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HESI cat exam 2 (haitian)/159 Questions and Answers
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HESI cat exam 2 (haitian)/159 Questionsand Answers
A client with a hemothorax has a chest tube in the fourth intercostal space
connected to
suction at 20 cm H2O pressure. Four hours after insertion, which client
outcome should
the nurse consider to be within normal limits for this client? - -Fluctuation
with respiration in the water-seal chamber of the Pleuravac
-A client has started long-term maintenance therapy with a cardiotonic
medication that
has a narrow therapeutic index. Teaching the client the signs/symptoms of
which adverse
effect is most important? - -Toxicity
-In caring for a client who is receiving peritoneal dialysis, the nurse should
be alert for
that what complications? - -Abdominal pain, tenderness, and rigidity
-A high fluid intake is prescribed for a client with urolithiasis. The client
wishes to know
the chief purpose for this intervention. What should the nurse tell the client
about this
prescription? - -The purpose is to increase the hydrostatic pressure behind
the stone to assist in its
downward passage
-Normal saline 0.9% is prescribed for a client with fluid volume deficit at a
rate of 100
ml/hour. Before starting the infusion, the nurse observes that the client's
urine is dark
amber in color. What action should the nurse take? - -Administer the normal
saline at the prescribed rate of 100 ml/hour
, -Which explanation of autonomic cardiac regulation mediated by
sympathetic
innervations is correct? - -Increased Ca+ influx with sympathetic stimulation
raises the heart rate
-The nurse learns that a newly admitted adult client has a six month history
of recurring
somatic pain. During the admission interview, it is most important for the
nurse to
question the client about what problem? - -Feelings of depression
-8. A pregnant client begins to cry when the UAP tries to assist her in
donning a hospital
gown, and she refuses to remove an undergarment that is worn in her
culture to preserve
modesty. What should the charge nurse do first? - -Determine if continued
wearing of the garment will compromise care
-The nurse is preparing to insert an IV in an adult male client. Which client's
lab value is
most important for the nurse to consider prior to inserting the IV? - -Platelet
count of 60,000/mm
-10. A 12-year-old boy who is 54 inches tall is scheduled for x-rays of his
hands and wrist to
determine growth patterns. The mother asks the nurse why these x-rays are
being taken.
What explanation is best for the nurse to provide this mother? - -Hormonal
influences on the bone at this age can be determined by x-ray
-The nurse is reviewing laboratory results for a client with adrenal
insufficiency. Which
finding should the nurse report to the healthcare provider? - -A. Calcium 12
mg/dl
, -At 0700 the nurse receives report for a client with chronic intractable pain
"who needs
morphine every 4 hours during the day shift to control pain." After reviewing
the client's
record, what action should the nurse implement? - -. Request a change in
the prescribed dose of fentanyl (Duragesic) transdermal pat
-After a client experiences spontaneous rupture of the membranes during
labor, the
nurse notes a visible prolapse of the umbilical cord. What intervention should
the nurse
implement immediately? - -A. Push the presenting part off the cord
-14. The nurse is preparing a teaching plan for a client receiving
magnesium-based antacids
for treatment of gastro-esophageal reflux disease (GERD). Which instruction
should the
nurse plan to include? - -"Avoid taking any other drugs 1 to 2 hours before
and after taking the antacid"
-The nurse is caring for a young adult male client with facial injuries
resulting from a
motor vehicle collision. Which client statement indicative of the highest
priority for
nursing intervention? - -"I can't sleep through the night because I awaken
with pain when I move"
-What is the most important primary preventative measure the nurse can
emphasize as
a means of reducing the risk of developing acute glomerulonephritis in the
general
population? - -Use good hand washing techniques to prevent throat and skin
infections
-The mother of a child with cerebral palsy (CP) asks the nurse if her child's
impaired
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