Hesi hints

A nurse provides medications instructions to a client who is taking lithium carbonate (eskalith). The nurse determines that thae client needs additional instructions if the client states that he or she will

D. Decrease fluid intake while taking the lithium

Which of the following is effective in treating status epilepticus

Diazepam

Narcan

For respiratory depression 0.1 too 0.4 Iv

Erickson

Infant starts to control environment after 3 months old

An antiseptic used topically in burn treatment is:

Zink ( silver sulfadizine)

a client reviving a tricyclics antidepressant arrives at the mental health clinic. Which observe indicates that the client is correctly following the medication plan?

C. arrives at the clinic near and appropriate in appearance

Mycostatin (nystatin) would be prescribes for which of be following conditions?

A fungal infection

The nurse will be taught to take his iron preparations:

With meals

A client has reported that crying spells have been a major problem over the past several weeks, and that the doctor said that depression is probably the reason. The nurse observes that the client is sitting slumped in the chair and the clothes that the client is wearing do not fit well. The nurse interprets that further data collection should focus on:

*1. Weight loss* 2. Sleep patterns 3. Medication compliance 4. Onset of the crying spells *rationale* All the options are possible issues to address; however, the weight loss is the first item that needs further data collection because ill-fitting clothing could indicate a problem with nutrition. The client has already told the nurse that the crying spells have been a problem. Medication or sleep patterns are not mentioned or addressed in the question.

A nurse assists with providing an instructional session to parents regarding impetigo. Which statement by a parent indicates the need for further instruction?

*3. "Lesions are most often located on the arms and chest."*

The nurse provides medication instructions to an older audit hypertensive client who is taking 20 mg of lisinopril orally daily. Which statement, if made by the client, indicates that further teaching is necessary?

A can skip a dose once a week

A client with triageminal nuralgia tells the nurse hat acetaminophen (Tylenol) is take. On a frequent daily basis for relief of generalized discomfort. The nurse reviews the clients laboratory results and determines that which of the following indicates toxicity associated with the medication?

A direct bilirubin level of 2 mg

A client is treated in the physician last office after a fall, which sprained the ankle. Radiography has ruled out fracture. Before sending the client home, the nurse would plan to teach the client about which item that is to be avoided in the next 24 hours?

Application of heating pad

A nurse is caring for a client after a modified radical mastectomy. Which of the following findings would indicate that the client is experiencing a complication related to the surgery

Arm edema in the operative side

A patient complains to the office nurse that he is experiencing nausea and muscle cramps. He states, I feel like always have a virus, but it never develops. The nurse recognizes that these symptoms might be as a result of which of the following medications that he patient has just started taking

Atorvastatin (lipitor)

A major adverse reaction the nurse will observe for in a patient with cancer who is receiving antineoplastics drugs is:

Bone marrow suoression

a client is schedule for discharge and will be taking phenobarbital (luminal) for an extended period. The nurse would place highest priority on teaching the client which of the following points that directly relates to client safety?

C. Avoid drinking alcohol while taking this medication

A hospitalized client with a history of alcohol abuse tells the nurse, " I am leaving now. I have to go. I don't want any more treatment I have things that I have to do right away." The client has not been discharged. In fact, the client is scheduled for an important diagnostic test to be performed in 1 hour. After the nurse discusses the Clint's concerns with the client, the client dresses and begins to walk out of the hospital room. The appropriate nursing action is to:

Call the nursing supervisor

Symptoms of pneumonia in older client:

Confusion, lethargy, anorexia , rapid respiratory rate

A mother is breast- feeding her newborn baby and experiencing breast engorgement. The nurse encourages the mother to do which of the following to provide relief of the engorgment?

D. Massage the breats before feeding to stimulating let-down

A pregnant client is receiving magnesium sulfate for the management of preeclampsia. A nurse determines that the client is experiencing toxicity from the medication of which of the following is noted on assessment ?

D. Respiration's of 10 breaths per minute

A nurse is planning to teach cord care to a new mother. The nurse plans to tell the mother that

D. The process of keeping the cord clean and dry will decrease bacterial growth

A nurse is obtaining the medication history of a Newley admitted patient. The patient had been taking Lexapro for 14 days. Which of the following effects would be observed if the drug is therapeutic?

Decreased depression

A client is admitted to a psychiatric unit for treatment of psychiatric behavior. The client is at the locked exit door and is shouting, let me out. There's nothing wrong with me. I don't belong here. The nurse identifies this behavior as:

Denial

A nurse is told that a child with rematch fever will be arriving the nursing unit for admission. Which question should the nurse ask the family to elicit information specific to the development of RF

Did the child have a sore throat or an unexplained fever within he past 2 months

A 66 year old patient with pain associated with angina pectoris is given sublingual nitroglycerin. The nurse knows this medication will

Dilated blood vessels and increase circulation

A nurse is assigned to monitor a 3 month old infant for increased intracranial pressure. On palpation of the fontanels, the nurse notes that the anterior fontanel has not closed and that it is soft and flat. Which of the following actions should the nurse take?

Document the findings

A nurse who is caring for a child with aplastic anemia reviews the laboratory results and notes a white blood cell count of 6000 and platelet count of 27000. Which nursing intervention should be incorporated into the plan of care?

Encourage quite okay activity

A nurse instructs a mother of a child with sickle cell disease regarding the precipitating factors related to pain crisis. Which of the following, if identified by the mother as a precipitating factor, indicates the need for further teaching

Fluid overload

A nurse is positioning the client with ICP. Which position would he nurse avoid

Head turned to the side

Amikacin (smiling) is prescribed for a client with bacterial infection. The nurse instructs the client to contact the physician immediately of which of the following occurs?

Hearing loss

A client with a history of duodenal ulcer is taking calcium carbonate chewable tablets. The nurse determines that the client is experiencing optimal effects of the medication if:

Heartburn is relieved

Respiratory alkalosis

Hyperventilation

A patient who has been taking hydrocortisone for an extended period should be monitored for which of the following adverse reaction

Hypoglycemia

Respiratory acidosis

Hypoventilation

a nurse is preparing for the hospital discharge of a client with a history of command hallucinations and anxiety and determines that the client understands the interventions when the client states:

I can call my therapist when I'm hallucinating so that I can talk about my feelings and plans and not hurt anyone

A nurse is providing instructions to the parents of a child with scoliosis regarding the use of a brace. Which statement by the patient indicates the need for further instructions

I will apply lotion under the brace to prevent skin breakdown

A nurse reinforces home care instructions tit he parents of a 3 year old child who had been hospitalized with hemophilia. Which statement by a parent indicates the need for further teaching

I will avoid immunization and dental hygiene treatments for my child

Fluctuation in the fluid will occur if there is no external suction

If this cease, check for linked tubing, accumulation, or change in the tubing, occlusions, or change in the clients position becuase exp landing long tissue may be occluding the tube opening

The nurse will administer thyroid drugs

In a singale dose, usually before breakfast

A mother of a preschooler who attends day care reports that the child is constantly itching the perianal area and hat the area is irritated. The nurse suspects the possibility of pinworm infection. The nurse instructs the mother to obtain a rectal specimen with the use of the tape test. When is the best time to obtain the specimen?

In the morning, when the child awakens

A client who is currently taking levothyroxine complains of cold intolerance, constipation, dry skin, weight gain, and puffy eyes. Based on these findings, the nurse would anticipate which of the following physicians prescriptions?

Increased levothyroxine dosage after checking the t4 level

A nurse is caring for a female client who was admitted to the hospital for anorexia nervosa. The nurse Enters the Clients room and notes that the client is doing vigorous push- ups. Which nursing action is appropriate?

Interrupt the client and offer to take her for a walk

A medication used to treat a bipolar disorder is

Lithium

When teaching self administration of eye drops to a patient, the nurse will stress that the carrot method for instilling eye drops is to drop the medication on the:

Lower conjunctional sac

Four side effects of narcotic medications

Nausea: vomiting, constipation, cns depression, respiratory depression

An inebriated client is brought to the emergency department by the local police. The client is told that the physician will be in to see the client in about 30 mins. The client becomes very loud and offensive and wants to be seen by the physician immediately. The nurse assisting to care for the client would plan for which appropriate nursing intervention?

Offer to take the client to an examination room until he or she can be treated.

Spironolactone ( aldactone) is often prescribed for children with CHF becuase it is an:

Potassium sparing diuretic

A nurse is caring for a client with an internal radiation implant. When caring for the client l, the nurse should observe which principle

Pregnant woman are not allowed into the clients room

A nurse prepares a teaching plan regarding the administration of eardrops for the parent if a 2 years old child. Which of the would be included in the plan?

Pull the earlobe down and back before instilling the eardrops

A patient who is experiencing nausea and vomiting has an elevated temperature. The nurse will give the antipyretic:

Rectally

Metabolic alkalosis

Retention of base or removal of acid from body fluids

A nurse reinforces home care instructions to the parents of a child with celiac disease. Which of the following food items would the nurse advise the parents to include in the child's diet?

Rice

A client who has been newly diagnosed with diabetes Mellitus has been stabilized with daily insulin injections. Which information should the nurse when carrying out plans for discharge?

Rotate the insulin infection sites systemically

The nurse is preparing to communicate with an older client who is hearing impaired. The appropriate initial nursing action is to :

Stand in front of the client

A nurse collects data on a client with a diagnosis of bipolar affective disorder- mania. The finding that requires the nurses immediate intervention is:

The clients nonstop physical activity and poor nutritional intake

Enteric Coated medications are ordered for the following purpose:

To allow for delayed absorption in the small intestine

Common types of symptoms of pneumonia include

Trachypnea, fever and chills, productive caping, bronchial breath sounds

Fluoxetine (Prozac) has been ordered for a 49 year old man with depression. In teaching him about his new medicine, the nurse will tell him that:

Two to three weeks will be required before the effects of the drug will be felt.

A nurse is assigned to care for an older adult client. To refuse the risk of aspiration during meals, the nurse portions the client:

Upright in a chair

a male client with delirium becomes agitated and confused in his room at night. The best initial intervention by the nurse is to:

Use a night light and turn off the television

Identify all the following drugs that my cause ototoxicity

Vancomycin Non steroidal anti inflammatory drugs Salicylates

A nurse is caring for a postpartum client with a diagnosis of thrombophlebitis. The Client suddenly caomplains of chest pain and dyspnea. The nurse would initially check the

Vitals signs

A nurse is caring for a client with a diagnosis of chronic gastritis. The nurse anticipates that this client is at risk for which vitamin deficiency?

Vitamin b 12

Disulfiram ( Antabuse) is prescribed for a client who is seen in the psychiatric health care clinic. The nurse is collecting data on the client and is providing instructions regarding the use of this medication. Which is most important for the nurse to determines before administration of this medication?

When the last alcoholic drink was consumed

a nurse is caring for hospitalized client who has been taking clozapine (clozaril) for the treatment of a schizophrenic disorder. Which laboratory study prescribed for the client will the nurse specifically review to monitor for an adverse effect associated with the use of this medication?

White blood cell count

Ibuprofen ( Motrin) is prescribed for a client. The nurse tells the client to take the Medicine

With 8 oz of milk

After a tonsillectomy which of the following fluid it food items would be appropriate to offer tot he child?

Yellow jello

Metabolic acidosis

addition of large amount of fixed acids to body fluids