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The nurse plans to collect a 24- hour urine specimen for a creatinine clearance test. Which instruction should the nurse provide to the adult male client? a. Clearance around the meatus, discard first portion of voiding, and collect the rest in a sterile bottle b. Urinate at specific time, ...

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  • 10 de agosto de 2024
  • 543
  • 2024/2025
  • Examen
  • Preguntas y respuestas

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  • hesi rn exit exam new latest for 2024 to be done w

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HESI RN EXIT exam new latest for 2024 to be done with correct
questions and answers latest update with 700+ questions and
answers
The nurse plans to collect a 24- hour urine specimen for a
creatinine clearance test. Which instruction should the nurse
provide to the adult male client?


a. Clearance around the meatus, discard first portion of
voiding, and collect the rest in a sterile bottle
b. Urinate at specific time, discard the urine, and collect all
subsequent urine during the next 24 hours.
c. For the next 24 hours, notify the nurse when the bladder is
full, and the nurse will collect catheterized specimens.
d. Urinate immediately into a urinal, and the lab will collect
specimen every 6 hours, for the next 24 hours. - CORRECT
ANSWER-Urinate at specific time, discard the urine, and
collect all subsequent urine during the next 24 hours.


Rationale: Urinate at specific time, discard the urine, and
collect all subsequent urine during the next 24 hours is the
correct procedure for collecting 24-hour urine specimen.
Discarding even one voided specimen invalidate the test.

,The nurse is preparing to administer a histamine 2-receptor
antagonist to a client with peptic ulcer disease. What is the
primary purpose of this drug classification?


a. Neutralize hydrochloric (HCI) acid in the stomach
b. Decreases the amount of HCL secretion by the parietal cells
in the stomach
c. Inhibit action of acetylcholine by blocking parasympathetic
nerve endings.
d. Destroys microorganisms causing stomach inflammation. -
CORRECT ANSWER-Decreases the amount of HCL secretion by
the parietal cells in the stomach


Rationale: B correctly describe the action of histamine 2
receptor antagonist in helping to prevent peptic ulcer disease.
An adult client with schizophrenia begin treatment three days
ago with the antipsychotic risperidone. The client also
received prescription for trazodone as needed for sleep and
clonazepam as needed for severe anxiety. When the client
reports difficulty with swallowing, what action should the
nurse take?


a. Obtain a prescription for an anticholinergic medication

,b. Determine how many hours declined slept last night
c. Administer the PRN prescription for severe anxiety
d. Watch the thyroid cartilage move while the client swallows
- CORRECT ANSWER-Obtain a prescription for an
anticholinergic medication


Rationale: Antipsychotic medications have an extrapyramidal
side effects one of which is difficulty swallowing. The nurse
should obtain a prescription for an anticholinergic medication
which is used for the treatment of extrapyramidal symptoms.
Other options are not warranted actions based on the
symptoms presented.
The nurse is caring for a one week old infant who has a
ventriculoperitoneal (VP) shunt that was placed 2 days after
birth. Which findings are an indication of a postoperative
complication? Select all that Apply


a. Poor feeding and vomiting
b. Leakage of CSF from the incisional site
c. Hyperactive bowel sound
d. Abdominal distention
e. WBC count of 10000/mm3 - CORRECT ANSWER-a. Poor
feeding and vomiting

, b. Leakage of CSF from the incisional site
d. Abdominal distention


Rationale: A, B and D are sign of postoperative complications.
Shunt malfunction is most often caused by mechanical
obstruction, which can result from ventricular exudate, distal
end thrombosis or displacement, and/or infection. CNS
infection is usually manifested by poor feeding, vomiting,
elevated temperature, decreased responsiveness and seizure
activity. Incisional leakage should be tested for glucose, an
indication of CSF, which place the infant at risk for infection.
Abdominal distention is a manifestation of peritonitis or a
postoperative ileus from distal catheter placement. C is not a
result of a shunt obstruction and E is a normal finding for one-
week-old neonate.
One year after being discharged from the burn trauma unit, a
client with a history of 40% full-thickness burns is admitted
with bone pain and muscle weakness. Which intervention
should the nurse include in the clients plan of care?


a. Encourage Progressive active range of motion
b. Teach need for dietary and supplementary vitamin D3
c. Explain the need for skin exposure to sunlight without
sunscreen

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