nurs 4183 hesi practice questions and answers 100correctverified with explanations new update 2022
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NURS 4183 HESI Practice Questions and Answers
100%correct/verified with Explanations new
update 2022
The nurse is teaching a client newly diagnosed with diabetes
mellitus about the subcutaneous administration of regular and
NPH insulin. Which statement indicates that the client needs
further instruction?
A."I should balance my daily exercise with my dietary intake and
insulin dosages."
B."When I give myself an injection, I should aspirate to
make sure that I am not in a blood vessel."
C. "I should inject my insulin into a different site to reduce the
development of scar tissue."
D."I should remove the dose of clear insulin first and then the
dose of cloudy insulin from the vials."
Rationale:
Aspiration is not necessary when giving insulin because it could
increase tissue trauma and affect the absorption rate. Option C
helps minimize tissue atrophy, which can affect the absorption of
the insulin. Options A and D are correct procedures. The client
should balance an active physical lifestyle with diet, insulin, and
blood glucose monitoring to ensure tight serum glucose level
control. When mixing insulins in the same syringe, the clear
(Regular) insulin is withdrawn first to avoid contamination of the
clear vial with cloudy NPH insulin, which will alter the absorption
rate of the remaining Regular insulin.
NURS 4183 HESI Practice Questions and Answers
100%correct/verified with Explanations new
update 2022
,NURS 4183 HESI Practice Questions and Answers
100%correct/verified with Explanations new
update 2022
Which assessment finding for a client with peritoneal
dialysis requires immediate intervention by the nurse?
A.The color of the dialysate outflow is opaque yellow.
B.The dialysate outflow is greater than the inflow.
C.The inflow dialysate feels warm to the touch.
D.The inflow dialysate contains potassium chloride.
Rationale:
Opaque or cloudy dialysate outflow is an early sign of peritonitis.
The nurse should obtain a specimen for culture, assess the client,
and notify the health care provider. Options B and C are desired.
Option D is commonly done to prevent hypokalemia.
A client with small cell carcinoma of the lung has also
developed syndrome of inappropriate antidiuretic hormone
(SIADH). Which outcome finding is the priority for this client?
A.Reduced peripheral edema
B.Urinary output of at least 70 mL/hr
C.Decrease in urine osmolarity
D.Serum sodium level of
137 mEq/L Rationale:
Syndrome of inappropriate antidiuretic hormone (SIADH) results
from an abnormal production or sustained secretion of antidiuretic
NURS 4183 HESI Practice Questions and Answers
100%correct/verified with Explanations new
update 2022
,NURS 4183 HESI Practice Questions and Answers
100%correct/verified with Explanations new
update 2022
hormone, causing fluid retention, hyponatremia, and central
nervous system (CNS) fluid shifts. The client's normalization of the
serum sodium level (normal is 135 to 145 mEq/L) is the most
important outcome because sudden and severe hyponatremia
caused by fluid overload can result in heart failure. Fluid
retention of SIADH contributes to daily weight gain, which can
predispose to peripheral edema, but the higher priority outcome is
the effect on serum electrolyte levels. Although options B and C
are findings associated with resolving SIADH, they do not have the
priority of option D.
A client with glomerulonephritis is scheduled for a creatinine
clearance test to determine the need for dialysis. Which
information should the nurse provide the client prior to the test?
A.Failure to collect all urine specimens during the
period of the study will invalidate the test.
B.Blood is collected to measure the amount of creatinine and
determine the glomerular filtration rate (GFR).
C.Dialysis is started when the GFR is lower than 5 mL/min.
D.Discard the first voiding, and record the time and amount of
urine of each voiding for 24 hours.
Rationale:
Glomerulonephritis damages the renal glomeruli and affects the
NURS 4183 HESI Practice Questions and Answers
100%correct/verified with Explanations new
update 2022
, NURS 4183 HESI Practice Questions and Answers
100%correct/verified with Explanations new
update 2022
kidney's ability to clear serum creatinine into the urine. Creatinine
clearance is a 24-hour urine specimen test, so all urine should be
collected during the period of the study or the results will be
inaccurate. As renal function decreases, the creatinine level will
decrease in the urine. Dialysis is usually started when the GFR is
12 mL/min. There is no need to record the frequency and amount
of each voiding during the time span of urine collection.
The health care provider prescribes 1000 mL of Ringer's lactate
solution with 30 units of oxytocin (Pitocin) to infuse over 4 hours
for a client who has just delivered a 10-lb infant by cesarean
section. The tubing has been changed to a 20 gtt/mL
administration set. The nurse should set the flow rate at how
many gtt/min?
Rationale:
Use the following calculation:
1000 mL of LR with oxytocin 30 mg/4 hours = 250 ml/hr x 20
gtt/60 = 83.3 or 83 ml/hr
1000 mL/4 = 250 mL/hr 250 x 20 gtt = 5,000 5000/60 = 83.3 or 83 mL/hr
Which assessment is most important for the nurse to
implement when seeing a client with multiple myeloma?
A.Inspection of the skin
NURS 4183 HESI Practice Questions and Answers
100%correct/verified with Explanations new
update 2022
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