NURS 460 HESI Practice Questions and Correct Answers
4 views 0 purchase
Course
NURS 460
Institution
NURS 460
A client is admitted to the emergency department after vomiting bright red blood. After the vomiting ceases and the vital signs are stabilized, the client is transferred to a medical-surgical unit. To assess for bleeding, what should the nurse on the medical-surgical unit monitor the client for?
A...
NURS 460 HESI Practice Questions and Correct Answers A client is admitted to the emergency department after vomiting bright red blood. After the vomiting ceases and the vital signs are stabilized, the client is transferred to a medical -surgical unit. To assess for bleeding, what should the nurse on the medic al-
surgical unit monitor the client for? A. Lethargy B. Tachycardia C. Deep Breathing D. Abdominal pain ✅B. Tachycardia Rationale: Tachycardia is a cardiovascular compensatory mechanism as the effort to circulate the decreasing blood volume intensifies. Lethargy is not an initial response to blood loss. The client is more apt to be restless; lethargy may occur later. Breath ing may be rapid, not deep, with blood loss. Abdominal pain is not a response to blood loss. A nurse is caring for a client with acute pancreatitis. Which elevated laboratory test result is most indicative of acute pancreatitis? A. blood glucose B. serum lipase C. serum bilirubin level D. white blood cell count ✅B. Serum Lipase Rationale: Lipase concentration is increased in the pancreas and is elevated in the serum when the pancreas becomes acutely inflamed; this distinguishes pancreatitis from other acute abdominal problems. An elevated blood glucose level is not indicative of pancreatitis but rather diabetes mellitus; however, hyperglycemia and glycosuria may occur in some people with acute pancreatitis if the islets of Langerhans are affected. Serum bilirubin level occurs in other disease processes, such as cholecystitis. Whit e blood cell count is not specific to pancreatitis; white blood cells are elevated in other disease processes. A nurse is caring for a client with a diagnosis of acute pancreatitis and alcoholism. The client asks, "what does my drinking have to do with my diagnosis?" What effect of alcohol should the nurse include when responding? A. promotes the formation of calculi in the cystic duct B. Stimulates the pancreas to secrete more insulin than it can immediately produce C. Alters the composition of enzymes so they are capable of damaging the pancreas
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
