Exam (elaborations)
HESI EXIT EXAM REVIEW QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
HESI EXIT EXAM REVIEW QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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HESI EXIT EXAM REVIEW QUESTIONS
AND ANSWERS WITH SOLUTIONS 2024
TheUnurseUisUpresentingUdischargeUinstructionsUtoUaUclientUNewlyUdiagnosedUwithUCushing'sUdiseaseUtheUn
urseUknowsUthatUtheUteachingUhasUbeenUsuccessfulUwhenUtheUclientUchoosesUwhichUselections
AUBroiledUcod,UbakedUpotatoUandUsteamedUbroccoli
BUSlicedUhamUwithUmashedUpotatoesUandUgravy
CUBeefUtacoUwithUrefinedUbeansUandUguacamole
DUleanUcheeseburgerUwithUfriesUandUfruitUcocktail
EUbraiseUchickenUwithUkaleUandUnavyUbeanUsaladU-UANSWERUAUandUEUareUcorrectU
Cushing'sUdiseaseUoccursUwhenUtheUadrenalUcortexUproducesUexcessiveUamountsUofUmineralUcorticoid's,Ug
lucocorticoidsUandUsexUhormones.UClientsUbenefitUgreatlyUfromUaUdietUlowUinUfatUandUsodiumUbutUhigherUi
nUcalciumUsinceUosteoporosisUisUaUcommonUproblemUinUthisUdisease.UFishUisUlowUinUfatUwhileUbroccoliUisUhi
ghUinUcalciumUprovidingUaUwell-
balancedUmeal.UChickenUthatUisUbraisedUallowsUexcessUfatUtoUbeUremovedUduringUcookingUkaleUandUnavyUb
eansUareUaUgreatUsourceUofUcalcium
AUclientUwithUaUhistoryUofUmyastheniaUgravisU(UMGU)U
IsUdischargeUfromUtheUhospitalUfollowingUaUthymectomy.UWhenUteachingUtheUclientUhowUtoUpreventUcomp
licationsUtheUhomeUcareUnurseUemphasizesUwhatUdailyUactionsUareUmostUimportant
AUincludeUdailyUweightUliftingUexercises
BUpracticeUstressUreductionUtechniquesU
CUcompleteUchoresUearlyUinUtheUdayU
DUtakeUmedicationUonUtimeUandUpriorUtoUmealsU
EUeatUthreeUlargeUmealsUaUdayU-UANSWERUBUCUandUEUareUcorrectU
MGUisUaUchronicUautoimmuneUdisorderUcharacterizedUbyUprogressiveUmuscleUweaknessUandUchronicUfatig
ue.UClientsUbecomeUweakerUthroughoutUtheUdayUcontributingUtoUtheUpotentialUforUcomplications.UStressUr
eductionUtechniquesUareUimportanceUandUstressUcanUcontributeUtoUaUmyasthenicUcrisis,UAUsevereUrespirat
oryUemergency.UDailyUtasksUincludingUADLsUshouldUbeUcompletedUearlyUinUtheUdayUwhenUtheUclientUhasUth
eUmostUenergy.UMedication'sUforUMGUincludeUNEOSTIGMINEUandUPYRIDOSTIGMINEUandUmustUbeUtakenUo
nUtimeUinUpriorUtoUmeals
,TheseUpatientsUareUinstructedUtoUincludeUgentleUexerciseUcombinedUwithUperiodsUofUrestUthroughoutUtheU
dayUliftingUweightsUwouldUbeUtooUstrenuousUleadingUtoUcrisis
BecauseUtheUdifficultyUofUchewingUandUswallowingUmultipleUmealsUthroughoutUtheUdayUorUsaferUandUmor
eUbeneficialUtoUtheUclient
ImmediatelyUfollowingUtheUbirthUofUanUinfantUwhatUisUtheUnursesUpriorityUactionUwhenUcaringUforUtheUnew
born
AUexamineUtheUinfantUandUtakeUsetUofUvitalUsigns
BUconfirmUidentificationUandUapplyUarmband
CUinstillUsilverUnitrateUsolutionUinUbothUeyesU
DUdryUandUsitUinUplaceUinUwarmUenvironmentsU-UANSWERUDUisUcorrect
OneUofUtheUleadingUcausesUofUnewbornUmortalityUisUhypothermia.UTheUinfantUhasUbeenUremovedUfromUen
vironmentUovenUaboutU98.6°UplusUandUplacedUintoUaUroomUenvironmentUofUanywhereUfromU65UtoU70°.UAd
dUtheUfactUthatUtheUinfantUisUwetUandUunableUtoUyetUcontrolUbodyUtemperature,UrapidlyUleadingUtoUhypoth
ermia.UDryingUandUwarmingUtheUbabyUinUanUinfantUwarmerUtakesUpriorityUatUbirth
WhenUisUincorrectUtheUinfantUmustUbeUcompletelyUexaminedUbyUbothUnurseUinUprimaryUhealthcareUprovid
erUafterU^
SilverUnitrateUorUerythromycinUdropsUmustUbeUinstilledUinUtoUtheUnewbornsUeyesUtoUprotectUagainstUundet
ectedUSTDsUinUtheUmotherUsuchUasUgonorrheaUthisUpreventsUblindnessUinUtheUinfantUhoweverUtheUnurseUh
asUmoreUvitalUactionUtoUperformUfirst
WhichUmealUisUmostUappropriateUforUaUclientUduringUanUacuteUmanicUepisode
AUSteak,Usalad,UbananaU
BUbeefUandUvegetableUstew,Ubread,UvanillaUpuddingU
CUchickenUleg,UcornUonUtheUcob,UappleU
DUfishUfillet,UcubedUavocado,UcakeU-UANSWERUSheUisUcorrect
, TheyUcanUholdUtheseUitemsUinUtheirUhandUandUeatUwhileUwalkingUaround
SteakUrequiresUcuttingUwithUaUknifeUandUisUtimeUconsumingUnoUknifeUswapUclientUisUmanic
BUisUincorrectUit'sUhardUtoUwalkUaroundUandUeatUbeefUstewUandUpuddingUandUdUincorrectUforUtheUsameUrea
son
TheUnurseUisUcaringUforUaUclientUhasUbeenUintubatedUandUplacedUonUaUventilatorUtheUnurseUhearsUtheUvent
ilatorUalarmUandUentersUtheUclientsUroomUtoUfindUtheUhighUpressureUalarmUsounding.UTheUclientUisUveryUag
itatedUwithUrespiratoryUrateUofU40,UarterialUlineUbloodUpressureU98/44,UoxygenUsaturationU82%,UcardiacUm
onitorUsinusUtachycardiaUatU138
WhichUactionUshouldUtheUnurseUtakeUfirst
AUTurnUoffUalarm,UthenUcheckUventilatorUsettingsU
BUincreaseUFiO2UtoUsettingUtoU100%U
CUhyperventilateUclient,UthenUsuctionUETUtubeU
DUauscultatingUlungUsoundsU-UANSWERUDUisUcorrect
OneUalarmUsoundsUtheUfirstUactionUbyUtheUnurseUshouldUbeUtoUassessUtheUclient.UInUtheUsituationUassessm
entUofUtheUlungs,UchestUmovement,UandUrespiratoryUeffortUshouldUindicateUwhichUrespiratoryUcomplicatio
nUtheUclientUmayUbeUexperiencing.UDependingUuponUtheUassessmentUfindingsUtheUotherUactionsUmayUbeUn
ecessary.UExcessiveUpositionUpressureUcanUresultUinUlongUcomplicationsUincludingUpneumothorax.UThisUco
uldUquicklyUprogressedUtoUaUtensionUpneumothorax.UThereforeUtheUnurseUshouldUconsiderUanyUsuddenUch
angesUanUauctionUsaturationUandUsignsUofUrespiratoryUdistressUasUlife-
threatening.UImmediateUassessmentUofUtheUclientUisUwarrantedUwithUactionsUtakenUbasedUonUtheUfindings
AUclientUisUtransportedUtoUtheUemergencyUdepartmentUfollowingUaU20UfootUfallUfromUaUskiUlift.UTheUnurseUr
ecordsUinitialUassessmentUfindingsUonUtheUchartUbasedUonUthatUdataUwhichUactionUshouldUtheUnurseUimple
mentUimmediately
BPU90/40,UheartUrateU125,UrespiratoryUrateU30UandUlaboredUjugularUvenousUdistentionUwithUsubcutaneous
UemphysemaUnoticedUonUtheUrightUshoulder
AUApplyUocclusiveUdressingUtoUtheUchest
BUinitiateUlargeUgaugeUIVUlineU