HESI Remediation Quizzes

In teaching a client who had a liver transplant about cyclosporine (Sandimmune), the nurse should encourage the client to report which adverse response to the healthcare provider?

Neurological complications, such as hand tremors, occur in about 50% of clients taking cyclosporine and should be reported.

First line medication for anaphylaxis?

Isoproterenol - beta adrenergic, sympathomimetic medication

Describe health care policy as it relates to health care economics?

It provides overarching goals and helps in setting priorities and values for the distribution of health resources

What helps prevent peritonitis?

Maintain sterile technique when adding medications to dialysate because it is instilled directly into the body.

A client is receiving clonidine (Catapres) 0.1 mg/24hr via transdermal patch. Which assessment finding indicates that the desired effect of the medication has been achieved?

Catapres acts as a centrally-acting analgesic and antihypertensive agent. A reduction of the blood pressure is expected.

When assessing an adolescent who recently overdosed on acetaminophen (Tylenol), it is most important for the nurse to assess for pain in which area of the body?

Acetaminophen toxicity can result in liver damage; therefore, it is especially important for the nurse to assess for pain in the right upper quadrant of the abdomen.

An older client with a decreased percentage of lean body mass is likely to receive a prescription that is adjusted based on which pharmacokinetic process?

A decreased lean body mass in an older adult affects distribution stomach issues, spleen issues, and motility affect absorption Issues with liver affect metabolism kidney issues effect elimination

A client has a continuous IV infusion of dopamine (Intropin) and an IV of normal saline at 50 ml/hour. The nurse notes that the client's urinary output has been 20 ml/hour for the last two hours. Which intervention should the nurse initiate?

A urinary output of less than 20 ml/hour is oliguria and should be reported to the healthcare provider, so the dose of dopamine can be adjusted.

What are adventitious lung sounds?

Abnormal extra breath sounds to include crackles, rhonchi, wheezes, and pleural friction rubs.

What is butorphanol tartrate (Stadol)?

An opioid agonist-antagonist -> it's a narcotic, but can will induce withdrawal if used with an opioid agonist like Dilaudid

What color triage tag is issued to someone who died in a disaster?

Black

What do you do with exudate at exit site of peritoneal dialysis?

Culture and send to lab

A client with hyperlipidemia receives a prescription for niacin (Niaspan). Which client teaching is most important for the nurse to provide?

Flushing of the face and neck, lasting up to an hour, is a frequent reason for discontinuing niacin.

The healthcare provider prescribes digitalis (Digoxin) for a client diagnosed with heart failure. Which intervention should the nurse implement prior to administering the digoxin?

Hypokalemia (decreased serum potassium) will precipitate digitalis toxicity in persons receiving digoxin. The nurse should monitor the client's serum potassium levels.

What is secondary acute care?

Includes emergency care, acute medical-surgical care, and radiological procedures for acute problems.

Which behavior of the nurse leader is characterized as "delegating" according to Hersey's model?

Observing or monitoring

Medicare Parts & Coverage

Part A covers hospital insurance, Part B covers supplemental medical insurance, Part C is medicare advantage plans, and Part D is outpatient prescription drug coverage.

What group benefits from medicare?

People aged 65+

What is the most common complication of peritoneal dialysis? What are s/sx of this complication?

Peritonitis - fever, abdominal pain, distention, abdominal wall rigidity, rebound tenderness, cloudy outflow, nausea, and malaise

What should a caregiver do for a client with acute spasmodic laryngitis?

Place him near a cool-mist humidifier to decrease inflammation

What does Spirinolactone do to potasium?

Potassium-sparing

How does International Classification of Nursing Practice (ICNP) help nurses deliver effective care to clients?

Provides vocabulary to include nursing data in computerized information systems. The ANA recognizes ICNP as standardized terminology for nursing.

What is supervision?

Provision of guidance and oversight of a delegated nursing task

What is responsibility?

Reliability, dependability, and the obligation to accomplish work.

What do you do if there's dialysate leakage around catheter exit site? What can this indicate?

Report to health care provider. This can indicate an obstruction or need for another purse-string suture around catheter site

Dobutamine (Dobutrex) is an emergency drug most commonly prescribed for a client with which condition?

Shock

What is the optimum time for the nurse to obtain the trough level?

Trough levels are drawn when the blood level is at its lowest, which is typically just before the next dose is given.

What is authority?

The ability to perform duties in a specific role., such a s accomplishment of the task and fulfillment of the expected outcomes.

What gross motor skill is found in children between 2 to 4 months of age?

The child can bear weight on forearms when prone

What is accountability?

The expectation that actions performed are appropriate and that a detailed explanation of what occurred is provided.

Correct explanation of delegation?

The transfer of responsibility for the performance of an activity

Which assessment finding is consistent with bronchospasm?

Wheezing

Can you give morphine and ketorolac together?

Yes - just like tylenol and oxy

What are bronchial lung sounds?

louder and higher pitched - resemble air blowing through a hollow pipe.

Bronchiovesicular sounds?

medium pitch and intensity - heard over the mainstem bronchi on either side of hem sternum and posteriorly between the scapulae