Hesi Quiz: Safety

Which nursing action is appropriate when caring for a client who is legally blind and has been admitted to the hospital for surgery?

Keep the furniture in the same location in the room.

Which statements made by the staff nurse require further teaching about Ebola? Select all that apply. One, some, or all responses may be correct.

- "Ebola can be treated with antiviral therapy." - "Ebola is transmitted through water and food."

A client with systemic lupus erythematosus (SLE) is at 39 weeks' gestation. Which would the nurse anticipate regarding this client?

A need to discontinue the client's salicylate therapy

A client in the hyperactive phase of bipolar disorder is receiving lithium. The nurse sees that the client's lithium blood level is 1.8 mEq/L (1.8 mmol/L). Which action would the nurse take?

Holding the medication and notifying the health care provider immediately, because the blood lithium level may be toxic

When caring for a client who is hospitalized for an acute myocardial infarction, which prescription by the health care provider would the nurse question?

Rectal suppository as needed for constipation

While conducting triage under mass casualty conditions, which tag would the nurse use for a client who is experiencing hypovolemic shock due to a penetrating wound?

Red

An adolescent is prescribed an antineoplastic agent. Which instruction would the nurse give to the parents before discharge?

Schedule laboratory blood tests to evaluate response to the medication.

Which reason explains why so many psychiatric clients are given benztropine or trihexyphenidyl in conjunction with phenothiazine-derivative neuroleptic medications?

They combat the extrapyramidal side effects of the neuroleptic medication.

A client with hypertension is prescribed an angiotensin II receptor blocker (ARB). Which instructions will the nurse provide about this medication? Select all that apply. One, some, or all responses may be correct.

- "Stop the medication if swelling of the mouth, lips, or face develops." - "Have blood drawn for potassium levels 2 weeks after starting the medication."

The nurse is providing discharge instructions for a client receiving unsealed radioactive isotope. Which actions made by the client indicate an understanding of the instructions provided? Select all that apply. One, some, or all responses may be correct.

- Avoids contact with pregnant women - Takes a laxative 3 days after treatment - Washes clothes separately from others

Neuroleptic malignant syndrome develops in a client taking a conventional antipsychotic medication. Which signs and symptoms would the nurse expect? Select all that apply. One, some, or all responses may be correct.

- Hyperpyrexia - Increased muscle tone - Respiratory depression

A woman with five children and multiple facial injuries says, "My husband is an alcoholic, and he just beat me up." Which intervention would the nurse use?

Inquire about her and the children's safety

A client with pulmonary tuberculosis develops tinnitus and vertigo. Which antitubercular medication would the nurse suspect is causing these symptoms?

Streptomycin

The nurse is collecting case reports that can be analyzed using the failure mode effective analysis (FMEA) tool. Which case files would the nurse collect? Select all that apply. One, some, or all responses may be correct.

- Retained foreign body left during surgery that was removed immediately - Wheelchair-bound client rescued from falling in the corridor of the hospital - Urinary tract infection after 4 days of continuous catheterization

Which instruction by the nurse is correct for a client with a fractured leg?

Remove loose rugs from the environment.