2019 HESI EXIT V2 (HESI)

The nurse assumes care of a postoperative adult client with diabetes mellitus and learns that the client has a current blood glucose level of 720 mg. When assessing the client what is the priority? A. Assess for vital signs of fluid volume deficit. B. Observe wound drainage characteristics. C. Measure the level of acute pain. D. Determine when the client last ate. - A. Assess for vital signs of fluid volume deficit. A male client tells the nurse that he is concerned that he may have a sto...

Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal attack, which assessment finding indicates to the nurse that the desired effect has been achieved? A. Client states chest pain is relieved B. Client's pulse decreases from 120 to 90 C. Client's systolic blood pressure decreases from 180 to 90 D. Clients SaO2 level increases from 92% to 96% - A. nitroglycerin reduces mycocardial oxygen consumption which decreases ischemia and reduces chest pa...

Low levels of _____ are associated with malnutrition. - - Albumin An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the client's nursing care? A. Massage any reddened areas for at least five minutes. B. Encourage active range of motion exercises on extremities. C. Position the client laterally, prone, and dorsally in sequence. D. Gently lift the client when moving into a desired position. - D. Gently lift the client when moving into a...

Which of the following is an example of a negative nonverbal communication technique? a. Giving a pleasant smile b. Maintaining eye contact c. Leaning toward the patient when talking to him or her d. Talking to the patient with your back turned as you record in the chart - d. Talking to the patient with your back turned as you record in the chart All of the following are nonverbal communication characteristics EXCEPT your: a. tone of voice. b. body language. c. amount of eye contac...

1. In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which statement is true regarding note-taking? A) Note-taking may impede the nurse's observation of the patient's nonverbal behaviors. B) Note-taking allows the patient to continue at his or her own pace as the nurse records what is said. C) Note-taking allows the nurse to shift attention away from the patient, resulting in an increased comfort level. D) Note-taking allows the nurse to brea...

what does RN do after seizure - - check for apnea episodes pt walking w/ a walk with elbows flexed - this is normal, proceed pt w/ diabetes, HTN, who has a severe HA and blurred vission what to assess - - asess BP low K+ [2.5] - - check apical pulse RN cannot get PMI, what to do - - turn to left side pt on levothyroxine, has goiter.. what to assess for - - check for hyperthyroidism symptoms [heart palpitations] medication dosage reduced, reason? - - level is 2.5 [too elevated] ...

nursing process - assess diagnose outcome/planning implement evaluate techniques of physical assessment - inspection palpation percussion auscultation start physical assessment with - general survey assess for -appearance -behavior -height/weight/BMI -nutritional status -waist circumference which can indicate obesity when assessing the integumentary system you are looking for - erythema - indicating fever/inflammation cyanosis - indicating O2 loss jaundice - ^ billiruben...

What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? a. sexual activities may be resumed upon return home b. light housekeeping is permitted but avoid heavy lifting c. use a metal eye shield on operative eye during the day d. administer eye ointment before applying eye drops - b. light housekeeping is permitted but avoid heavy lifting A male adult comes to the urgent care clinic 5 days after being diagnosed with influenz...

A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of excessive thirst, and the RN finds him attempting to drink water from the bathroom sink faucet. Which intervention should the RN implement? A. Report the client's serum lithium level to the HCP. B. Encourage the client to suck on hard candy to relieve the symptoms. C. No action is needed since polydipsia is a common side effect. D. Tell the client that drinking from the faucet is not allowe...

At the first meeting of a group of older adults at a daycare center for the elderly, the nurse asks one of the members what kind of things she would like to do with the group. The older women shrugs her shoulders and says. "You tell me, you're the leader". What is the best response for the nurse to make? A. "Yes I am the leader today. Would you like to be the leader tomorrow." B. "Yes, I will be leading this group. What would you like to accomplish during this time." C. "Yes, I have been assi...