HESI Fundamentals practice With Answers 2024 Update
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HESI Fundamentals practice
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HESI Fundamentals Practice
HESI Fundamentals practice With Answers 2024 Update
A nurse is caring for an older adult who is taking acetaminophen (Tylenol) for the relief of chronic pain.
Which substance is most important for the nurse to determine if the client is taking because it
intensifies the most serious adverse ef...
HESI Fundamentals practice With Answers 2024 Update A nurse is caring for an older adult who is taking acetaminophen (Tylenol) for the relief of chronic pain. Which substance is most important for the nurse to determine if the client is taking because it intensifies the most serious adverse effect of acetaminophen? 1. Alcohol 2. Caffeine 3. Saw palmetto 4. St. John's wort - ANS-Alcohol The nurse is caring for a client who is on a low carbohydrate diet. With this diet, there is decreased glucose availab le for energy, and fat is metabolized for energy resulting in an increased production of which substance in the urine? 1. Protein 2. Glucose 3. Ketones 4. Uric acid - ANS-Ketones A nurse manager works on a unit where the nursing staff members are uncomfor table taking care of clients from cultures that are different from their own. How should the nurse manager address this situation? 1. Assign articles about various cultures so that they can become more knowledgeable. 2. Relocate the nurses to units where they will not have to care for clients from a variety of cultures. 3. Rotate the nurses' assignments so they have an equal opportunity to care for clients from other cultures. 4. Plan a workshop that offers opportuniti es to learn about the cultures they might encounter while at work. - ANS-Plan a workshop that offers opportunities to learn about the cultures they might encounter while at work A client with Addison's disease is receiving cortisone therapy. The nurse exp ects what clinical indicators if the client abruptly stops the medication? (Select all that apply.) 1 Diplopia 2 Dysphagia 3 Tachypnea 4 Bradycardia 5 Hypotension - ANS-Tachypnea Hypotension A client is admitted to the hospital with a tentative diagnosis of infectious pulmonary tuberculosis. What infection control measures should the nurse take? 1 Don an N95 respirator mask before entering the room. 2 Put on a permeable gown each time before entering the room. 3 Implement contact precautions and post appr opriate signage. 4 After finishing with patient care, remove the gown first and then remove the gloves. - ANS-Don an N95 respirator mask before entering the room. To minimize the side effects of the vincristine (Oncovin) that a client is receiving, what t ype of dietary plan does the nurse expect? 1 Low in fat 2 High in iron 3 High in fluids 4 Low in residue - ANS-High in fluids The client receives a prescription for tap water enemas until clear. The nurse is aware that no more than two enemas should be given at one time to prevent the occurrence of: 1 Hypercalcemia 2 Hypocalcemia 3 Hyperkalemia 4 Hypokalemia - ANS-Hypokalemia A client has been admitted with a urinary tract infection. The nurse receives a urine culture and sensitivity report that reveals the client has Vancomycin Resistant Enterococcus (VRE). After notifying the physician, which action should the nurse take to dec rease the risk of transmission to others? 1 Insert a urinary catheter. 2 Initiate Droplet Precautions. 3 Move the client to a private room. 4 Use a high efficiency particulate air (HEPA) respirator during care.? - ANS-Move the client to private room After abdominal surgery a client reports pain. What action should the nurse take first? 1 Reposition the client. 2 Obtain the client's vital signs. 3 Administer the prescribed analgesic. 4 Determine the characteristics of the pain. - ANS-Determine the char acteristics of the pain A client is receiving albuterol (Proventil) to relieve severe asthma. For which clinical indicators should the nurse monitor the client? (Select all that apply.) 1 Tremors 2 Lethargy 3 Palpitations
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