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Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse? • Review with the client the n$16.49
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Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse? • Review with the client the n
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Course
HESI RN EXIT
Institution
HESI RN EXIT
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of
dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the
nurse?
• Review with the client the need to avoid foods that are rich in mil...
HESI RN EXIT EXAM
(V1V7) INET ACTUAL
TEST BANK GOOD
LUCK!.
,
, lOMoARcPSD| 20606763
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of
dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the
nurse?
• Review with the client the need to avoid foods that are rich in milk and cream
2. A male client with hypertension, who received new antihypertensive prescriptions at
his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP).
His BP is 158/106 and he admits that he has not been taking the prescribed medication
because the drugs make him ―feel bad‖. In explaining the need for hypertension
control, the nurse should stress that an elevated BP places the client at risk for which
pathophysiological condition?
• Stroke secondary to hemorrhage
3. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
admitted client who has a seizure disorder. The client is supine and the UAP is placing
soft
Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows
pillows. along
the side
rails. What action should the nurse implement?
•
4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta)
for the past 12 days. Which assessment finding requires
Describes life without purpose immediate follow-up?
•
5. A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian cancer. Her
Papanicolau (Pap) smear results are negative. What information should the nurse
include in the client’s teaching
Further evaluation involving surgery may be needed plan?
•
6. A client who recently underwear a tracheostomy is being prepared for discharge to
home.
Which instructions is most important for the nurse to include in the discharge plan?
• Teach tracheal suctioning techniques
7. In assessing an adult client with a partial rebreather mask, the nurse notes that the
oxygen reservoir bag does not deflate completely during inspiration and the client’s
respiratory rate is 14 breaths / minute. What action should the nurse implement?
• Document the assessment data
• Rational: reservoir bag should not deflate completely during inspiration and
the
client’s respiratory rate is within normal limits.
, lOMoARcPSD| 20606763
8. During shift report, the central electrocardiogram (EKG) monitoring system alarms.
Which client alarm should the nurse investigate firs?
• Respiratory apnea of 30 seconds
9. During a home visit, the nurse observed an elderly client with diabetes slip and fall.
What action should the nurse take first?
• Check the client for lacerations or fractures
10. At 0600 while admitting a woman for a schedule repeat cesarean section (C- Section),
the client tells the nurse that she drank a cup a coffee at 0400 because she wanted to
avoid getting a headache. Which action should the nurse take first?
• Inform the anesthesia care provider
11. After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2
heart sounds. To determine if an S3 heart sound is present, what action should the
nurse take first?
• Listen with the bell at the same location
12. A 66-year-old woman is retiring and will no longer have a health insurance through
her place of employment. Which agency should the client be referred to by the
employee health nurse for health insurance needs?
• Medicare
13. A client who is taking an oral dose of a tetracycline complains of gastrointestinal
upset.
What snack should the nurse instruct the client to take with
the tetracycline? Toasted wheat bread and jelly
•
14. Following a lumbar puncture, a client voices several complaints. What complaint
indicated to the nurse that the client is experiencing a complication?
• “I have a headache that gets worse when I sit up”
• ―I am having pain in my lower back when I move my legs‖
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