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HESI OBSTETRICS MATERNITY PRACTICE QUIZ exam questions and answers.
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HESI OBSTETRICS MATERNITY PRACTICE QUIZ exam questions and answers.
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HESI OBSTETRICS/MATERNITYPRACTICE QUIZ exam questions
and answers
The nurse obtains a heart rate of 92 and a blood pressure of 110/76 prior
to administering a scheduled dose of verapamil (Calan) for a client with
atrial flutter. Which action should the nurse implement?
a. administer the dose as prescribed
b. withhold the drug and notify the healthcare provider
c. give IV calcium gluconate
d. recheck the vital signs in 30 minutes and then administer the dose -
answer a. Administer the dose as prescribed
Verapamil slows the sinoatrial (SA) nodal conduction, which slows the
ventricular rate, and is ued to treat atrial flutter, so (A) should be
implemented, based on the client's heart rate and blood pressure.
A woman arrives in the Emergency Center and tells the nurse she thinks
she has been raped. The client is sobbing and expresses disbelief that a
rape could happen because the man is her best friend. After
acknowledging the client's fear and anxiety, how should the nurse
respond?
a. "I would be very upset and mad if my best friend did that to me."
b. "You must fell betrayed, but maybe you might have led him on?"
c. "Rape is not limited to strangers and frequently occurs by someone who
is known to the victim."
d. "This does not sound like rape. Did you change your mind about having
sex after the fact?" - answer c. "Rape is not limited to strangers and
frequently occurs by someone who is known to the victim."
A victim of date rape or acquaintance rape is less prone to recognize what
is hapening because the incident usually involves persons who know each
other and the dynamics are different than rape by a stranger. (C) provides
, confrontation for the client's denial because the victim frequently knows
and trusts the perpetrator.
Which client is at greatest risk for multiple organ dysfunction syndrome
(MODS)?
a. An older client with intestinal obstruction and septic shock
b. A near-drowning victim with a history of respiratory arrest
c. An adolescent with an autoimmune disease
d. An adult male with a myocardial infarction and pericarditis - answer a.
An older client with intestinal obstruction and septic shock
High risk clients vulnerable for MODS include older clients with decreased
organ reserve, comorbidities, and massive inflammatory or immune
dysfunction, such as septic shock (A), or clients who have experienced
various ischemia-reperfusion events related to trauma or surgical
complications.
An emergency room anticipates an influx of injured clients from a large
motor vehicle collision on a major freeway. Which client should the triage
nurse send to the trauma staff for immediate intervention?
a. A young adult male with a suspected closed head injury who has no
respirations despite having his airway repositioned by the emergency
medical team
b. An adult with a suspected intraabdominal bleed who was not breathing
on arrival, but is currently responding since repositioning the airway
c. A teenager with a suspected fractured left leg whose respirations are 26
breaths/minute, capillary refill <2 seconds, and who can follow simple
commands
d. A young adult with a facial laceration that is controlled by pressure and
whose respiratory rate, capillary refill, and ability to follow commands are
all WNL - answer b. An adult with a suspected intraabdominal bleed who
was not breathing on arrival, but is currently responding since
repositioning the airway
Clients with life-threatening injuries and a respiratory rate >30 (B) are red
tagged and receive immediate treatment.
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