NURS HESI (NURSHESI)

724. Carbidopa-levodopa is prescribed for a client with Parkinson's disease. The nurse monitors the client for side and adverse effects of the medication. Which finding indicates that the client is experiencing an adverse effect? 1. Pruritus 2. Tachycardia 3. Hypertension 4. Impaired voluntary movements - 4 725. The home health nurse visits a client who is taking phentoin to control seizures. During the assessment, the nurse notes that the client is taking birth control pills. Which ...

The practical nurse enters a male client's room to administer routine morning medications, and the client is on the phone. Which action is best for the PN to take? A. Ask another nurse to go back with the medication when the client's hung up the phone B. Wait for the client to excuse himself from the telephone conversation, and observe the client taking the medication C. Return the medication to the client's drawer on the cart and document the client refused the dose D. Leave th...

Assessment is the first stage of the nursing process. It includes the gathering of a patient’s physiological, psychological, sociological, and spiritual status. Objective and Subjective strategies included. Symptoms- a subjective experience reported by the patient. Signs- an objective finding by the examiner. Inspection-critical observation that requires good lighting. Looks at the color, shape, symmetry, and position of body parts. Palpation- purposeful and careful feeling with hands d...

History Taking/Documentation Document when doing the initial assessment Includes past medical, surgical, and family history Medications Consists of a complete head to toe assessment Fall – Assessing Afterwards Assess LOC, pain, and skin (bruises, hematoma) Was the pt using all appropriate assistive devices? Assisted Living – Self ADLs Can the pt brush their teeth, get dressed, feed themselves, and toilet? Is the patient a total care patient who requires assistance with m...

• ARDS is an unexpected, catastrophic pulmonary complication occurring in a person with no previous pulmonary problems. The mortality rate is high (50%) • In ARDS, a common laboratory finding is lowered PO2. However, these clients are not very responsive to high concentrations of oxygen. • Think about the physiology of the lungs by remembering PEEP: Positive End Expiratory Pressure is the instillation and maintenance of small amounts of air into the alveolar sacs to prevent them f...

The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child? A. Make certain the child is maintained in correct body alignment. B. Be sure the traction weights touch the end of the bed. C. Adjust the head and foot of the bed for the child's comfort D. Release the traction for 15-20 minutes every 6 hours PRN. - A. Make certain the child is maintained in correct body alignment. The nurse is assessing a healthy chil...

An older client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the client's nursing care? Massage any reddened areas for at least five minutes. Encourage active range of motion exercises on extremities. Position the client laterally, prone, and dorsally in sequence. Gently lift the client when moving into a desired position. - Gently lift the client when moving into a desired position. On admission, a client presents a signed living will that incl...

1. A healthcare provider prescribes cephalexin monohydrate (Keflex) for a client with a postoperative infection. It is most important for the nurse to assess for what additional drug allergy before administering this prescription? A) Penicillin. B) Aminoglycosides. C) Erythromycins. D) Sulfonamides. - A) Penicillin. Cross-allergies exist between penicillin (A) and cephalosporins, such as cephalexin monohydrate (Keflex), so checking for penicillin allergy is a wise precaution before adm...

1. A client at 37 weeks gestation presents to labor and delivery with contractions every two minutes the nurse observes several shallow small vesicles on her pubis labia and perineum. the nurse should recognize the clients is prohibiting symptoms of which condition? 1. German measles 2. herpes simplex virus 3. syphilis 4. genital warts 4. A client who had her first baby three months ago and is breastfeeding her infant tells the nurse that she is currently using the same diaphragm that s...

1. A mother brings her 8 mo. old baby boy to clinic bc he has been vomitting and had diarrhea for last 3 days. Which assessment is most important for nurse to make? a. Assess infant abdomen for tenderness b. Determine if the infant was exposed to a virus c. Measure the infant’s pulse d. Evaluate the infant’s cry 2. While obtaining the vital signs of a 10 year old who had a tonsillectomy this morning, the nurse observes the child swallowing every 2-3 minutes. Which assessment should ...