HESI COMP Exam 3 WITH 83 COMPLETE
SOLUTIONS,100%.
HESI COMP Exam 3 WITH 83 COMPLETE
SOLUTIONS,100%.
Which change in sleep patterns is most likely to occur in an older adult? - ANSWER-
Has a decline in stage 4 sleep
The nurse is developing the plan of care for an older client who is immobile and at risk
for pressure ulcers. Which contributing factor should the nurse include in the nursing
diagnosis, "risk for altered skin integrity?" - ANSWER-tissue ischemia
Prolonged, intense pressure affects cellular metabolism by impeding capillary blood flow
to tissue over weight-bearing bony prominences, resulting in tissue ischemia, skin
breakdown, and tissue death
A male client tells the nurse that he is frequently constipated. Which finding should the
nurse identify as a common dietary cause of the complication - ANSWER-Inadequate
intake of dietary fiber and fluids
The nurse is obtaining a client's consent for a paracentesis. What information should a
nurse provide to ensure the client understands the purpose of the procedure -
ANSWER-A needle is inserted to remove excessive fluid from the abdominal peritoneal
cavity.
The nurse is teaching a client with Addison's disease about this new diagnosis. what
pathophysio explanation should the nurse share with the client - ANSWER-c. Adrenal
insufficiency is an autoimmune dysfunction that results from white blood cells damaging
the adrenal cortex
The nurse is caring for a client with diabetic ketoacidosis (DKA) who is manifesting rapid
and deep rests. Which resp pattern should the nurse document? - ANSWER-Kussmaul
respirations
The nurse is teaching a client who is newly diagnosed with Type 1 diabetes mellitus
about diet and insulin. The client should be instructed to perform glucose self-monitoring
when which symptoms occur after exercising? - ANSWER-Shakiness
Which action should the nurse implement when providing nasogastric (NG) feeding to
an unresponsive client? - ANSWER-Check residual volume every four hours.
The healthcare provider prescribes digital evacuation a focal impaction for an older
client who is admitted for a closed head injury after falling out of bed. As a part of the
procedure policy, the nurse applies a topical anesthetic gel to the rectum. What
, HESI COMP Exam 3 WITH 83 COMPLETE
SOLUTIONS,100%.
rationale best supports the use of the anesthetic gel? - ANSWER-Decrease risk for
bradycardia
What nursing intervention should the nurse include in the plan of care for a client
following a bone marrow aspiration? - ANSWER-Use of a compression dressing for firm
pressure to the site
A client is admitted with myasthenia graves (MG). During admission assessment, the
nurse identifies that the client's upper eyelid are drooping. What term should the nurse
document to describe the assessment findings? - ANSWER-Ptosis
The nurse identifies the nursing diagnosis of "visual sensory/perceptual alterations r/t
increased intraocular pressure (IOP)" for a client with glaucoma. Which nursing
intervention should the nurse include in the plan of care? - ANSWER-Encourage
compliance with drug therapy to prevent loss of vision.
A client who is a laboratory technician and has a history of allergic rhinitis, asthma, and
multiple food allergies is scheduled for surgery. Which action should the nurse
implement? - ANSWER-Document a possible Type I latex allergy.
In reviewing the medical record, the nurse notes that a client's last eye examination
revealed an IOP of 28 mmHg. What information should the nurse ask the client? -
ANSWER-Use of prescribed eye drops since last exam by ophthalmologist.
Which action should the nurse implement to assess for Jugular vein distention (JVD) in
a client with heart failure (HF)? - ANSWER-Observe the vertical distention of the veins
as the client is gradually elevated to an upright position.
The nurse identifies a client's laboratory results and identifies an elevated serum
ammonia level. Which pathophysiological process contributes to this finding? -
ANSWER-Failure of the liver to convert ammonia absorbed from the bowel to urea.
A client with GERD is unconscious and unresponsive to stimuli. The nurse places the
client in a side-lying position. The nurse should monitor for the risk of which
complication? - ANSWER-Aspiration pneumonia.
A client returns to the unit after abdominal Nissen fundoplication for treatment of GERD.
After 4 hours, the nurse determines the client has no drainage from the NGT and has
absent bowel sounds. What action should the nurse implement? - ANSWER-Irrigate the
NGT with normal saline
A male client who is admitted with a bleeding peptic ulcer develops sudden, severe
upper abdominal pain. The client becomes diaphoretic and draws his knees over his
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