*NURSING > HESI > HESI Exit (Questions and answers) 2022 update. 100% pass rate. (All)

HESI Exit (Questions and answers) 2022 update. 100% pass rate.

Document Content and Description Below

HESI Exit (Questions and answers) 2022 update. 100% pass rate. A client is admitted to the intensive care unit with diabetes insipidus due to a pituitary gland tumor. Which potential complicati... on should the nurse monitor closely? A. Hypokalemia B. Ketonuria. C. Peripheral edema D. Elevated blood pressure - ✔✔A. 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. - ✔✔C. 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. B. Apply a barrier cream to perianal areas. C. Report suspicion of elder abuse. D. Implement toilet training program. E. Offer beverages at frequent intervals. - ✔✔B. Apply a barrier cream to perianal areas. D. Implement toilet training program. E. Offer beverages at frequent intervals. The plan of care should include measures to prevent skin breakdown due to the incontinence using a barrier cream (B) and a toileting program (D) to help reduce the incidence of incontinence. Dry mucous membranes indicate the need for increased fluids (E). Further assessment is needed before the other interventions are indicated. Sleep apnea - obesity - ✔✔Obesity is a risk factor for OSAS, and calculation of BMI provides data related to obesity. A BMI of 30.00 and above is considered obese. pyloric stenosis- preop - ✔✔Hydrating an infant prior to surgery with prescribed IV fluids is the highest priority bc vomiting associated with pyloric stenosis often contributes to dehydration. diabetes insipidus - ✔✔Pituitary tumors that suppress ADH result in DI, which can cause massive polyuria and serum electrolytes imbalances, including hypokalemia which can lead to lethal arrythmias. acute pancreatitis - care - ✔✔The pathophysiologic processes in AP result form oral fluid and food ingestion that causes secretion of pancreatic enzymes, which destroy ductal tissue and pancreatic cells, resulting in autodigestion and fibrosis of the pancreas. The main focus of nursing care is reducing pain caused by pancreatic destruction through interventions that decrease GI activity such as keeping the pt NPO. Sex in a hospital room - ✔✔Coming upon a client and visitor engaged in sexual activity requires the nurse to use clinical judgement and sensitivity. The nurse should leave and provide privacy. Eczema pruritis - ✔✔Antiinflammatory actions of topical corticosteroids and oral antihistamines provide relief from severe itching. (pruritis) Paralytic ileus- volvulus - ✔✔A paralytic ileus develops due to local inflammatory reactions of the bowel and its innervation that cause the failure of normal peristalsis action through the GI tract. The intestinal volvulus that occured due to surgery is the pathological mechanism associated with the pt presentation. Cardiac ablation- delegate - ✔✔Ablation therapy uses radiofrequency, microwave, laser or cryothermy to ablate areas of the cardiac system that are the source of ectopic cardiac dysrhythmias, which can cause syncope. Skin preparation including hair removal can be delegated to the UAP. TIAs- POC - ✔✔A TIA is an arterial event that causes temporary O2 deficit to the brain and manifests with signs of a stroke or CVA, which resolves in less than 24 hours without permanent damage. To assist in determining the course of treatment, the nurse should conduct focused neurological assessments every two hours to identify resolution of symptoms in the first 24 hours. Postpartum infection - ✔✔temperature 100.4 F or higher on any two consecutive postpartum days exclusive of the first 24 hrs; chills; tachycardia. Foul-smelling lochia (vaginal discharge after birth) is indicative of endometritis (infection of the lining of the uterus) Diaper rash- skin care - ✔✔Changing the diaper more often helps to decrease the amount of time the skin comes in contact with wet soiled diapers and helps heal the irritation. Addisons- teach - ✔✔During times of stress, something as simple as the common cold can require additional corticosteroids to avoid a life-threatening adrenal crisis for the client with Addison's disease, so it is important to include this information in the teaching plan. Psoriasis- psychosocial - ✔✔Touch, more than any other gesture communicates acceptance of the client with a sin problem such as psoriasis. While the other options are worthwhile nursing interventions, they do not address this client's need for acceptance. Which of the following is the hallmark symptom for peripheral arterial disease (PAD) in the lower extremity? a) Intermittent claudication b) Acute limb ischemia c) Dizziness d) Vertigo - ✔✔Intermittent claudication often reported as severe cramping pain in the extremities after activity is the hallmark symptom of peripheral arterial insufficiency. Acute limb ischemia is a sudden decrease in limb perfusion, which produces new or worsening symptoms that may threaten limb viability. Dizziness and vertigo are associated with upper extremity arterial occlusive disease. Platelet inhibitor - urine monitoring - POC Following a cardiac catheterization and placement of a stent in the right coronary artery, the nurse administers prasugrel, a platelet inhibitor, to the client. To reduce the risk of adverse effects from the medication, which assessment should the nurse include in this client's plan of care? A. Observe color of urine. [Show More]

Last updated: 1 year ago

Preview 1 out of 11 pages

Reviews( 0 )

Recommended For You

 *NURSING> HESI > HESI PHARMACOLOGY PRACTICE QUIZ BANK (QUESTIONS AND ANSWERS) (All)

preview
HESI PHARMACOLOGY PRACTICE QUIZ BANK (QUESTIONS AND ANSWERS)

HESI PHARMACOLOGY PRACTICE QUESTIONS AND ANSWERS LATEST UPDATED SOLUTIONS\HESI PHARMACOLOGY PRACTICE QUESTIONS AND ANSWERS LATEST UPDATED SOLUTIONS\HESI PHARMACOLOGY PRACTICE QUESTIONS AND ANSWERS LAT...

By Excellent001solutions , Uploaded: Feb 07, 2022

$14

 *NURSING> HESI > 2019 PN Hesi Exit V1 (Questions and Answers) - GRADED A (All)

preview
2019 PN Hesi Exit V1 (Questions and Answers) - GRADED A

Question 1 A school-age client with diabetes is placed on an intermediateacting insulin and regular insulin before breakfast and before dinner. She will receive a snack of milk and cereal at bedti...

By QUIZ GURU , Uploaded: Mar 11, 2021

$15

 *NURSING> HESI > HESI A2 BIOLOGY (Questions and Answers) (All)

preview
HESI A2 BIOLOGY (Questions and Answers)

HESI A2 BIOLOGY 1. Which movement requires carrier protein but noo direct cellular energy? Facilitated transport 2. Which term denotes the movement of glucose molecules from an area of lower concen...

By YourTutor , Uploaded: Jan 28, 2021

$15

 *NURSING> HESI > 2018 HESI EXIT RN V1-V7 (Questions and Answers) (All)

preview
2018 HESI EXIT RN V1-V7 (Questions and Answers)

2018 HESI EXIT RN V1-V7 (Questions and Answers) Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat...

By YourTutor , Uploaded: Jan 27, 2021

$30.5

 *NURSING> HESI > 2019 HESI EXIT V2 (Questions and Answers) (All)

preview
2019 HESI EXIT V2 (Questions and Answers)

2019 HESI EXIT V2 (Questions and Answers) 1. The nurse knows that which statement by the mother indicates that the mother understands safety precautions with her four month-old infant and her 4 year...

By YourTutor , Uploaded: Jan 27, 2021

$20.5

 *NURSING> HESI > Hesi Fundamentals 2019 Exam (Questions and Answers) (All)

preview
Hesi Fundamentals 2019 Exam (Questions and Answers)

Hesi Fundamentals 2019 Exam (Questions and Answers) 1. The home health nurse visits an elderly female client who had a brain attack three months ago and is now able to ambulate with the assistance of...

By YourTutor , Uploaded: Jan 27, 2021

$19.5

 Health Care> HESI > RN Exit Hesi 2022/2023 (QUESTIONS AND ANSWERS) (All)

preview
RN Exit Hesi 2022/2023 (QUESTIONS AND ANSWERS)

Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy? A) Eat a light diet for the rest of the day B) Rest for the next 24 hours since the preparat...

By Tenhang , Uploaded: Aug 26, 2022

$8

 Health Care> HESI > HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 1. A client's infusion of normal saline infiltrated earlier today, and approximately 500 mL of saline infused into the subcutaneous tissue. The client is now complaining of excruciating arm pain and demanding "stronger pain medications. [Show less]HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 1. A client's infusion of normal saline infiltrated earlier today, and approximately 500 mL of saline infused into the subcutaneous tissue. The client is now complaining of excruciating arm pain and demanding "stronger pain medications. [Show less]HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 1. A client's infusion of normal saline infiltrated earlier today, and approximately 500 mL of saline infused into the subcutaneous tissue. The client is now complaining of excruciating arm pain and demanding "stronger pain medications. [Show less]HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 1. A client's infusion of normal saline infiltrated earlier today, and approximately 500 mL of saline infused into the subcutaneous tissue. The client is now complaining of excruciating arm pain and demanding "stronger pain medications. [Show less]HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 1. A client's infusion of normal saline infiltrated earlier today, and approximately 500 mL of saline infused into the subcutaneous tissue. The client is now complaining of excruciating arm pain and demanding "stronger pain medications. [Show less] (All)

preview
HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 1. A client's infusion of normal saline infiltrated earlier today, and approximately 500 mL of saline infused into the subcutaneous tissue. The client is now complaining of excruciating arm pain and demanding "stronger pain medications. [Show less]HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 1. A client's infusion of normal saline infiltrated earlier today, and approximately 500 mL of saline infused into the subcutaneous tissue. The client is now complaining of excruciating arm pain and demanding "stronger pain medications. [Show less]HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 1. A client's infusion of normal saline infiltrated earlier today, and approximately 500 mL of saline infused into the subcutaneous tissue. The client is now complaining of excruciating arm pain and demanding "stronger pain medications. [Show less]HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 1. A client's infusion of normal saline infiltrated earlier today, and approximately 500 mL of saline infused into the subcutaneous tissue. The client is now complaining of excruciating arm pain and demanding "stronger pain medications. [Show less]HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 1. A client's infusion of normal saline infiltrated earlier today, and approximately 500 mL of saline infused into the subcutaneous tissue. The client is now complaining of excruciating arm pain and demanding "stronger pain medications. [Show less]

HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 1. A client's infusion of normal saline infiltrated e...

By SAMUEL KINUTHIA , Uploaded: Oct 15, 2022

$8

 Health Care> HESI > HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 1. A client's infusion of normal saline infiltrated earlier today, and approximately 500 mL of saline infused into the subcutaneous tissue. The client is now complaining of excruciating arm pain and demanding "stronger pain medications. [Show less] (All)

preview
HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 1. A client's infusion of normal saline infiltrated earlier today, and approximately 500 mL of saline infused into the subcutaneous tissue. The client is now complaining of excruciating arm pain and demanding "stronger pain medications. [Show less]

HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 HESI PN Med Surge Exam Review (Questions and Answers) Latest 2020 / 2021 1. A client's infusion of normal saline infiltrated e...

By WINNIE MUMBI , Uploaded: Oct 15, 2022

$4

 *NURSING> HESI > NURS 6670 HESI Maternity Practice Exam (Questions and Answers) Graded 100% Guaranteed Pass New Update 2024/2025 (All)

preview
NURS 6670 HESI Maternity Practice Exam (Questions and Answers) Graded 100% Guaranteed Pass New Update 2024/2025

NURS 6670 HESI Maternity Practice Exam (Questions and Answers) Graded 100% Guaranteed Pass New Update 2024/2025 A male client has right-sided hemiplegia following a left cerebrovascul...

By Rixx Dennis , Uploaded: Apr 18, 2024

$15.5

$7.00

Add to cart

Instant download

Can't find what you want? Try our AI powered Search

OR

GET ASSIGNMENT HELP
62
1

Document information


Connected school, study & course



About the document


Uploaded On

Aug 27, 2022

Number of pages

11

Written in

Seller


seller-icon
bundleHub Solution guider

Member since 2 years

302 Documents Sold


Additional information

This document has been written for:

Uploaded

Aug 27, 2022

Downloads

 1

Views

 62

Document Keyword Tags

THE BEST STUDY GUIDES

Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students

custom preview

Avoid examination resits

Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.

custom preview

Get the best grades

Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality

custom preview

Earn from your notes

Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.

WHAT STUDENTS SAY ABOUT US


What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter

Copyright © Browsegrades · High quality services·