HESI LPN-ADN ENTRANCE EXAM GRADED A 100%
VERIFIED LATEST UPDATE 2024
2 days after an abdominal hysterectomy, an elderly client with diabetes
Mellitus Type II has a syncopal episode. Her vital signs are within
normal limits and her sugar is 325 mg/dL. what intervention should the
nurse implement first? - ANSWER--administer regular insulin per sliding
scale
A 3-week-old infant is admitted for surgical repair of Pyloric Stenosis.
What interventions should the nurse expect to implement to establish
hydration in the immediate postoperative period? - ANSWER--nipple
feedings with glucose water
a 3 year-old admitted with fever of unknown (FUO) has begun vomiting
in the past half hour. The child's temp. is 101.8F, and the last does of
antipyretic medication was given 5 hours ago. the child has
prescriptions of acetaminophen (Tylenol) 160 mg per 5 mL elixir or 16o
mg suppositories PRN fever or pain. what action should the nurse take
at this time? - ANSWER--make the child NPO and hold all mediations
until the vomiting has stopped.
4 hours after administration of 20U of regular insulin, the client
becomes shaky and diaphoretic. what action should the nurse take? -
ANSWER--give the client crackers and milk
a 6-month child with bronchiolitis is admitted to the hospital. In
monitoring the respiratory status of this child, which symptom indicates
, HESI LPN-ADN ENTRANCE EXAM GRADED A 100%
VERIFIED LATEST UPDATE 2024
the nurse that he is experiencing respiratory distress? - ANSWER--A
high pitched cry.
An 8-year-old recovering from a Celiac Crisis requests a bowl of cereal
for breakfast. Which cereal should the nurse provide? - ANSWER--rice
total number of confirmed pregnancies regardless of the outcome -
ANSWER--Gravida
number of births after 20 weeks - ANSWER--Para
pregnant for the first time - ANSWER--primigravida
a 26 year old gravida-4, para-0 had a spontaneous abortion at 9 weeks
gestation. at one house post dilation and curettage (D&C) the nurse
assess the vital signs and vaginal bleeding. the client begins to cry
softly. how should the nurse intervene? - ANSWER--express sorrow for
the clients grief and offer to sit with her.
A 26 year-old primigravida who delivered a 7-pound male infant 26
hours ago tells the nurse that she is confused about when she and her
husband can return to having sexual intercourse. What info should the
nurse reinforce with this client? - ANSWER--they can have intercourse
when the episiotomy is healed and the lochial flow has stopped
36 hours after delivery, the nurse determines a clients fundus is just
above the umbilicus and displaced to the right of midline. what action
should the nurse take first? - ANSWER--palpate the bladder for
distention
a 60 year old client with cancer of the liver is in hepatic coma and
unresponsive. what should the nurse say to family members were
inquiring about the condition of their loved one? - ANSWER--"Your
loved ones condition is very critical, and there has been no response in
the last 24 hours"
a 67 year old woman who lives alone tripped on a rug in her home and
fractured her right hip. the nurse knows that which predisposing factor
contributes to the occurrence of hip fractures among elderly women. -
ANSWER--osteoporosis resulting from hormonal changes.
a 75 year old male client with Alzheimer disease is admitted to an
extended care facility. what intervention should the nurse include into
the his clients Nursing care plan? - ANSWER--plan to have the same
nursing staff provide care for the client whenever possible.
an 82-year old client is admitted to the hospital with a fractured right
hip. following surgical repair, a footboard is placed at the clients feet.
what is the reason the nurse will offer concerning the footboard? -
ANSWER--footboard is used to prevent foot drop.
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