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Hesi EAQ- Exam with Complete Solutions
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Hesi EAQ- Exam with Complete Solutions
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Hesi EAQ- Exam with Complete SolutionsThe nurse is reviewing the reports of a patient suffering from septic shock. The investigation
data is given below. What would the nurse conclude based on these findings?
-serum creatinine 2.5 mg/dl
-Blood Urea Nitrogen 35 mg/dl
-serum calcuim 7 mg/dl
1 Intrinsic acute kidney injury
2 Prerenal acute kidney injury
3 Intrarenal acute kidney injury
4 Postrenal acute kidney injury Correct Ans-Correct 2
An acute kidney injury (AKI) that results from decreased blood perfusion is called prerenal
AKI. Signs of this condition include increased serum creatinine and blood urea nitrogen levels
and decreased serum calcium levels. Intrinsic or intrarenal acute kidney injury and postrenal
acute kidney injury occur due to an injury to glomeruli, nephrons, or tubules and not septic
shock.
A postoperative patient is receiving epidural analgesia and reports itching. What does the
nurse do next?
1 Reduces the analgesic dose
2 Gives diphenhydramine
3 Gives an antiemetic
4 Calls the surgeon Correct Ans-Correct 1
, Hesi EAQ- Exam with Complete Solutions
Pruritus (itching) is a common side effect of epidural opioids and is first treated by reducing
the analgesic dose. Because epidural-induced pruritus does not appear to be caused by
histamine release, diphenhydramine may not be effective in relieving itching and may work
only via its sedating effects. Antiemetics are given to relieve nausea and vomiting. If a health
care provider needs to be called, it would be the anesthesiologist, not the surgeon.
Which questions can be considered foreground questions in evidence-based practice (EBP)?
Select all that apply.
1 "Is jogging better than walking to cut down the fat?"
2 "What are the common symptoms of patients with anorexia?"
3 "What are the frequent causes for one-sided headache?"
4 "Which is the effective treatment for cancer in older patients?"
5 "Is homeopathy better than allopathy to treat diseases?" Correct Ans-Correct 1, 4, 5
The questions, "Is jogging better than walking to cut down the fat?", "Is homeopathy better
than allopathy to treat diseases?", and "Which is the effective treatment for cancer in older
patients?" are all foreground questions. A foreground question usually asks about a
relationship and the question may be controversial. Questions such as "What are the common
symptoms of patients with anorexia?" and "What are the frequent causes for one-sided
headache?" are background questions. A background question usually asks for a fact or a
statement on which most authorities would agree, the answer to the question can be found in
a textbook, and the question is not controversial.
An 80-year-old patient suffering from severe pain in the lower jaw is diagnosed with acute
osteomyelitis. Which symptom may be least likely to be found?
1 Severe throbbing pain
, Hesi EAQ- Exam with Complete Solutions
2 Body temperature of 102°F
3 Swelling of the affected region
4 Erythema of the affected region Correct Ans-Correct 2
Older adults may not have an extreme temperature elevation because of lower core body
temperature and a compromised immune system that occurs with normal aging. Acute
osteomyelitis is characterized by severe throbbing pain, swelling, and erythema of the
affected region.
What interventions does the nurse include when planning care for a patient diagnosed with
thrombocytopenia? Select all that apply.
1 Avoid venipuncture
2 Floss between teeth daily
3 Apply ice to areas of trauma
4 Use the smallest gauge needle possible
5 Measure abdominal girth three times daily Correct Ans-Correct 1, 3, 4
Avoiding venipuncture, applying ice to areas of trauma, and using the smallest gauge needle
possible are appropriate actions when caring for a patient with thrombocytopenia. Patients
with thrombocytopenia should avoid flossing their teeth. Abdominal girth should be
measured once daily.
If sterile gauze falls to the ground and hits the front of the surgeon's gown on the way down,
what does the nurse do to ensure proper infection control?
1 Helps the surgeon change the gown
2 Picks the gauze up with a pair of sterile gloves
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