Comprehensive Review Saunders Hesi based questions

While the nurse is involved in preparing a client for a cardiac catheterization, the client says, "I don't want to talk with you. You're only the nurse. I want my doctor." Which response by the nurse would be therapeutic?

"Your doctor expects me to prepare you for this procedure." "That's fine, if that's what you want. I'll call your primary health care provider. ""So you're saying that you want to talk to your primary health care provider?"

A primary health care provider's prescription reads "ketorolac 30 mg intramuscular every 6 hours as needed." The medication label reads "ketorolac 15 mg/mL." The nurse prepares to administer how many milliliters to the client? Fill in the blank.

2

The client, diagnosed with Lyme disease stage 2, asks the nurse "what is indicative of stage 2?" The nurse explains to the client that which sign or symptom is assessed in stage 2?

Arthralgias Joint enlargement Erythematous rash

The nurse is collecting data from a client with type 2 diabetes mellitus. Which statement by the client indicates an understanding of the medication regimen?

By taking these medications, I am able to eat more." When I become ill, I need to increase the number of pills I take." "I should take my metformin only if my blood glucose is elevated." "The medication that I am taking helps release the insulin I already make."

A client with a fractured femur is placed in skeletal traction. The nurse would do which to monitor for nerve injury?

Check the blood pressure. Check the pin sites for drainage. Check the neurovascular status of the affected extremity. Monitor the client's ability to perform active range of motion to the affected extremity.

The nurse is preparing to obtain a sputum specimen from the client. Which nursing action is essential in obtaining a proper specimen?

Have the client take three deep breaths. Limit fluids before obtaining the specimen. Ask the client to obtain the specimen after eating.4 Ask the client to spit into the collection container.

The nurse determines that the client diagnosed with Ménière's disease understands the reinforced dietary instructions when the client states that which food will be avoided in the diet?

Hot dogs

The client arrives at the health care clinic and states to the nurse that they were just bitten by a tick and would like to be tested for Lyme disease. The client tells the nurse that they removed the tick and flushed it down the toilet. Which nursing action is appropriate?

Instruct the client to return in 4 to 6 weeks to be tested, because testing before this time is not reliable.

The nurse is instructing a group of assistive personnel (AP) in the principles of body mechanics. The nurse determines that an AP is using the principles appropriately if the nurse observes the AP doing which action?

Leaning forward when turning a client in bed Positioning a box that is to be lifted between the knees Turning the back to change position while moving a client Helping a client requiring total care into a chair without additional assistance Submit

The nurse is caring for a 45-year-old client. The client has 3 healthy children, all born via spontaneous vaginal birth. The client has been diagnosed with mild uterine prolapse and asks the nurse what she can do to prevent further prolapse. The nurse would include which instructions in the teaching plan? Select all that apply.

Lose weight. Eat a diet high in fiber. Perform Kegel exercises. Take a stool softener daily as needed.

The nurse has assisted in the insertion of a Levin tube for gastrointestinal (GI) decompression. The nurse would anticipate a prescription to set the suction to which pressure?

Low and continuous High and intermittent Low and intermittent High and continuous

The nurse is caring for a client with fractured ribs. Which statement indicates a need for further teaching?

My ribs will be healed in a month." "I should only need pain med for a week." "I should stay calm and rest after taking pain med." "I need to support my ribs when I deep breathe and cough."

The nurse is preparing a client for a right below-the-knee amputation. The nurse anticipates that the client is likely to experience which psychosocial problems in the perioperative period? Select all that apply.

Pain Anger

The nurse is assessing a client with a suspected Clostridium difficile infection. The nurse notes that which clinical manifestations are consistent with this diagnosis? Select all that apply.

The client's temperature is 101.7°F (38.2°C). The client is having watery bowel movements. Stool culture negative for white blood cells (WBCs). The client has consumed 100 percent of all daily meals. The client grimaces while the nurse palpates the abdomen.

A primary health care provider is about to perform a paracentesis on a client diagnosed with abdominal ascites. The nurse would assist the client to assume which position?

Upright Supine Left side-lying Right side-lying

The nurse suspects the client has a urinary tract infection (UTI). Which signs/symptoms suggest a UTI? Select all that apply.

Polydipsia

A client with a herniated intervertebral lumbar disk complains of a knifelike, stabbing pain in the lower back, as well as pain radiating into the right buttock. The nurse interprets that the sharp, stabbing pain is probably a result of which reason?

Pressure on the spinal cord Pressure on the spinal nerve root Muscle spasm in the area of the herniated disk Excess cerebrospinal fluid production in the area

The nurse is instructing a group of assistive personnel (AP) in the principles of body mechanics. The nurse determines that an AP is using the principles appropriately if the nurse observes the AP doing which action?

Leaning forward when turning a client in bed Positioning a box that is to be lifted between the knees turning the back to change position while moving a client Helping a client requiring total care into a chair without additional assistance