Exam (elaborations)
HESI 700 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
- Course
- Institution
HESI 700 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
[Show more]
Content preview
HESI 700 QUESTIONS AND ANSWERSWITH SOLUTIONS 2024
FollowingGdischargeGteaching,GaGmaleGclientGwithGduodenalGulcerGtellsGtheGnurseGtheGheGwillGdrinkGplentyG
ofGdairyGproducts,GsuchGasGmilk,GtoGhelpGcoatGandGprotectGhisGulcer.GWhatGisGtheGbestGfollow-
upGactionGbyGtheGnurse?G-
GANSWERGReviewGwithGtheGclientGtheGneedGtoGavoidGfoodsGthatGareGrichGinGmilkGandGcream
AGmaleGclientGwithGhypertension,GwhoGreceivedGnewGantihypertensiveGprescriptionsGatGhisGlastGvisitGretur
nsGtoGtheGclinicGtwoGweeksGlaterGtoGevaluateGhisGbloodGpressureG(BP).GHisGBPGisG158/106GandGheGadmitsGt
hatGheGhasGnotGbeenGtakingGtheGprescribedGmedicationGbecauseGtheGdrugsGmakeGhimG"feelGbad".GInGexpla
iningGtheGneedGforGhypertensionGcontrol,GtheGnurseGshouldGstressGthatGanGelevatedGBPGplacesGtheGclientGa
tGriskGforGwhichGpathophysiologicalGcondition?G-GANSWERGStrokeGsecondaryGtoGhemorrhage
TheGnurseGobservesGanGunlicensedGassistiveGpersonnelG(UAP)GpositioningGaGnewlyGadmittedGclientGwhoGh
asGaGseizureGdisorder.GTheGclientGisGsupineGandGtheGUAPGisGplacingGsoftGpillowsGalongGtheGsideGrails.GWhatG
actionGshouldGtheGnurseGimplement?G-
GANSWERGInstructGtheGUAPGtoGobtainGsoftGblanketsGtoGsecureGtoGtheGsideGrailsGinsteadGofGpillows
AnGadolescentGwithGmajorGdepressiveGdisorderGhasGbeenGtakingGduloxetineG(Cymbalta)GforGtheGpastG12Gd
ays.GWhichGassessmentGfindingGrequiresGimmediateGfollow-upG-GANSWERGDescribesGlifeGwithoutGpurpose
AG60-year-
oldGfemaleGclientGwithGaGpositiveGfamilyGhistoryGofGovarianGcancerGhasGdevelopedGanGabdominalGmassGan
dGisGbeingGevaluatedGforGpossibleGovarianGcancer.GHerGPapanicolauG(Pap)GsmearGresultsGareGnegative.GWh
atGinformationGshouldGtheGnurseGincludeGinGtheGclient'sGteachingGplanG-
GANSWERGFurtherGevaluationGinvolvingGsurgeryGmayGbeGneeded
AGclientGwhoGrecentlyGunderwentGaGtracheostomyGisGbeingGpreparedGforGdischargeGtoGhome.GWhichGinstr
uctionsGisGmostGimportantGforGtheGnurseGtoGincludeGinGtheGdischargeGplan?G-
GANSWERGTeachGtrachealGsuctioningGtechniques
InGassessingGanGadultGclientGwithGaGpartialGrebreatherGmask,GtheGnurseGnotesGthatGtheGoxygenGreservoirGb
agGdoesGnotGdeflateGcompletelyGduringGinspirationGandGtheGclient'sGrespiratoryGrateGisG14GbreathsG/Gminut
e.GWhatGactionGshouldGtheGnurseGimplementG-GANSWERGDocumentGtheGassessmentGdataG
,Rational:GreservoirGbagGshouldGnotGdeflateGcompletelyGduringGinspirationGandGtheGclient'sGrespiratoryGrat
eGisGwithinGnormalGlimits.
DuringGshiftGreport,GtheGcentralGelectrocardiogramG(EKG)GmonitoringGsystemGalarms.GWhichGclientGalarmG
shouldGtheGnurseGinvestigateGfirst?G-GANSWERGRespiratoryGapneaGofG30Gseconds
DuringGaGhomeGvisit,GtheGnurseGobservedGanGelderlyGclientGwithGdiabetesGslipGandGfall.GWhatGactionGshoul
dGtheGnurseGtakeGfirst?G-GANSWERGCheckGtheGclientGforGlacerationsGorGfractures
AtG0600GwhileGadmittingGaGwomanGforGaGscheduleGrepeatGcesareanGsectionG(C-
Section),GtheGclientGtellsGtheGnurseGthatGsheGdrankGaGcupGaGcoffeeGatG0400GbecauseGsheGwantedGtoGavoidG
gettingGaGheadache.GWhichGactionGshouldGtheGnurseGtakeGfirst?G-
GANSWERGInformGtheGanesthesiaGcareGprovider
AfterGplacingGaGstethoscopeGasGseenGinGtheGpicture,GtheGnurseGauscultatesGS1GandGS2GheartGsounds.GToGde
termineGifGanGS3GheartGsoundGisGpresent,GwhatGactionGshouldGtheGnurseGtakeGfirstG-
GANSWERGListenGwithGtheGbellGatGtheGsameGlocation
AG66-year-
oldGwomanGisGretiringGandGwillGnoGlongerGhaveGaGhealthGinsuranceGthroughGherGplaceGofGemployment.GW
hichGagencyGshouldGtheGclientGbeGreferredGtoGbyGtheGemployeeGhealthGnurseGforGhealthGinsuranceGneeds?
G-GANSWERGMedicare
AGclientGwhoGisGtakingGanGoralGdoseGofGaGtetracyclineGcomplainsGofGgastrointestinalGupset.GWhatGsnackGsh
ouldGtheGnurseGinstructGtheGclientGtoGtakeGwithGtheGtetracycline?G-
GANSWERGToastedGwheatGbreadGandGjelly
FollowingGaGlumbarGpuncture,GaGclientGvoicesGseveralGcomplaints.GWhatGcomplaintGindicatedGtoGtheGnurse
GthatGtheGclientGisGexperiencingGaGcomplication?G-
GANSWERG"IGhaveGaGheadacheGthatGgetsGworseGwhenGIGsitGup"
AnGelderlyGclientGseemsGconfusedGandGreportsGtheGonsetGofGnausea,Gdysuria,GandGurgencyGwithGincontine
nce.GWhichGactionGshouldGtheGnurseGimplementG-GANSWERGObtainGaGcleanGcatchGmid-streamGspecimen
,TheGnurseGisGassistingGtheGmotherGofGaGchildGwithGphenylketonuriaG(PKU)GtoGselectGfoodsGthatGareGinGkeep
ingGwithGtheGchild'sGdietaryGrestrictions.GWhichGfoodsGareGcontraindicatedGforGthisGchild?G-
GANSWERGFoodsGsweetenedGwithGaspartame
BeforeGpreparingGaGclientGforGtheGfirstGsurgicalGcaseGofGtheGday,GaGpart-
timeGscrubGnurseGasksGtheGcirculatingGnurseGifGaG3GminuteGsurgicalGhandGscrubGisGadequateGpreparationGf
orGthisGclient.GWhichGresponseGshouldGtheGcirculatingGnurseGprovide?G-
GANSWERGDirectGtheGnurseGtoGcontinueGtheGsurgicalGhandGscrubGforGaG5GminuteGduration
WhichGbreakfastGselectionGindicatesGthatGtheGclientGunderstandsGtheGnurse'sGinstructionsGaboutGtheGdieta
ryGmanagementGofGosteoporosis?G-GANSWERGBagelGwithGjellyGandGskimGmilk
TheGchargeGnurseGofGaGcriticalGcareGunitGisGinformedGatGtheGbeginningGofGtheGshiftGthatGlessGthanGtheGopti
malGnumberGofGregisteredGnursesGwillGbeGworkingGthatGshift.GInGplanningGassignments,GwhichGclientGshoul
dGreceiveGtheGmostGcareGhoursGbyGaGregisteredGnurseG(RN)G-GANSWERGAnG82-year-
oldGclientGwithGAlzheimer'sGdiseaseGnewly-
fracturesGfemurGwhoGhasGaGFoleyGcatheterGandGsoftGwristGrestrainsGapplied
AGmotherGbringsGherG6-year-
oldGchild,GwhoGhasGjustGsteppedGonGaGrustyGnail,GtoGtheGpediatrician'sGoffice.GUponGinspection,GtheGnurseG
notesGthatGtheGnailGwentGthroughGtheGshoeGandGpiercedGtheGbottomGofGtheGchild'sGfoot.GWhichGactionGsh
ouldGtheGnurseGimplementGfirst?G-
GANSWERGCleanseGtheGfootGwithGsoapGandGwaterGandGapplyGanGantibioticGointment
TheGmotherGofGanGadolescentGtellsGtheGclinicGnurse,G"MyGsonGhasGathlete'sGfoot,GIGhaveGbeenGapplyingGtri
pleGantibioticGointmentGforGtwoGdays,GbutGthereGhasGbeenGnoGimprovement."GWhatGinstructionGshouldGth
eGnurseGprovide?G-
GANSWERGStopGusingGtheGointmentGandGencourageGcompleteGdryingGofGtheGfeetGandGwearingGcleanGsocks
.
AG26-year-
oldGfemaleGclientGisGadmittedGtoGtheGhospitalGforGtreatmentGofGaGsimpleGgoiter,GandGlevothyroxineGsodium
G(Synthroid)GisGprescribed.GWhichGsymptomsGindicateGtoGtheGnurseGthatGtheGprescribedGdosageGisGtooGhig
hGforGthisGclient?GTheGclientGexperiencesG-GANSWERGPalpitationsGandGshortnessGofGbreath
, AGclientGwithGaGhistoryGofGheartGfailureGpresentsGtoGtheGclinicGwithGaGnausea,Gvomiting,GyellowGvisionGandG
palpitations.GWhichGfindingGisGmostGimportantGforGtheGnurseGtoGassessGtoGtheGclient?G-
GANSWERGObtainGaGlistGofGmedicationsGtakenGforGcardiacGhistory
TheGhealthcareGproviderGprescribesGanGIVGsolutionGofGisoproterenolG(Isuprel)G1GmgGinG250GmlGofGD5WGatG
300Gmcg/hour.GTheGnurseGshouldGprogramGtheGinfusionGpumpGtoGdeliverGhowGmanyGml/hour?G(EnterGnu
mericGvalueGonly.)G-GANSWERG75G
Rationale:GConvertGmgGtoGmcgGandGuseGtheGformulaGD/HGxGQ.G300Gmcg/hourG/G1,000GmcgGxG250GmlG=G3/1
GxG25G=G75Gml/hour
TheGpathophysiologicalGmechanismGareGresponsibleGforGascitesGrelatedGtoGliverGfailure?G(SelectGallGthatGap
ply)G-GANSWERG-FluidGshiftsGfromGintravascularGtoGinterstitialGareaGdueGtoGdecreasedGserumGproteinG
-IncreasedGhydrostaticGpressureGinGportalGcirculationGincreasesGfluidGshiftsGintoGabdomenG
-IncreasedGcirculatingGaldosteroneGlevelsGthatGincreaseGsodiumGandGwaterGretention
TheGnurseGisGauscultatingGaGclient'sGheartGsounds.GWhichGdescriptionGshouldGtheGnurseGuseGtoGdocumentG
thisGsound?G(PleaseGlistenGtoGtheGaudioGfirstGtoGselectGtheGoptionGthatGapplies)G-GANSWERGMurmur
TheGhealthcareGproviderGprescribesGceltazidimeG(Fortax)G35GmgGeveryG8GhoursGIMGforGanGinfant.GTheG500G
mgGvialGisGlabeledGwithGtheGinstructionGtoGaddG5.3GmlGdiluentGtoGprovideGaGconcentrationGofG100Gmg/ml.G
HowGmanyGmlGshouldGtheGnurseGadministeredGforGeachGdose?G(EnterGnumericGvalueGonly.GIfGroundingGisGr
equired,GroundGtoGtheGnearestGtenthG-GANSWERG0.4G
rationale:G35mg/100mgGxG1G=G0.35G=G0.4Gml
TheGnurseGnotesGthatGaGclientGhasGbeenGreceivingGhydromorphoneG(Dilaudid)GeveryGsixGhoursGforGfourGda
ys.GWhatGassessmentGisGmostGimportantGforGtheGnurseGtoGcomplete?G-
GANSWERGAuscultateGtheGclient'sGbowelGsounds
Rationale:GhydromorphoneGisGaGpotentGopioidGanalgesicGthatGslowsGperistalsisGandGfrequentlyGcausesGcon
stipation,GsoGitGisGmostGimportantGtoGAuscultateGtheGclient'sGbowelGsounds
AGfemaleGclientGisGadmittedGwithGendGstageGpulmonaryGdiseaseGisGalert,Goriented,GandGcomplainingGofGsh
ortnessGofGbreath.GTheGclientGtellsGtheGnurseGthatGsheGwantsG"noGheroicGmeasures"GtakenGifGsheGstopsGbre
athing,GandGsheGasksGtheGnurseGtoGdocumentGthisGinGherGmedicalGrecord.GWhatGactionGshouldGtheGnurseGi
mplementG-GANSWERGAskGtheGclientGtoGdiscussG"doGnotGresuscitate"GwithGherGhealthcareGprovider
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Performance. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.19. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82215 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now