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HESI-Focus on Adult Health Questions & Answers latest update

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HESI A2 (HESIA2)

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Chamberlain College Of Nursing

A nurse is monitoring a client who is taking spironolactone for the tx of HTN. Which findings denote adverse effects of this med SATA a) constipation b) tall T waves c) hyporeflexia d) shallow resp e) prolonged PR interval f) hyperactive bowel sounds - b, e, f a nurse is providing dietary ...

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a nurse is monitoring a client who is taking spiro
a nurse is providing dietary instructions to a cli

Instelling
Chamberlain College Of Nursing
Vak
HESI A2 (HESIA2)

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HESI-Focus on Adult Health Questions &
Answers latest update

A nurse is monitoring a client who is taking spironolactone for the tx of HTN. Which findings denote
adverse effects of this med SATA

a) constipation

b) tall T waves

c) hyporeflexia

d) shallow resp

e) prolonged PR interval

f) hyperactive bowel sounds - b, e, f

a nurse is providing dietary instructions to a client with COPD who is experiencing a loss of appetitie and
complains of feeling "too full to eat". What does the nurse encourage the client to do SATA

a) avoid drinking fluids before and during meal

b) eat a variety of dark-green vegetables such as broccoli

c) have snacks, such as crackers and cheese, b/w meals

d) select foods that are easy to chew and are not gas forming

e) consume high-calorie drinks, such as milkshakes b/w meals - a, d

a nurse is interpreting a CVP reading from a client in whom right ventricular failure has been diagnosed.
From this dx, the nurse would expect that the most likely results is a pressure of - 14 cm H2O

a nurse is caring for a client who has just undergone thyroidectomy. Which technique is the best way for
the nurse to assess the surgical site for bleeding - checking for moisture on the back of the dressing over
the client's neck and shoulders

a client who sustained a major burn is beginning to take an oral diet again. Which b/w meal menu
selections meet the client's needs for wound healing and tissue repair SATA

a) apple slices and skim milk

b) whole milk a shake and granola

,HESI-Focus on Adult Health Questions &
Answers latest update
c) baked potato topped with cheese

d) cheese and whole wheat crackers

e) cauliflower with low fat ranch dip - b-d

a client is found to have hypoparathyroidism. Which nutritional supplement does the nurse, teaching the
client about measures to manage the disorder, tell the client to take on a daily basis - calcium carbonate
with vitamin D

A nurse participating in a free health screening at the local mall obtains a random blood glucose level of
200 mg/dL on an otherwise healthy client. The nurse tells the client to do which of the following as a
next step? - call his HCP to have these values rechecked ASAP

Levothyroxine sodium is prescribed for a client with hypothyroidism, and the nurse provides information
to the client about the med. Which occurrences does the nurse tell the client to report to the HCP SATA

a) lethargy

b) chest pain

c) palpitations

d) weight gain

e) constipation

f) rapid heart rate - b, c, f

a nurse is developing a plan of care for an older client with diabetic neuropathy of the lower extremities
resulting from type 2 DM. Which problem does the nurse recognize as the highest priority for this client -
increased risk for injury

the nurse is teaching a client with newly diagnosed DM who has been prescribed NPH insulin how to
recognize s/s of hypoglycemia. The client states that he must look for certain s/s in the late afternoon,
indicating to the nurse that he has understood the instructions. What are these s/s SATA

a) shakiness

b) drowsiness

, HESI-Focus on Adult Health Questions &
Answers latest update
c) blurred vision

d) increased thirst

e) feelings of hunger

f) N&V - a, c, e

Glargine insulin is prescribed for a client with type 1 DM. What does the nurse tell the client about this
type of insulin SATA

a) it does not have a peak effect

b) it is usually given once daily, at bedtime

c) it usually has a 24 hour duration of action

d) it may be mixed in a syringe with regular insulin

e) its onset of action comes 4 hours after administration - a-c

a client arrives in the ED after sustaining a chemical splash to the eye. The nurse immediately flushes the
eye with copious amounts of normal saline sltn for 15min and then tests the pH of the eye, using litmus
paper. The nurse should continue the saline flushes until the pH test reads - 7.40

a nurse educator conducts an informational session for ED nurses about small pox. Which statements by
the nurse educator are correct SATA

a) small pox is transmitted by way of the enteric route

b) early manifestations include influenza like symptoms

c) vacinating within 3 days of exposure lowers the risk of active disease

d) the infected person is infectious from the onset of the rash until the scabs separate

e) a difuse red rash noted over the entire body is the first manifestation of the infection

f) airborne precuations are not necessary if the nurse has received the smallpox vaccine - b, c, d

a nurse educator conducts an information session for hospital nurses about skin anthrax. Which
statements by the nurse educator are correct SATA

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