2024 HESI CAT Exam Guaranteed A+ Actual Questions and Answers, Complete 100%
- A client with irritable bowel syndrome is recovering from surgery to create
an ileostomy what foods should the nurse instruct the client to avoid to
reduce the risk of food blockage: Dried fruits & nuts
Rationale:
Answer:
dried fruits and nuts can cause a blockage in the small intestine theclient should be instructed to avoid these food items with an ileostomy
- A client with malnutrition is assessed for osteomalacia what data show the
nurse review to determine their clients risk for this health problem:
Answer:
Vitamin D levels
Rationale:
Malnutrition has widespread affects on various organ systems osteomalacia is defective mineralization of newly formed bones secondary to chronic deficiency of vitamin D it results in soft, weak bones that fracture easily vitamin D levels will provide the nurse with the most accurate information regarding this health problem
- The nurse has determine an adolescent client needs reinforcement education
about prevention of a sickle cell crisis which instruction should the
nurse include select all that apply:
Answer:
Wear warm clothes outside in cold weather take your hydroxyurea (Droxia) daily as prescribed Drink at least eight 12 ounces glasses of water a day Get regular exercise but do not exercise so much that you become tired
Rationale: Vaso-occlusive crisis is the most common clinical manifestation of a
sickle cell disease. it occurs when the micro circulation is obstructed by sickling of the red blood cells resulting in local tissue ischemia and severe pain. the three most common identify triggers for the development of a vaso-occlusive crisis are hypoxemia, dehydration, and body temperature changes
- The nurse is caring for a client with schizophrenia who has refused they
are risperidone for the last week the client has been suspicious of nursing staff and periodically aggressive for the past three days today the client 1 / 2
broke a chair in their room and is making verbal threats to the nurse and to other clients in the day wrong what is the first action the nurse should
take:
Answer:
Remove the other clients in nonessential staff from the day room
Rationale:
schizophrenia is a mental health disorder which causes hallucinations, delusions, disorder thought process and impaired behavior function.Safety for all staff clients and visitors is priority and potential violence situations
- A nurse who normally works on a post surgical care unit has been asked
to float to the preoperative care unit what is the best response by the nurse:
Answer:
I don't feel totally comfortable floating so I would like to be paired with a resource nurse for my shift Rationale: The nurse has acknowledged their discomfort with floating and has also identified a means of making a float shift nurse more comfortable and important part of a successful float shift and identifying using resources on the float unit including a partnership with a specific resource nurse for the shift to answer questions locate supplies etc.
- The nurse is preparing to administer medication through a client's nasalgastric
tube what will the nurse do first when administering these medications:
Answer:
Assessed for placement of the nasalgastric tube Before inserting any medication through the nasal gastric tube the nurse needs to assess for correct placement of the tube
- A client with an stage renal failure has requested no further treatment be
provided when the oldest daughter arrives to visit she is visibly upset that all dialysis treatments have ended in demands that treatment be continue what
should the nurse do it this time:
Answer:
Explained that the client has requested that all treatments be stop Rationale: The nurse is responsible for the following clients wishes for treatment the daughter does not need to leave because there's no evidence that the client is upset resuming Dallas treatment is not what the client wants and should not be
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