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Exam (elaborations)

HESI EXIT 2023 SOLUTION LATEST EDITION GUARANTEED GRADE A+

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  • HESI EXIT 2023
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  • HESI EXIT 2023

A morbidly obese client is scheduled for gastric bypass surgery. The client completes the required preoperative nutritional counseling and signs the operative permit. To promote effective discharge planning, which intervention is most important for the nurse to implement? Discuss small, low fat, l...

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  • January 15, 2024
  • 15
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • hesi exit 2023
  • HESI EXIT 2023
  • HESI EXIT 2023
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HESIEXIT2023SOLUTIONLATEST
EDITIONGUARANTEEDGRADEA+
Amorbidlyobeseclientisscheduledforgastricbypasssurgery.The
clientcompletestherequiredpreoperativenutritionalcounselingand
signstheoperativepermit.Topromoteeffectivedischargeplanning,
whichinterventionismostimportantforthenursetoimplement?
Discusssmall,lowfat,lowsugarmealpreparationtechniques.
Aclientwhowassplashedwithachemicalhasbotheyescoveredwith
bandages.Whenassistingtheclientwitheating,whichintervention
shouldthenurseinstructtheUAPtoimplement?
Orienttheclienttothelocationofthefoodontheplate.
Aclientisadmittedforanexacerbationofheartfailure(HF)andis
beingtreatedwithdiureticsforfluidvolumeexcess.Inplanning
nursingcare,whichinterventionsshouldthenurseinclude?(Select
allthatapply.)
•Observeforevidenceofhypokalemia
•Teachtheclienthowtorestrictdietarysodium
•Weighttheclientdaily,inthemorning
Whilechangingthedressingofaclientwhoisimmobile,thenurse
observesaredandswollenwoundwithamoderateamountofyellowand
greendrainageandafoulodor.Giventhereisapositive
methicillin-resistantStaphylococcusaureus(MRSA),whichisthemost
importantactionforthenursetotake?
Administerprescribedantibiotics.
Aclientwhohasasthmareceivesanewprescriptionfora
corticosteroidinhaler.Theclientexpressesconcernabouttaking
steroidmedications.Whatinformationshouldthenurseprovidethe
clientabouttheuseofthismaintenanceinhaler?
Systemicsideeffectsarereducedwhentakenbyinhalation
Thehealthcareproviderprescribesasedativeforaclientwith
severehypothyroidism.Thenurseplanstocontacttheproviderto
reviewthesafetyoftheprescriptionfortheclientandconsults
firstwiththechargenurse.Thechargenursenotesthatthe
prescriptioniswrittenlegallyandcompletely.Howshouldthecharge
nurserespond?
Assumeresponsibilityfordiscussingtheconcernwiththeprovider.
Inassessingaclienttwelvehoursfollowingtransurethralresection
oftheprostate(TURP),thenurseobservesthattheurinarydrainage
tubingcontainsalargeamountofclearpalepinkurineandthe
continuousbladderirrigationisinfusingslowly.Whichactionshould
thenurseimplement? Ensurethatnodependentloopsarepresentinthetubing.
Whichinformationshouldthenurseincludeinthedischargeteaching
planofaclientwithlowbackpainwhoistakingcyclobenzaprineto
controlmusclespasms?
Usecoldandallergymedicationsonlyasdirectedbyahealthcare
provider.
Aclientwithdeepveinthrombosis(DVT)isreceivingacontinuous
intravenousheparininfusion.Theclientnowhastarry,black
diarrheaandreportsabdominalpain.Whichactionsshouldthenurse
implement?(Selectallthatapply)
•Monitorstoolsforpresenceofblood
•Auscultatebowelsoundsinallquadrants
•Reviewlastpartialthromboplastintimeresults.
Whichlaboratoryresultsshouldthenursecloselymonitorinaclient
whohasend-stagerenaldisease(ESRD)?
•Serumpotassium,calcium,andphosphorus.
Amalclientwhowasinamotorvehiclecollisionyesterdayis
receivingaunitofpackedredbloodcells.Whenhalfoftheunitis
infused,theclientreportslowerbackpain,andthenurseobservesa
finerashoverhischestandback.Whichinterventionshouldthe
nurseimplement?
Replacethetransfusionwithnormalsaline
Whendevelopingateachingplanforaclientwithnewlydiagnosed
Type1diabetes,thenurseshouldexplainthatanincreasedthirstis
anearlysignofdiabeticketoacidosis(DKA).Whichactionshouldthe
nurseinstructtheclienttoimplementifthissignofDKAoccurs?
Giveadoseofregularinsulinasprescribed
Whichinformationismostimportanttoincludeintheteachingplan
foraclientwhoisdischargedafterathyroidectomyforGrave's
disease?
Dailyhormonereplacementwillbeneededfortherestoftheclient's
life.
Thenurseisplanningdischargeinstructionsforaclientwithtype2
diabeteswhowillbestartingexenatide.Whichinformationshouldbe
includedinthedischargeinstructions?
Notifyyourhealthcareproviderifyoustarthavingabdominalpain.
Whichbreakfastselectionshouldhenurserecommendfora16-year-old
withdiarrhea?
Oatmeal,banana,andherbaltea.
Thenurseispreparingtoadminister1.6mLofmedication
intramuscularlytoa4-month-oldinfant.Whichactionshouldthe
nurseinclude?
Dividethemedicationintotwoinjectionswithvolumesunder1mL.

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