: 70 y/o make who is relatively healthy The situation: a liquid medication is prescribed for this patient The question: prior to administering the prescribed medication, what intervention has the highest priority? - answers-determine if the patient is allergic to the medication the patient: 58 y/o female the situation: while the nurse is offering the patient her morning medication, she tells the nurse she does not recall ever taking a pill that was pink colored. The question: what should the nurse do in response to the patients comment? - answers-withhold the medication until the prescription is verified The patients: 1. 63 y/o with burn on the left lower leg who is complaining of pain. 2. a 45 y/o with pneumonia, complaining of shortness of breath 3. 31 y/o with abdominal pain who has just vomited blood. 4. 88 y/o who has right sided paralysis and wants to be helped to the bathroom immediately Situation: the nurse is caring for these patients The questions: who should the nurse see 1st? - answers-45 y/o with pneumonia, complaining of shortness of breath (ABCs- Airway, Breathing, Circulation) The patients 1. a 13 y/o female with a kidney infection who reports that there is "lots of blood in her urine". 2. 18 y/o male with acute alcohol poisoning who is seeing "bugs on the walls" 3. a 21 y/o female with inflammatory bowel disease who has soaked dressing 3 hrs after surgery 4. a 25 y/o male who is sobbing in his room after being told that he has testicular cancer Situation: the nurse is caring for these 4 patients Question: who should the nurse see first? - answers-the 21 y/o who is 3 hrs postoperative and has a soaked dressing Patients: 1. a 42 y/o with diabetes who is blind and is asking to get up and moved to a chair 2. a 88 y/o with lower body paralysis who wants to be turned in bed 3. a 17 y/o with asthma who smokes and has been in the bathroom for 30 mins 4. 55 y/o with cardiac disease who tells the nurse " get the tv fixed or i am leaving this place" Situation: the nurse is caring for these 4 patients The questions: which patient should the nurse see 1st? - answers-17 y/o with asthma and smokes and has been in the bathroom for 30 mins Patient: an elderly female accompanied by her middle aged son. Situation: the patient is being discharged after 15 day stay on medical unit, and the son offers a box of candy as a gesture of thanks for caring for his mother. Questions: what should the nurse do in response to the offer of this gift? - answerssincerely thank the son, and share the candy with all staff members on the unit Patient: 25 y/o female who has smoked since the age 12 Situation: the patient is complaint of "skipped heart beats". The question: which instruction is most important for the nurse to provide this patient? - answers-call for assistance if she feels weak or dizzy when getting out of bed Patient: a frail 88 y/o male who has recently become slightly confused. The situation: the nurse is making a home visit and assesses the safety features of the home environment. The questions: which suggestion would be most important for the nurse to provide the family? - answers-eliminate any throw rugs from the floor The patient: 55 y/o female with a family history of hypertension Situation: the patient is concerned about her health and states " i have have severe headaches for the last six month. I think I might have high blood pressure" The nurse determines the woman's bp is 138/86 (high normal). Question: what action would be best for the nurse to take? - answers-ask the patient about the frequency, timing and quality of her headaches The Patient: A 35-year-old female with a history of asthma. The Situation: The patient has been using a steroid inhaler because she is short of breath. However, she states that her shortness of breath is "no better." The Question: What is the most important information for the nurse to obtain? - an