HESI EXIT EXAM || Latest 15 Versions / 15 Sets Exam ||2500 + Verified Que
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ons and Answers || Complete and Best Document for Exam ||
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Download to Secure High Score in Exam 2022/2023.
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,
, two weeks later to evaluate his blood pressure (BP). His BP is 158/1
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06 and he admits that he has not been taking the prescribed medica
n n n n n n n n n n n n
tion because the drugs make him “feel bad”. In explaining the need
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for hypertension control, the nurse should stress that an elevated B
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P places the client at risk for which pathophysiological condition?
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a- Blindness secondary to cataracts n n n
b- Acute kidney injury due to glomerular damage
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c- Stroke secondary to hemorrhage n n n
d- Heart block due to myocardial damage
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Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrol
n n n n n n n n n n
led hypertension.
n
3. The nurse observes an unlicensed assistive personnel (UAP) posit
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ioning a newly admitted client who has a seizure disorder. The cli
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ent is supine and the UAP is placing soft pillows along the side rail
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s. What action should the nurse implement?
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a- Ensure that the UAP has placed the pillows effectively to protect the cli
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ent.
b- Instruct the UAP to obtain soft blankets to secure to the side rails in
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stead of pillows. n n
, a- Assume responsibility for placing the pillows while the UAP c
n n n n n n n n n
ompletes another task. n n
b- Ask the UAP to use some of the pillows to prop the client in a side lyi
n n n n n n n n n n n n n n n n
ng position.
n
Rationale: The nurse should instruct the UAP to pad the side rails with soft
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blankest because the use of pillows could result in suffocation and would n
n n n n n n n n n n n n
eed to be removed at the onset of the seizure. The nurse can delegate paddli
n n n n n n n n n n n n n n
ng the side rails to the UAP
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4. An adolescent with major depressive disorder has been taking d
n n n n n n n n n
uloxetine (Cymbalta) for the past 12 days. Which assessment fi
n n n n n n n n n
nding requires immediate follow-up?
n n n
a- Describes life without purpose n n n
b- Complains of nausea and loss of appetite n n n n n n
c- States is often fatigued and drowsy
n n n n n
d- Exhibits an increase in sweating. n n n n
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptak
n n n n n n n n
e inhibitor that is known to increase the risk of suicidal thinking in adoles
n n n n n n n n n n n n n
cents and young adults with major depressive disorder. B, C and D are si
n n n n n n n n n n n n n
de effects
n
n n n n n n n n n n n n n n
ons and Answers || Complete and Best Document for Exam ||
n n n n n n n n n n
Download to Secure High Score in Exam 2022/2023.
n n n n n n n
,
, two weeks later to evaluate his blood pressure (BP). His BP is 158/1
n n n n n n n n n n n n
06 and he admits that he has not been taking the prescribed medica
n n n n n n n n n n n n
tion because the drugs make him “feel bad”. In explaining the need
n n n n n n n n n n n n
for hypertension control, the nurse should stress that an elevated B
n n n n n n n n n n
P places the client at risk for which pathophysiological condition?
n n n n n n n n n
a- Blindness secondary to cataracts n n n
b- Acute kidney injury due to glomerular damage
n n n n n n
c- Stroke secondary to hemorrhage n n n
d- Heart block due to myocardial damage
n n n n n
Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrol
n n n n n n n n n n
led hypertension.
n
3. The nurse observes an unlicensed assistive personnel (UAP) posit
n n n n n n n n
ioning a newly admitted client who has a seizure disorder. The cli
n n n n n n n n n n n
ent is supine and the UAP is placing soft pillows along the side rail
n n n n n n n n n n n n n
s. What action should the nurse implement?
n n n n n n
a- Ensure that the UAP has placed the pillows effectively to protect the cli
n n n n n n n n n n n n
ent.
b- Instruct the UAP to obtain soft blankets to secure to the side rails in
n n n n n n n n n n n n n
stead of pillows. n n
, a- Assume responsibility for placing the pillows while the UAP c
n n n n n n n n n
ompletes another task. n n
b- Ask the UAP to use some of the pillows to prop the client in a side lyi
n n n n n n n n n n n n n n n n
ng position.
n
Rationale: The nurse should instruct the UAP to pad the side rails with soft
n n n n n n n n n n n n n n
blankest because the use of pillows could result in suffocation and would n
n n n n n n n n n n n n
eed to be removed at the onset of the seizure. The nurse can delegate paddli
n n n n n n n n n n n n n n
ng the side rails to the UAP
n n n n n n
4. An adolescent with major depressive disorder has been taking d
n n n n n n n n n
uloxetine (Cymbalta) for the past 12 days. Which assessment fi
n n n n n n n n n
nding requires immediate follow-up?
n n n
a- Describes life without purpose n n n
b- Complains of nausea and loss of appetite n n n n n n
c- States is often fatigued and drowsy
n n n n n
d- Exhibits an increase in sweating. n n n n
Rationale: Cymbalta is a selective serotonin and norepinephrine reuptak
n n n n n n n n
e inhibitor that is known to increase the risk of suicidal thinking in adoles
n n n n n n n n n n n n n
cents and young adults with major depressive disorder. B, C and D are si
n n n n n n n n n n n n n
de effects
n
