HESI (nursing)

A primigravida arrives at the observation unit of the maternity unit because thinks is in labor. The nurse applies the external fetal heart monitor and determines that the fetal heart rate is 140 beats/minute and the contractions are occurring irregularly every 10 to 15 minutes. What assessment finding confirms to the nurse that the client is not labor at this time? - Contractions decrease with walking. A primipara has delivered a stillborn fetus at 30 weeks gestation. To asses the parents ...

Client w/ COPD, oxygen 2/l. Nurse observes SOB w/23BPM - Assess the delivery mechanism of the oxygen tank, tubing, and cannula. Client w/ HF, SOB. Nurse to administer morphine sulfate IV - Withhold the morphine till client's dyspnea resolves. two medications at same time. Which property of drugs to watch out for? - Short half life ordered 15000 iu, on hand 25000 iu/ml - 0.6 mL 4 clients admitted to acute neuro unit. which client to be assigned a private room - bacterial meningitis An ol...

1. Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy? A) Eat a light diet for the rest of the day B) Rest for the next 24 hours since the preparation and the test is tiring. C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2 days D) Measure the urine output for the next day and immediately notify the health care provider if it should decrease. - The correct answer is D: Measure the urine output for...

The home care nurse is visiting an older client whose spouse died 6 months ago. Which behavior by the client indicates ineffective coping? 1. Neglecting personal grooming 2. Looking at old snapshots of family 3. Participating in a senior citizens' program 4. Visiting their spouse's grave once a month - 1. Neglecting personal grooming Rationale: Coping mechanisms are behaviors used to decrease stress and anxiety. In response to a death, ineffective coping is manifested by an extreme beh...

A client is prescribed phenobarbital sodium (Luminal) for a seizure disorder. The medication has a long half-life of 4 days. Based on this half-life, the medication will most likely be prescribed A. once a day. B. twice a day. C. three times a day. D. four times a day. - ANS: A Medication with long half-lives remain at their therapeutic levels between doses for long periods of time. Therefore, this medication can be administered once a day. A nurse educator is reviewing medication dosage...

A client who is taking an oral dose of tetracycline reports gastrointestinal upset. Which snack should the nurse instruct the client to take with the tetracycline? a. Fruit-flavored yogurt b. Toasted wheat bread and jelly c. Cold cereal with skim milk d. Cheese and crackers - B. The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which physiological function of the eye will not respond during the therapeutic period after administration of eye drops? a. Refr...

Digoxin (Lanoxin) - positive inotrope (increases force of contraction); negative chronotrope (decreases heart rate). How do you assess for this? - Always take apical pulse for one full minute Client with a long hx of daily digoxin and fourosemide (Lasix) use; creates a high risk for dig toxicity because - Lasix can cause hypokalemia, which can lead to dig toxicity What can happen when Digoxin is taken with Dronedarone (Multaq), which is another anti-dysrhythmic drug)? - Digoxin can increase...

The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain? A. Liver function laboratory results B. Family history of mental illness C. Recent use of other antidepressants D. Weight change in the last month Answer: A. Liver function laboratory result - A. Liver function laboratory results The nurse is preparing a client with chronic obstructive pulmonary disease (COPD)and a c...

A 19-year-old male client who has sustained a severe head injury is intubated and placed on assisted mechanical ventilation. To facilitate optimal ventilation and prevent the client from "fighting" the ventilator, the health care provider administers pancuronium bromide IV, with adjunctive opioid analgesia. What medication should be immediately accessible for a potential complication with this drug? A. Dantrolene sodium B. Neostigmine bromide C. Succinylcholine bromide D. Epinephrine -...

Which of the following is a rapid acting insulin and should be administered immediately before a meal? A. Glargine B. Aspart (Lispro) C. NPH D. Regular - B. Aspart rationale: onset is 5 minutes Glargine=Lantus (long lasting) A PT has an anaphylactic allergy to sulfa drugs. She receives sulfamethoxazole. She becomes flushed and SOB. Her HR is normal but her BP is dropping. You first administer A. Epinephrine B. Diphenhydramine C. Albuterol D. Atropine - A. Epi rationale: raises BP W...