Health Care > EXAM > NEW 2023 HESI EXIT EXAM GRADED A+ (All)
NEW 2023 HESI EXIT EXAM GRADED A+.A client is admitted to the intensive care unit with diabetes insipidus due to a pituitary gland tumor. Which potential complication should the nurse monitor closely... ? A. Hypokalemia B. Ketonuria. C. Peripheral edema D. Elevated blood pressure - answerA. Hypokalemia Pituitary tumors that suppress antidiuretic hormone (ADH) result in diabetes insipidus, which causes massive polyuria and serum electrolyte imbalances, including hypokalemia, which can lead to lethal arrhythmias. A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for injuries sustained from a fall. His parents are very concerned about this regression in toileting. Which information should the nurse provide the parents? A. A retraining program will need to be initiated when the child returns home. B. Diapering will be provided since hospitalization is stressful to preschoolers. C. Children usually resume their toileting behaviors when they leave the hospital. D. A potty chair will be brought from home so he can maintain his toileting skills. - answerC. Children usually resume their toileting behaviors when they leave the hospital. The parents should be reassured that once the child is back in his familiar environment, he is likely to resume using the toileting behaviors (C). Retraining (A) is unlikely to be needed and such information might be distressing to the parents. (B) does not address the parents' concern. Bringing a potty chair from home (B) is likely to increase the child's stress because he is being encouraged to perform toileting skills while he remains in unfamiliar surroundings. The family of an older woman reports that they are no longer capable of caring for her at home. While performing the admission assessment at a long-term care facility, the nurse determines that the client is in continent of urine, has dry mucous membranes, and has a large bruise on the coccyx. What interventions should the nurse include in the plan of care? (Select all that apply.) A. Thicken liquids and provide pureed foods. [Show More]
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