HESI (HESI)

Digoxin (Lanoxin) - positive inotrope (increases force of contraction); negative chronotrope (decreases heart rate). How do you assess for this? - Always take apical pulse for one full minute Client with a long hx of daily digoxin and fourosemide (Lasix) use; creates a high risk for dig toxicity because - Lasix can cause hypokalemia, which can lead to dig toxicity What can happen when Digoxin is taken with Dronedarone (Multaq), which is another anti-dysrhythmic drug)? - Digoxin can increase...

The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain? A. Liver function laboratory results B. Family history of mental illness C. Recent use of other antidepressants D. Weight change in the last month Answer: A. Liver function laboratory result - A. Liver function laboratory results The nurse is preparing a client with chronic obstructive pulmonary disease (COPD)and a c...

A 19-year-old male client who has sustained a severe head injury is intubated and placed on assisted mechanical ventilation. To facilitate optimal ventilation and prevent the client from "fighting" the ventilator, the health care provider administers pancuronium bromide IV, with adjunctive opioid analgesia. What medication should be immediately accessible for a potential complication with this drug? A. Dantrolene sodium B. Neostigmine bromide C. Succinylcholine bromide D. Epinephrine -...

Which of the following is a rapid acting insulin and should be administered immediately before a meal? A. Glargine B. Aspart (Lispro) C. NPH D. Regular - B. Aspart rationale: onset is 5 minutes Glargine=Lantus (long lasting) A PT has an anaphylactic allergy to sulfa drugs. She receives sulfamethoxazole. She becomes flushed and SOB. Her HR is normal but her BP is dropping. You first administer A. Epinephrine B. Diphenhydramine C. Albuterol D. Atropine - A. Epi rationale: raises BP W...

The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider recently changed the medication to enalapril to manage the client's blood pressure. Which instruction should the nurse provide the client regarding the new medication? A. Take the medication at bedtime. B. Report presence of increased bruising. C. Check pulse before taking medication. D. Rise slowly when getting out of bed or chair. - D. Rise slowly when getting out of bed or chair. A female clie...

Monitoring for fetal position is important because the mother cannot tell you she has back pain, which is the cardinal sign of persistant posterior fetal position. Why do the regional blocks, especially epidural and caudal, often result in assisted delivery? A. inability to push effectively in 3rd stage B. inability to push effectively in 4th stage C. inability to push effectively in 1st stage D. inability to push effectively in 2nd stage - D. Regional blocks, especially epidural and caud...

A mother brings her 8 mo. old baby boy to clinic because he has been vomiting and had diarrhea for the last 3 days. Which assessment is most important for the nurse to make? - Measure the infant's pulse While obtaining the vital signs of a 10 year old boy who had a tonsillectomy this morning, the nurse observes the child swallowing every 2-3 minutes. Which assessment should the nurse implement? - Inspect the posterior oropharynx The parents of a 3-year-old boy who has Duchenne muscular dys...

An alert child has been treated for a submersion injury (near drowning). Which complication should the nurse anticipate? A. hypertension B. Edema C. Oliguria D. Hypothermia - D. Hypothermia Almost half of all children who experience near drowning, whether they are asymptomatic or minimally symptomatic, will experience complications during the first 24 hours after the incident. Hypothermia is common in children due to their large surface area relative to body mass, decreased subcutaneous ...

Which formula is most preferable for a child who has lactose intolerance? a. Soy-based formula b. Whey hydrolysate formula c. Cow's milk-based formula d. Amino acid-based formula - a Soy-based formula is a commercially available formula that has a high amount of protein but does not contain lactose. Amino acid-based formula is preferable for a child who has food allergies. However, it is not the most preferable formula for the child with lactose intolerance. Whey hydrolysate formula and ...

The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac catheterization via the right femoral artery. Which assessment finding is an indication of arterial obstruction? A. Blood pressure trend is downward and pulse is rapid and irregular B. Right foot I cool to the touch and appears pale and blanched C. Pulse distal to the femoral artery is weaker on the left foot than right foot D. The pressure dressing at right femoral area is moist and oozing blood - B. Right foot...