HESI Diagnostic Exam - Integration (Complete Solutions)

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HESI Diagnostic Exam - Integration (Complete Solutions) The nurse assesses a client who is newly diagnosed with hyperthyroidism and observes that the client's eyeballs are protuberant, causing a wid... e-eyed appearance and eye discomfort. Based on this finding, which action should the nurse include in this client's plan of care? A. Assess for signs of increased intracranial pressure B. Obtain a prescription for artificial tear drops C. Prepare to administer intravenous levothyroxine D. Review the client's serum electrolyte values The nurse is documenting a client's fluid intake at lunch, which consisted of four ounces of chicken broth, one cup of water, and one half cup of flavored gelatin. How many mL of intake should be entered in the client's electronic medical record? 43 The nurse is assessing a client who has a bowel obstruction. Which observations should the nurse expect to find? (Select all that apply) A. Peristaltic waves observed B. Abdominal distention C. Abdomen soft on palpation D. Dullness on percussion E. High pitched bowel sounds The nurse notes that a client's plan of care includes the problem, "Deficient Knowledge (Dietary changes)." In developing a teaching plan, what information is most important for the nurse to obtain? A. Etiology of the problem B. Availability of the dietician for consultation C. Family members involved in the client's care D. Age of the client An older client who is admitted with a cerebrovascular accident is placed on a ventilator. The client's family member arrives with a durable power of attorney, and a living will that indicates the client wants no extraordinary life saving measures. Which action should the nurse take? A. Review the medical record B. Notify the healthcare provider C. Discontinue the ventilator D. Refer to the risk manager An elderly client with Alzheimer's disease is being discharged with several prescriptions and the nurse plants to teach the daughter, who is the primary caregiver, about drug administration. What is the best method to use in evaluating the daughter's understanding? A. Observe the daughter administering the medication before leaving the hospital B. Evaluate the questions asked by the daughter after providing them with written instructions C. Administer a written test on medication administration after watching the nurse administer the drugs. D. Ask the daughter to repeat the dosages and methods for administration to assess her understanding A mother is concerned that her 3-year-old son wants to play with female doll figures. The child is not interested in building blocks, trucks, or other typical "boy" toys. How should the nurse respond to the mother's concern? A. Experimenting with different toys is an acceptable behavior B. Replacing female doll figures with male doll figures reinforces masculinity C. Exploring different roles in imaginary play is typical at this age D. Letting male toddlers play with female-typed toys can have negative effects After seven-day treatment with an IV antibiotic, the healthcare provider discharges a client from the hospital and writes a prescription for an oral antibiotic. In providing discharge instructions, the nurse notes that the dosage for the oral antibiotic is significantly higher than the IV antibiotic. What resource should the nurse use first in resolving the situation? A. Healthcare provider B. Medication reference guide C. Hospital pharmacist D. Nursing unit charge nurse A 30-year-old male client tells the nurse that about half of this diet comes from eating meat and eggs. What instruction should the nurse provide? A. Maintain protein intake but substitute fish and nuts for meat and eggs B. Increase protein intake with the additional intake of dairy products C. Maintain protein intake and increase intake of fruits and vegetables D. Decrease protein intake and eat more whole grains and vegetables A client has a viral hepatitis A and hepatic encephalopathy. An unlicensed assistive personnel (UAP) is assigned to help the client with a bath. Which information should the nurse reinforce with the UAP? A. Don a mask when handling bedpan B. Maintain strict reverse isolation C. Wear gloves while giving the bath D. Restrict the client's family visitation The practical nurse (PN) caring for a client with acute heart failure (HF) and pitting edema tells the charge nurse that a verbal prescription was obtained from the healthcare provider for 1,000 mL of D5 normal saline to be administered over 4 hours. Which action should the charge nurse take? A. Clarify the prescription with the healthcare provider B. Determine if the client has crackles in the lungs C. Ensure that an IV pump is used to administer the infusion D. Assess the PN's ability to carry out the prescription The nurse is teaching a client about coronary artery disease (CAD) preventative health. Which behavior stated by the client indicates a need for additional information and teaching? A. Increased fiber, complex carbohydrates, and vegetables in the diet B. Performs 30 minutes of physical activity 5 days per week C. Avoids foods that are high in saturated fats D. Decreased the number of cigarettes smoked per day While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse performs a neurological assessment every four hours. Which assessment finding warrants immediate intervention by the nurse? A. Asymmetrical weakness B. Weakened cough effort C. Increasing anxiety D. Inappropriate laughter A 6-year-old male with a body mass index (BMI) in the 95th percentile for gender and age arrives at the clinic after a referral from the school nurse. His laboratory findings include hemoglobin A1c of 5.5% (0.06), blood pressure (BP) in the 50th percentile for age, height int he 75th percentile, and an LDL cholesterol of 90 mg/dL (2.33 mmol/L). Which lifestyle modification should the nurse discuss with the parents? A. Recommend increasing daily fruits and vegetables and daily exercise B. See a healthcare provider to further assess for diabetes and hypertension C. Return in one month for another evaluation of serum lipids and blood pressure D. Instruct the parents to weight the child weekly and measure his BP daily An older male client is admitted with hypothermia with a core body temperature of 95° F (35°C) due to the lack of adequate heat in his home. Which findings should the nurse expect to obtain? (Select all that apply) [Show More]

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