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1. A client with paranoia is admitted to the mental health unit and immediately goes to the corner of the room and sits quietly without communicating. In approaching the client, what intervention should the nurse implement first? • Explain the nurse's role to the client. 2. Client treated with lithium for bipolar develops diarrhea, vomiting and drowsiness, what action should the nurse do • Notify HCP of the symptoms prior to the next admin of the drug 3. A mental health worker (MHW) ...

HESI RN MENTAL HEALTH EXAM 1- A client with depression remains in bed most of the day, declines activities and re which nursing problem has the greatest priority for this client? A) Loss of interest in diversional activity B) Social isolation C) Refusal to address nutritional needs. D) Low self-esteem 2- The nurse is preparing medications for a client with bipolar disorder and notice antipsychotic medication was discontinued several days ago. Which medication discontinued? A) Lithium (...

HESI MED SURG 2021 1) A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse assesses that there has been no drainage through the nasogastric tube in the last 2 hours. Which action should the nurse take first? A. Irrigate the nasogastric tube with sterile normal saline. B. Reposition the client on her side. C. Advance the nasogastric tube 5 cm. D. Administer an intravenous antiemetic as prescribed. B. The priority is to determined if the t...

HESI RN Maternal 1. A 38-week primigravida who works as a secretary and sits at a computer for 8 hours each day tells the nurse that her feet have begun to swell. Which instruction would bemost effective in preventing pooling of blood in the lower extremities? Move about every hour Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on the pelvic veins. Moving about every hour will straighten out the pelvicveins and increase venous return. 2. A 26...

HESI EXIT EXAM V3 1. A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set of dentures prior to leaving the unit for the operating room. What would be the most appropriate intervention by the nurse? A) Explain to the client that the dentures must come out as they may get lost or broken in the operating room B) Ask the client if there are second thoughts about having the procedure C) Notify the anesthesia department and the surgeon of the client's re...

HESI EXIT EXAM V1 1. Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy? A) Eat a light diet for the rest of the day B) Rest for the next 24 hours since the preparation and the test is tiring. C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2 days D) Measure the urine output for the next day and immediately notify the health care provider if it should decrease. The correct answer is D: Measure...

HESI RN OB 1. The nurse is caring for a client who had an emergency cesarean section, with her husband in attendance the day before. The baby’s Apgar was 9/9. The woman and her partner had attended childbirth education classes and had anticipated having a water birth with family present. Which of the following comments by the nurse is appropriate? a) “Sometimes babies just don’t deliver the way we expect them to.” b) “With all of your preparations, it must have been disappointi...

HESI RN MENTAL HEALTH V1 1. A client is Prescribed Risperidone (Risperdal) forschizophrenia. Which Side Effects Should the nurse report to the Health Provider? Fever, Tachycardia, Diopheris (sweathing) 2. A homeless women who is well-educated and has chronic schizophrenia is admitted to the mental health unit when found by the police walking in the middle of the street. The client presents with strong body odor, dirty clothes and avoliation. After a week of neurolepticdrug therapy drug th...

HESI RN Medical Surgical V1 1.A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. Which of the following neurologic deficits should the nurse expect to find when assessing the client? ( select all that apply) Visual spatial deficits Left hemianopsia ( blindness in the left half of the visual field) One-sided neglect 2.A nurse is reviewing the health record of a client who is scheduled for aller...

HESI RN MED SURG 1. The nurse is assessing a 48-year-old client with a history of smoking during a routine clinic visit. The client, who exercises regularly, reports having pain in the calf during exercise that disappears at rest. Which of the following findings requires further evaluation? 1. Heart rate 57 bpm. 2. SpO2 of 94% on room air. 3. Blood pressure 134/82. 4. Ankle-brachial index of 0.65. An Ankle-Brachial Index of 0.65 suggests moderate arterial vascular disease in a client who...