HESI LPN- Entrance exam study guide latest exam review

2 days after an abdominal hysterectomy, an elderly client with diabetes Mellitus Type II has a syncopal episode. Her vital signs are within normal limits and her sugar is 325 mg/dL. what intervention should the nurse implement first? - administer regular insulin per sliding scale 4 hours after administration of 20U of regular insulin, the client becomes shaky and diaphoretic. what action should the nurse take? - give the client crackers and milk 36 hours after delivery, the nurse determines a clients fundus is just above the umbilicus and displaced to the right of midline. what action should the nurse take first? - palpate the bladder for distention a 3 year-old admitted with fever of unknown (FUO) has begun vomiting in the past half hour. The child's temp. is 101.8F, and the last does of antipyretic medication was given 5 hours ago. the child has prescriptions of acetaminophen (Tylenol) 160 mg per 5 mL elixir or 16o mg suppositories PRN fever or pain. what action should the nurse take at this time? - make the child NPO and hold all mediations until the vomiting has stopped. A 3-week-old infant is admitted for surgical repair of Pyloric Stenosis. What interventions should the nurse expect to implement to establish hydration in the immediate postoperative period? - nipple feedings with glucose water a 6-month child with bronchiolitis is admitted to the hospital. In monitoring the respiratory status of this child, which symptom indicates the nurse that he is experiencing respiratory distress? - A high pitched cry. a 26 year old gravida-4, para-0 had a spontaneous abortion at 9 weeks gestation. at one house post dilation and curettage (D&C) the nurse assess the vital signs and vaginal bleeding. the client begins to cry softly. how should the nurse intervene? - express sorrow for the clients grief and offer to sit with her. A 26 year-old primigravida who delivered a 7-pound male infant 26 hours ago tells the nurse that she is confused about when she and her husband can return to having sexual intercourse. What info should the nurse reinforce with this client? - they can have intercourse when the episiotomy is healed and the lochial flow has stopped a 60 year old client with cancer of the liver is in hepatic coma and unresponsive. what should the nurse say to family members were inquiring about the condition of their loved one? - "Your loved ones condition is very critical, and there has been no response in the last 24 hours