Exam (elaborations)
HESI comp exam 1
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Exam of 27 pages for the course HESI at HESI (HESI comp exam 1)
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HESI comp exam 1 With Correct Answers A nnclient nnwith nnasthma nnreceives nna nnprescription nnfor nnhigh nnblood nnpressure nnduring nna nnclinic nnvisit. nnWhich nnprescription nnshould nnthe nnnurse nnanticipate nnthe nnclient nnto nnreceive nnthat nnis nnat nnleast nnlikely nnto nnexacerbate nnasthma? nn- nnMetoprolol nntartrate nn(Lopressor) Best nnantihypertensive nnmed nnfor nnasthmatics. nnBeta2 nnblocking nnagent nn-- nnalso nna nncardioselective nnand nnless nnlikely nnto nncause nnbronchoconstriction. A nnmale nnclient nnwho nnhas nnbeen nntaking nnpropranolol nn(Inderal) nnfor nn18 nnmonths nntells nnthe nnnurse nnthat nnthe nnhealthcare nnprovider nndiscontinued nnthe nnmedication nnbecause nnhis nnblood nnpressure nnhas nnbeen nnnormal nnfor nnthe nnpast nn3 nnmonths. nnWhich nninstruction nnshould nnthe nnnurse nnprovide? nn- nnAsk nnthe nnhealthcare nnprovider nnabout nntapering nnthe nndrug nndose nnover nnthe nnnext nnweek. HCP nndiscontinued nndrug nnBUT nnmeasures nnto nnprevent nnrebound nncardiac nnexcitation, nnsuch nnas nnprogressively nnreducing nnthe nndose nnover nn1 nnor nn2 nnweeks, nnshould nnbe nnrecommended nnto nnprevent nnrebound nntachycardia, nnhypertension, nnand nnventricular nndysrhythmias. A nnclient nnwho nnis nntaking nnclonidine nn( nnCatapres, nnDuraclon) nnreports nndrowsiness. nnWhich nnadditional nnassessment nnshould nnthe nnnurse nnmake? nn- nnHow nnlong nnhas nnthe nnclient nnbeen nntaking nnthe nnmedication? Drowsiness nncan nnoccur nnin nnthe nnearly nnweeks nnof nntreatment nnwith nnclonidine nnand nnwith nncontinued nnuse nnbecomes nnless nnintense, nnso nnthe nnlength nnof nntime nnthe nnclient nnhas nnbeen nnon nnthe nnmedication nnprovides nninformation nnto nndirect nnadditional nninstruction. The nnnurse nnis nnpreparing nnto nnadminister nnatropine, nnan nnanticholinergic, nnto nna nnclient nnwho nnis nnscheduled nnfor nna nncholecystectomy. nnThe nnclient nnasks nnthe nnnurse nnto nnexplain nnthe nnreason nnfor nnthe nnprescribed nnmedication. nnWhat nnresponse nnis nnbest nnfor nnthe nnnurse nnto nnprovide? nn- nnDecrease nnthe nnrisk nnof nnbradycardia nnduring nnsurgery Atropine nnmay nnbe nnprescribed nnpreoperatively nnto nnincrease nnthe nnautomaticity nnof nnthe nnsinoatrial nnnode nnand nnprevent nna nndangerous nnreduction nnin nnheart nnrate nnduring nnsurgical nnanesthesia. An nn80-year nnold nnclient nnis nngiven nnmorphine nnsulfate nnfor nnpost -op nnpain. nnWhich nnconcomitant nnmed nnshould nnthe nnnurse nnquestion nnthat nnposes nna nnpotential nndevelopment nnof nnurinary nnretention nnin nnthis nngeriatric nnclient? nn- nnTricyclic nnantidepressants Drugs nnwith nnanticholinergic nnproperties nncan nnexacerbate nnurinary nnretention nnassociated nnwith nnopioids nnin nnthe nnolder nnclient. A nnclient nnwith nnosteoarthritis nnis nngiven nna nnnew nnscript nnfor nna nnNSAID. nnThe nnclient nnasks nnthe nnnurse, nn"How nnis nnthis nnmed nndifferent nnfrom nnthe nnacetaminophen nnI nnhave nnbeen nntaking?" nnWhich nninformation nnabout nnthe nntherapeutic nnaction nnof nnNSAIDs nnshould nnthe nnnurse nnprovide? nn- nnProvide nnanti-inflammatory nnresponse NSAIDs nnrelieve nnpain nnassociated nnwith nnosteoarthritis nnand nndiffers nnfrom nnacetaminophen(a nnnon-narcotic nn& nnantipyretic). nnAlso nnpotentially nnhepatotoxic. A nnclient nnwith nncancer nnhas nna nnhistory nnof nnalcohol nnabuse nnand nnis nntaking nnacetaminophen nn(Tylenol) nnfor nnpain. nnWhich nnorgan nnfunction nnis nnmost nnimportant nnfor nnthe nnnurse nnto nnmonitor? nn- nnLiver Acetaminophen nn& nnalcohol nnboth nnmetabolized nnin nnthe nnliver. nnPt nnat nnrisk nnof nnhepatotoxicity nn& nnpotentially nnfatal nnliver nndamage. The nnnurse nnobtains nna nnheart nnrate nnof nn92 nnand nna nnBP nnof nn110/76 nnprior nnto nnadministering nna nnscheduled nndoes nnof nnverapamil nn(Calan) nnfor nna nnclient nnwith nnatrial nnflutter. nnWhich nnaction nnshould nnthe nnnurse nnimplement? nn- nnAdminister nnthe nndose nnas nnprescribed. Verapamil nnslows nnSA nnnodal nnautomaticity, nndelays nnAV nnnodal nnconduction, nnslowing nnventricular nnrate nn& nntreats nnatrial nnflutter. nnHR nnis nnabove nn60 nnand nnBP nnis nnWNL. A nnclient nnis nnadmitted nnto nnthe nnhospital nnwith nna nndiagnosis nnof nnType nn2 nndiabetes nnmellitus nnand nninfluenza. nnWhich nncategories nnof nnillness nnshould nnthe nnnurse nndevelop nngoals nnfor nnthe nnclient's nnplan nnof nncare? nn- nnOne nnchronic nnand nnone nnacute nnillness Adult nnonset nnDM nnis nnlife-long nnchronic nndisease. nnInfluenza nnis nnacute nnillness nnwith nnshort nnterm nnduration. Following nnan nnemergency nnCesarean nndelivery nnthe nnnurse nnencourages nnthe nnnew nnmother nnto nnbreastfed nnher nnnewborn. nnThe nnclient nnasks nnwhy nnshe nnshould nnbreastfeed nnnow. nnWhich nninfo nnshould nnthe nnnurse nnprovide? nn- nnStimulate nncontraction nnof nnthe nnuterus Infant nnsuckling nnbreast nnreleases nnoxytocin nnby nnthe nnposterior nnpituitary nnand nnstimulates nnthe nn"letdown" nnreflex. nnCausing nnrelease nnof nncolostrum nn& nncontracts nnthe nnuterus nnto nnprevent nnuterine nnhemorrhage. Which nnintervention nnshould nnthe nnnurse nninclude nnin nnthe nnplan nnof nncare nnfor nna nnfemale nnclient nnwith nnsevere nnpostpartum nndepression nnwho nnis nnadmitted nnto nnthe nninpatient nnpsychiatric nnunit? nn- nnSupervised nnand nnguided nnvisits nnwith nninfant. Structured nnvisits nnprovide nnan nnopportunity nnfor nnthe nnmother nnand nninfant nnto nnbond nnand nnshould nnbe nnfacilitated nnand nnencouraged nnaccording nnto nnthe nnclient's nnpace nnof nnprogress. A nn16-year -old nnmale nnclient nnis nnadmitted nnto nnthe nnhospital nnafter nnfalling nnoff nna nnbike nnand nnsustaining nna nnfractured nnbone. nnThe nnHCP nnexplains nnthe nnsurgery nnneeded nnto nnimmobilize nnthe nnfracture. nnWhich nnaction nnshould nnbe nnimplemented nnto nnobtain nna nnvalid nninformed nnconsent? nn- nnObtain nnthe nnpermission nnof nnthe nncustodial nnparent nnfor nnthe nnsurgery. Pt nnis nna nnminor nnand nncannot nnlegally nnsign nnhis nnown nnconsent nnunless nnhe nnis nnan nnemancipated nnminor. nnConsent nnshould nnbe nnobtained nnfrom nnthe nnguardian, nncustodial nnparent. During nna nnclient nnassessment, nnthe nnclient nnsays, nn"I nncan't nnwalk nnvery nnwell." nnWhich nnaction nnshould nnthe nnnurse nnimplement nnfirst? nn- nnIdentify nnthe nnproblem Sequential nnproblem nnsolving nnsteps: nn1) nnIdentify nnthe nnproblem, nn2) nnconsider nnalternatives, nn3) nnconsider nnoutcomes nnof nnthe nnalternatives, nn4) nnpredict nnthe nnlikelihood nnof nnthe nnoutcomes nnoccurring nnand nnchoose nnbest nnchance nnof nnsuccess. The nnnurse nnidentifies nna nnclient's nnneeds nnand nnformulates nnthe nnnursing nnproblem nnof, nn"Imbalanced nnnutrition: nnless nnthan nnbody nnrequirements, nnrelated nnto nnmental nnimpairment nnand nndecreased nnintake, nnas nnevidenced nnby nnincreasing nnconfusion nnand nnweight nnloss nnof nnmore nnthan nn30 nnlbs nnover
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