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HESI INET VERSON 5 NEW EXAM WITH COMPLETE SOLUTIONS LATEST UPDATE 100% PASS
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HESI INET VERSON 5 NEW EXAM WITH COMPLETE SOLUTIONSLATEST UPDATE 100% PASS
After birth of a 36-week-gestation infant, after placing the baby under an isolette and
drying the baby with several blankets, which of the following does the nurse implement
next?
a. Administer the vitamin K injection.
b. Remove the wet blankets and linens from the isolette.
c. Administer erythromycin ophthalmic ointment to each eye.
d. Leave the door of the isolette open to monitor the baby's vital signs.
b. Remove the wet blankets and linens from the isolette.
Wet blankets add to the loss of heat for the newborn. Their removal and replacement
with dry linens maintain the infant's body temperature, an important consideration,
especially in preterm or near-term infants such as a 36-week-gestation newborn.
Denise Bush, MS, RPh, contributed to this solution.
A client who is in the third trimester of pregnancy complains of frequent nasal stiffness
and occasional nosebleeds. The clients chest circumference has increased 5 cm so far
during the pregnancy; she breathes using a thoracic breathing pattern. An elevated
diaphragm with an in-creased costal angle is noted. Which intervention should the nurse
implement?
d. Document the respiratory findings in the clients record as normal
A terminally ill male hospice client is at home and showing decreased awareness of his
environment. He has a poor appetite and frequently refuses oral intake of solids and
fluids. He has remained in bed for several days. Which action should the hospice nurse
take?
,a. Have family stay near the client but remain in the room next to him.
b. Encourage the family to talk frequently with the client.
c. Teach family about the transfer of the client to a wheelchair.
d. Teach family to offer client only soft, bland foods
b. teach family to talk to client often
Even if the client is not cognizant of all that is occurring, soothing voices can be
comforting to the client. Family can reminisce, state love, or simply be with the client,
which can be supportive for all involved.
A 25-year-old woman was admitted yesterday afternoon with severe abdominal pain.
Her pregnancy test and ultrasound were negative, so an exploratory laparotomy was
completed during the night. If coffee ground material is present in the drainage from the
NGT, which
Intervention would the nurse perform?
a. Check for proper placement of the NG tube
b. Perform gastroccult test on the NG drainage.
c. Auscultate for absent bowel sounds.
d. Irrigate the nasogastric tube with water until clear.
b. perform gastroccult test on the nasogastric drainage
A gastroccult test uses a chemical that detects blood in gastric contents. This test
should be done on the nasogastric drainage to confirm whether the coffee ground
material is blood and will be an important clue for the patient's condition.
We have an expert solution to this problem!
The nurse is reviewing the laboratory values for a client with acute pancreatitis who
states that the abdominal pain is not as severe as it was on admission. Which laboratory
test should the nurse review to evaluate the client's clinical recovery?
,a. Lipase.
b. Creatinine.
c. Bilirubin.
d. Glucose.
a. Lipase.
Lipase is a pancreatic enzyme. High levels in the blood are indicative of pancreatitis and
are commonly used for differential diagnosis and monitoring of acute pancreatitis. A
falling trend in lipase levels indicates clinical improvement and resolution of symptoms
of pancreatitis.
The nurse is assessing a client who had a laparotomy the previous day. The client has
300 ml of dark red fluids drained from the nasogastric tube Over the past hour. What
does the nurse do first?
a. Check the client's vital signs
b. Check the urinary output hourly.
c. Call the surgeon immediately.
d. Check the client's pain level.
a. Check the client's vital signs
Considering the situation, assessment for vital signs-blood pressure and heart rate-are
the most urgent and significant actions to confirm whether hypovolemia or any
significant blood volume decline is occurring with the client. These dark red drainages
may indicate bleeding, and these vital signs can help assess overall hemodynamic
status.
The nurse is reviewing a summary of preventive care recommendations for the patient
, with asthma, chronic bronchitis, and emphysema. What is the first priority preventive
health care measure that the nurse should teach these patients?
a. Always keep supplemental oxygen and medication for breathing on hand.
b. Always use tissues for nose and coughing and then perform appropriate hand
hygiene.
c. Receive annual flu and Pneumococcal vaccine polyvalent (PPSV23) vaccines.
c. Avoid large crowded areas during the colder months of the year
d. get annual flu and pneumococcal vaccine polyvalent (PPSV23) vaccines
These vaccines protect against influenza and pneumococcal disease, both serious
complications in individuals suffering from respiratory conditions. Flu can worsen these
conditions and also precipitate them, while pneumococcal pneumonia is a potentially
very dangerous bacterial infection.
The mother of a one-month-old infant calls the clinic and states that the back of her
infant's head is flat. What is the best response by the nurse?
a. Position the infant on the stomach occasionally when awake and active.
b. Turn the infant to the left side braced against the crib when sleeping.
c. Prop the infant in a sitting position with a cushion when not sleeping.
d. When on their back, a small pillow can be placed under the infant's head.
a. While awake and alert, place the infant on their stomach occasionally.
This recommendation concurs with safe sleep guidelines for infants. Although an infant
must be put to sleep on their back to help reduce the risk of SIDS, exposing the infant to
supervised tummy time while awake and alert helps prevent positional plagiocephaly, or
the development of a flat head, by strengthening neck muscles and changing positions
of their head.
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