ADVANCED
HEALTH
|
ASSESSMEN
|
T HESI RN
| |
Q&A
, ADVANCED HEALTH ASSESSMENT HESI RN
| | | |
QUESTIONS AND ANSWERS
| | |
1. An |antacid |(Maalox) |is |prescribed |for |a |client |with |peptic |ulcer |disease. |The |nurse |knows
|that |the |purpose |of |this |medication |is |to
A. Decrease |production |of |gastric |secretions.
B. Produce |an |adherent |barrier |over |the |ulcer.
C. Correct |Maintain |a |gastric |pH |of |3.5 |or |above.
D. Decrease |gastric |motor |activity.
2. In |evaluating |the |effects |of |lactulose |(Cephulac), |which |outcome |would |indicate |that |the
|drug |is |performing |as |intended?
A. An |increase |in |urine |output.
B. Correct. |Two |or |three |soft |stools |per |day.
C. Watery, |diarrhea |stools
D. Increased |serum |bilirubin.
3. The |healthcare |provider |prescribes |digitalis |(Digoxin) |for |a |client |diagnosed |with |congestive
|heart |failure. |Which |intervention |should |the |nurse |implement |prior |to |administering |the
|digoxin? |The |healthcare |provider |prescribes |digitalis |(Digoxin) |for |a |client |diagnosed |with
|congestive |heart |failure. |Which |intervention |should |the |nurse |implement |prior |to
|administering |the |digoxin?
a. Observe |respiratory |rate |and |depth.
b. Correct |Assess |the |serum |potassium |level.
c. Obtain |the |client's |blood |pressure.
d. Monitor |the |serum |glucose |level.
4. Following |the |administration |of |sublingual |nitroglycerin |to |a |client |experiencing |an |acute
|anginal |attack, |which |assessment |finding |indicates |to |the |nurse |that |the |desired |effect |has
|been |achieved?
A. Correct |Client |states |chest |pain |is |relieved.
B. Client's |pulse |decreases |from |120 |to |90.
C. Client's |systolic |blood |pressure |decreases |from |180 |to |90.
D. Client's |SaO2 |level |increases |from |92% |to |96%.
5. A |client |with |congestive |heart |failure |(CHF) |is |being |discharged |with |a |new |prescription |for |the
|angiotensin-converting |enzyme |(ACE) |inhibitor |captopril |(Capoten). |The |nurse's |discharge
|instruction |should |include |reporting |which |problem |to |the |healthcare |provider?
HEALTH
|
ASSESSMEN
|
T HESI RN
| |
Q&A
, ADVANCED HEALTH ASSESSMENT HESI RN
| | | |
QUESTIONS AND ANSWERS
| | |
1. An |antacid |(Maalox) |is |prescribed |for |a |client |with |peptic |ulcer |disease. |The |nurse |knows
|that |the |purpose |of |this |medication |is |to
A. Decrease |production |of |gastric |secretions.
B. Produce |an |adherent |barrier |over |the |ulcer.
C. Correct |Maintain |a |gastric |pH |of |3.5 |or |above.
D. Decrease |gastric |motor |activity.
2. In |evaluating |the |effects |of |lactulose |(Cephulac), |which |outcome |would |indicate |that |the
|drug |is |performing |as |intended?
A. An |increase |in |urine |output.
B. Correct. |Two |or |three |soft |stools |per |day.
C. Watery, |diarrhea |stools
D. Increased |serum |bilirubin.
3. The |healthcare |provider |prescribes |digitalis |(Digoxin) |for |a |client |diagnosed |with |congestive
|heart |failure. |Which |intervention |should |the |nurse |implement |prior |to |administering |the
|digoxin? |The |healthcare |provider |prescribes |digitalis |(Digoxin) |for |a |client |diagnosed |with
|congestive |heart |failure. |Which |intervention |should |the |nurse |implement |prior |to
|administering |the |digoxin?
a. Observe |respiratory |rate |and |depth.
b. Correct |Assess |the |serum |potassium |level.
c. Obtain |the |client's |blood |pressure.
d. Monitor |the |serum |glucose |level.
4. Following |the |administration |of |sublingual |nitroglycerin |to |a |client |experiencing |an |acute
|anginal |attack, |which |assessment |finding |indicates |to |the |nurse |that |the |desired |effect |has
|been |achieved?
A. Correct |Client |states |chest |pain |is |relieved.
B. Client's |pulse |decreases |from |120 |to |90.
C. Client's |systolic |blood |pressure |decreases |from |180 |to |90.
D. Client's |SaO2 |level |increases |from |92% |to |96%.
5. A |client |with |congestive |heart |failure |(CHF) |is |being |discharged |with |a |new |prescription |for |the
|angiotensin-converting |enzyme |(ACE) |inhibitor |captopril |(Capoten). |The |nurse's |discharge
|instruction |should |include |reporting |which |problem |to |the |healthcare |provider?
