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HESI comp exam 1(Latest Exam 2024)
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HESI comp exam 1(Latest Exam 2024)
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HESI comp exam 1(Latest Exam 2024)A client with asthma receives a prescription for high blood
pressure during a clinic visit. Which prescription should
the nurse anticipate the client to receive that is at least
likely to exacerbate asthma? - correct
answers✅Metoprolol tartrate (Lopressor)
Best antihypertensive med for asthmatics. Beta2 blocking
agent -- also a cardioselective and less likely to cause
bronchoconstriction.
A male client who has been taking propranolol (Inderal)
for 18 months tells the nurse that the healthcare provider
discontinued the medication because his blood pressure
has been normal for the past 3 months. Which instruction
should the nurse provide? - correct answers✅Ask the
healthcare provider about tapering the drug dose over
the next week.
HCP discontinued drug BUT measures to prevent rebound
cardiac excitation, such as progressively reducing the
dose over 1 or 2 weeks, should be recommended to
prevent rebound tachycardia, hypertension, and
ventricular dysrhythmias.
A client who is taking clonidine ( Catapres, Duraclon)
reports drowsiness. Which additional assessment should
the nurse make? - correct answers✅How long has the
client been taking the medication?
,HESI comp exam 1(Latest Exam 2024)
Drowsiness can occur in the early weeks of treatment
with clonidine and with continued use becomes less
intense, so the length of time the client has been on the
medication provides information to direct additional
instruction.
The nurse is preparing to administer atropine, an
anticholinergic, to a client who is scheduled for a
cholecystectomy. The client asks the nurse to explain the
reason for the prescribed medication. What response is
best for the nurse to provide? - correct
answers✅Decrease the risk of bradycardia during
surgery
Atropine may be prescribed preoperatively to increase
the automaticity of the sinoatrial node and prevent a
dangerous reduction in heart rate during surgical
anesthesia.
An 80-year old client is given morphine sulfate for post-op
pain. Which concomitant med should the nurse question
that poses a potential development of urinary retention in
this geriatric client? - correct answers✅Tricyclic
antidepressants
,HESI comp exam 1(Latest Exam 2024)
Drugs with anticholinergic properties can exacerbate
urinary retention associated with opioids in the older
client.
A client with osteoarthritis is given a new script for a
NSAID. The client asks the nurse, "How is this med
different from the acetaminophen I have been taking?"
Which information about the therapeutic action of NSAIDs
should the nurse provide? - correct answers✅Provide
anti-inflammatory response
NSAIDs relieve pain associated with osteoarthritis and
differs from acetaminophen(a non-narcotic & antipyretic).
Also potentially hepatotoxic.
A client with cancer has a history of alcohol abuse and is
taking acetaminophen (Tylenol) for pain. Which organ
function is most important for the nurse to monitor? -
correct answers✅Liver
Acetaminophen & alcohol both metabolized in the liver. Pt
at risk of hepatotoxicity & potentially fatal liver damage.
The nurse obtains a heart rate of 92 and a BP of 110/76
prior to administering a scheduled does of verapamil
(Calan) for a client with atrial flutter. Which action should
the nurse implement? - correct answers✅Administer
the dose as prescribed.
, HESI comp exam 1(Latest Exam 2024)
Verapamil slows SA nodal automaticity, delays AV nodal
conduction, slowing ventricular rate & treats atrial flutter.
HR is above 60 and BP is WNL.
A client is admitted to the hospital with a diagnosis of
Type 2 diabetes mellitus and influenza. Which categories
of illness should the nurse develop goals for the client's
plan of care? - correct answers✅One chronic and one
acute illness
Adult onset DM is life-long chronic disease. Influenza is
acute illness with short term duration.
Following an emergency Cesarean delivery the nurse
encourages the new mother to breastfed her newborn.
The client asks why she should breastfeed now. Which
info should the nurse provide? - correct
answers✅Stimulate contraction of the uterus
Infant suckling breast releases oxytocin by the posterior
pituitary and stimulates the "letdown" reflex. Causing
release of colostrum & contracts the uterus to prevent
uterine hemorrhage.
Which intervention should the nurse include in the plan of
care for a female client with severe postpartum
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