HESI EXIT V1 2020
Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy?(ANS- Measure the urine output for the next day and immediately notify the health care provider if it should decrease.
A client has altered renal function and is being treated at home. The nurse recognizes that the most accurate indicator of fluid balance during the weekly visits is (ANS- weekly weight
A client has been diagnosed with Zollinger-Ellison syndrome.Which information is most important for the nurse to reinforce with the client?(ANS- It is critical to report promptly to your health care provider any findings of peptic ulcers
A primigravida in the third trimester is hospitalized for preeclampsia. The nurse determines that the client's blood pressure is increasing. Which action should the nurse take first?(ANS- Have the client turn to the left side
The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the ventricular rate is controlled at 75. Which of the following findings is cause for the most concern?(ANS- A cold, pale lower leg
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The client with infective endocarditis must be assessed frequently by the home health nurse. Which finding suggests that antibiotic therapy is not effective, and must be reported by the nurse immediately to the healthcare provider?(ANS- Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
A client who had a vasectomy is in the post recovery unit at an outpatient clinic.Which of these points is most important to be reinforced by the nurse?(ANS- Until the health care provider has determined that your ejaculate doesn't contain
A client who is to have antineoplastic chemotherapy tells the nurses of a fear of being sick all the time and wishes to try acupuncture. Which of these beliefs stated by the client would be incorrect about acupuncture?(ANS- The flow of life is believed to flow through major pathways or nerve clusters in your body.
The nurse is discussing with a group of students the disease Kawasaki. What statement made by a student about Kawasaki disease is incorrect?(ANS- Kawasaki disease occurs most often in boys, children younger than age 5 and children of Hispanic descent
A client has viral pneumonia affecting 2/3 of the right lung. What would be the best position to teach the client to lie in every other hour during first 12 hours after admission?(ANS- Side-lying on the left with the head elevated 10 degrees
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A client has an indwelling catheter with continuous bladder irrigation after undergoing a transurethral resection of the prostate (TURP) 12 hours ago. Which finding at this time should be reported to the health care provider?(ANS- minimal drainage into the urinary collection bag
A nurse is performing CPR on an adult who went into cardiopulmonary arrest.Another nurse enters the room in response to the call. After checking the client's pulse and respirations, what should be the function of the second nurse?(ANS- Participate with the compressions or breathing
. The nurse assesses a 72 year-old client who was admitted for right sided congestive heart failure. Which of the following would the nurse anticipate finding?(ANS- Jugular vein distention
A client with heart failure has a prescription for digoxin. The nurse is aware that sufficient potassium should be included in the diet because hypokalemia in combination with this medication?(ANS- Can predispose to dysrhythmias
A nurse assesses a young adult in the emergency room following a motor vehicle accident. Which of the following neurological signs is of most concern?(ANS- Pupils fixed and dilated
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