Exam (elaborations)
HESI QUESTION
Exam of 9 pages for the course ARTICLE at ARTICLE (HESI QUESTION)
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3‐Which question is most useful for the nurse to ask a client who is taken an opiod analgesic daily forchronic pain when trying to determine if the client has developed drug tolerance?
A) Do you feel shaky and weak just prior to the time of your next scheduled dose of medication?
B)Do you ever experience a craving for the medication several hours before the next dose is scheduled?
C)Does your medication continue to relieve your pain as effectively as it did previously?
D)Have you experienced any nausea or constipation since you started taking this medication?
4.‐One day following as open reduction and internal fraction of a composed fracture of the left leng.a
male client complains of a tingly sensation in this left feet. The nurse determines the client's pedal pulses
are diminished. Based on this findings what is the client's greatest risk?
A)Neurovascular and circulation compression related to compartment syndrome.
B)Reduced pulmonary ventilation and oxygenation related to .... embolism.
C)...................... and thrombophlebitis related to postoperative immobility.
D)Wound infection and delayed healing related to fractured bone proctruction.
5.‐The atypical antipsychotic ziprasidone (Geodon) is prescribed for a client with a medical diagnosis of
schizophrenia. After the client has been taking the medication for two weeks ,the nurse assesses the
drug's effectiveness.Which client report suggests that the medication is helpful.
A)Feels less depressed.
B)Hears voices less often.
C)Nervousness has decreased.
D)Sleeps better at night.
7.‐During a home visit ,the nurse determines that a male client is experencing symptoms that should be
controlled by his prescribed medication. The client states that he forgot when he was supposed to take
his medications. What is the priority nursing problem when the nurse develops the plan of care for this
client?
A)Situational low self‐esteem related to symptoms of illness.
B)Noncompliance related to lifestyle change.
C)Ineffective heath maintenance related to lack of knowledge.
D)Self neglect related to loss of cognitive function.
8.‐While assessing a radial artery catheter ,the client complains of numbness and pain distal to the
, insertion site. What intervention should the nurse implement?
A)Irrigate the arterial line using a syringe with sterile saline.
B)Promptly remove the arterial catheter from the radial artery.
C)Administer a PRN anal esic and assess numbness in 30 min.
D)Determine if aspirin was given prior to radial artery catheter insertion.
9.‐An older client is admitted with fluid volume deficit and dehydration .Which assessment finding is the
best indicator of hydration that the nurse should report to the healthcare provider?
A)The client denies being thirsty.
The test bank has the answer as B, the answer
B)Urine specific gravity is 1.040. should be A, but will be marked wrong if you
C)Skin tenting occurs when the client forearm is pinched. mark A. Choose B!
D)Systolic blood pressure decreased 10 points when standing.
12‐A female client with pneumonia and a history of sickle cell anemia begins to complain of pain in her
fingers, which indicates to the nurse a possible ensuing sickle cell crisis.What is the underlying
pathophysiology for pain in sickle cell crisis?
A)Hemolysis of blood cells containing hemoglobin S increases cellular debris that results in bone pain.
B)Sickled red blood cells do not flow through small blood vessels,leading to vasocclusion and ischemia.
C)Production of abnormal red cells in the bone marrow causes extreme pain.
D)Viscosity of the blood creates sluggish blood flow,leading to blood clots.
13.‐An elderly client with type 2 diabetes mellitus has an increased risk for dehydration.What factor
associated with aging contributes to the occurrence of dehydration among older persons with diabetes.
A)Rapidly seeking care when illness occurs.
B)Frequent problems with hypoglycemia.
C)Increased occurrence of ketones in the urine.
D)Impaired or decreased thirst sensation.
14.‐The nurse should be most concerned about risk for injury (falls)after administering which medication.
A)Promethazine(phenergan).
B)Pantoprazole(protonix)
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