A client with asthma receives a prescription for high blood pressure during a clinic
visit. Which prescription should the nurse anticipate the client to receive that is at
least likely to exacerbate asthma? - HESI comp exam 1Metoprolol tartrate
(Lopressor)
Best antihypertensive med for asthmati...
HESI comp exam 1 questions with complete solution
A client with asthma receives a prescription for high blood pressure during a clinic
visit. Which prescription should the nurse anticipate the client to receive that is at
least likely to exacerbate asthma? - HESI comp exam 1Metoprolol tartrate
(Lopressor)
Best antihypertensive med for asthmatics. Beta2 blocking agent -- also a
cardioselective and less likely to cause bronchoconstriction.
A male client who has been taking propranolol (Inderal) for 18 months tells the
nurse that the healthcare provider discontinued the medication because his blood
pressure has been normal for the past 3 months. Which instruction should the
nurse provide? - HESI comp exam 1Ask the healthcare provider about tapering the
drug dose over the next week.
HCP discontinued drug BUT measures to prevent rebound cardiac excitation, such
as progressively reducing the dose over 1 or 2 weeks, should be recommended to
prevent rebound tachycardia, hypertension, and ventricular dysrhythmias.
A client who is taking clonidine ( Catapres, Duraclon) reports drowsiness. Which
additional assessment should the nurse make? - HESI comp exam 1How long has
the client been taking the medication?
Drowsiness can occur in the early weeks of treatment with clonidine and with
continued use becomes less intense, so the length of time the client has been on
the medication provides information to direct additional instruction.
The nurse is preparing to administer atropine, an anticholinergic, to a client who
is scheduled for a cholecystectomy. The client asks the nurse to explain the
reason for the prescribed medication. What response is best for the nurse to
provide? - HESI comp exam 1Decrease the risk of bradycardia during surgery
Atropine may be prescribed preoperatively to increase the automaticity of the
sinoatrial node and prevent a dangerous reduction in heart rate during surgical
anesthesia.
An 80-year old client is given morphine sulfate for post-op pain. Which
concomitant med should the nurse question that poses a potential development
of urinary retention in this geriatric client? - HESI comp exam 1Tricyclic
antidepressants
,HESI comp exam 1 questions with complete solution
Drugs with anticholinergic properties can exacerbate urinary retention associated
with opioids in the older client.
A client with osteoarthritis is given a new script for a NSAID. The client asks the
nurse, "How is this med different from the acetaminophen I have been taking?"
Which information about the therapeutic action of NSAIDs should the nurse
provide? - HESI comp exam 1Provide anti-inflammatory response
NSAIDs relieve pain associated with osteoarthritis and differs from
acetaminophen(a non-narcotic & antipyretic). Also potentially hepatotoxic.
A client with cancer has a history of alcohol abuse and is taking acetaminophen
(Tylenol) for pain. Which organ function is most important for the nurse to
monitor? - HESI comp exam 1Liver
Acetaminophen & alcohol both metabolized in the liver. Pt at risk of
hepatotoxicity & potentially fatal liver damage.
The nurse obtains a heart rate of 92 and a BP of 110/76 prior to administering a
scheduled does of verapamil (Calan) for a client with atrial flutter. Which action
should the nurse implement? - HESI comp exam 1Administer the dose as
prescribed.
Verapamil slows SA nodal automaticity, delays AV nodal conduction, slowing
ventricular rate & treats atrial flutter. HR is above 60 and BP is WNL.
A client is admitted to the hospital with a diagnosis of Type 2 diabetes mellitus
and influenza. Which categories of illness should the nurse develop goals for the
client's plan of care? - HESI comp exam 1One chronic and one acute illness
Adult onset DM is life-long chronic disease. Influenza is acute illness with short
term duration.
Following an emergency Cesarean delivery the nurse encourages the new mother
to breastfed her newborn. The client asks why she should breastfeed now. Which
info should the nurse provide? - HESI comp exam 1Stimulate contraction of the
uterus
Infant suckling breast releases oxytocin by the posterior pituitary and stimulates
the "letdown" reflex. Causing release of colostrum & contracts the uterus to
prevent uterine hemorrhage.
, HESI comp exam 1 questions with complete solution
Which intervention should the nurse include in the plan of care for a female client
with severe postpartum depression who is admitted to the inpatient psychiatric
unit? - HESI comp exam 1Supervised and guided visits with infant.
Structured visits provide an opportunity for the mother and infant to bond and
should be facilitated and encouraged according to the client's pace of progress.
A 16-year-old male client is admitted to the hospital after falling off a bike and
sustaining a fractured bone. The HCP explains the surgery needed to immobilize
the fracture. Which action should be implemented to obtain a valid informed
consent? - HESI comp exam 1Obtain the permission of the custodial parent for
the surgery.
Pt is a minor and cannot legally sign his own consent unless he is an emancipated
minor. Consent should be obtained from the guardian, custodial parent.
During a client assessment, the client says, "I can't walk very well." Which action
should the nurse implement first? - HESI comp exam 1Identify the problem
Sequential problem solving steps: 1) Identify the problem, 2) consider
alternatives, 3) consider outcomes of the alternatives, 4) predict the likelihood of
the outcomes occurring and choose best chance of success.
The nurse identifies a client's needs and formulates the nursing problem of,
"Imbalanced nutrition: less than body requirements, related to mental
impairment and decreased intake, as evidenced by increasing confusion and
weight loss of more than 30 lbs over the last 6 months." Which short term goal is
best for this pt? - HESI comp exam 1Eat 50% of six small meals each day by the
end of one week
Short term goals: realistic & attainable, time frame 7-10 days before discharge
A male client is angry and is leaving the hospital AMA. The client demands to take
his chart with him and states it's "his" and doesn't want contact with the hospital
anymore. How should the nurse respond? - HESI comp exam 1The chart is the
property of the hospital but I will see that a cope is made for you.
Pt has legal right to the information in it even if leaving AMA
The nurse manager is assisting a nurse with improving organizational skills and
time management. Which nursing activity is the priority in pre-planning a
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