EAQ Elimination - HESI
While reviewing laboratory results of clients seen at a maternity clinic, the nurse notes that one client's maternal serum alpha-fetoprotein level is lower than is typical. What does the nurse recognize that this may be associated with?
Down syndrome
A nurse is caring for a client who just had surgery to repair an inguinal hernia. What should the nurse do to limit a common complication associated with this surgery?
Place a support under the scrotum
Which statement by the student nurse is true about the appearance of a toddler's body?
Toddlers have a gap between their legs while walking.
A client who is homeless is hospitalized for alcohol withdrawal. When considering the type of personal protective equipment that is needed for the client's care, the nurse recalls that homeless persons are at risk for what?
Tuberculosis
The parents of a newborn tell the nurse that they do not want their infant's eyes treated with a prophylactic agent. How should the nurse respond?
"You'll have to sign an informed consent to refuse the treatment."
Discharge instructions for the client diagnosed with cirrhosis with varices should include information about the importance of what? Select all that apply.
*Avoiding aspirin and aspirin containing products *Avoiding acetaminophen and products containing acetaminophen *Avoiding coughing, sneezing, and straining to have a bowel movement
When planning nursing care for clients who are grieving the potential death of a family member, it is helpful to draw on the understanding of the five stages of grieving identified and described by Elisabeth Kübler-Ross. Place these stages in order of progression from first to last.
*Denial *Anger *Bargaining *Depression *Acceptance
A client has a kidney transplant. The nurse should monitor for which signs associated with rejection of the transplant? Select all that apply.
*Fever *Oliguria *Weight gain
The nurse concludes that the gradual occlusion of the internal or common carotid arteries, manifested by transient ischemic attacks, may occur because of what reason?
Atherosclerosis of the vascular system
Which stage of psychosocial development should an individual successfully master to achieve self-control and willpower, according to Erikson's theory?
Autonomy versus shame and doubt
A few weeks after discharge, a postpartum client experiences mastitis and telephones for advice concerning breastfeeding. The nurse notifies the practitioner to have antibiotics prescribed. What should the nurse recommend that the client do?
Breastfeed often to keep the breasts empty.
A client who is scheduled for a bowel resection is to receive antibiotics preoperatively. The nurse teaches the client that the purpose of the antibiotics is to help do what?
Decrease the number of bacteria in the gastrointestinal (GI) tract
The nurse is creating a dietary plan for a client with cholecystitis who has been placed on a modified diet. What would be appropriate to include in the dietary plan?
Decreased fat intake to avoid stimulation of the cholecystokinin mechanism for bile release
A senior nurse finds that the nurse leader is implementing Gardner's task of "achieving workable unity" effectively. Which action of the nurse leader supports the senior nurse's finding?
Developing conflict resolution skills effectively
A client who is to have a total hip arthroplasty with an uncemented prosthesis asks, "When will I be able to get up and walk?" On what information should the nurse base an answer?
Full weight-bearing may begin the day after surgery.
A parent of a 7-year-old child asks a nurse how to tell the difference between measles (rubeola) and German measles (rubella). What should the nurse tell the parent differentiates rubeola from rubella?
High fever and Koplik spots
A client is admitted to the hospital with a potential diagnosis of excess antidiuretic hormone. Which clinical indicator should the nurse identify when assessing this client?
Hyponatremia
A pregnant client with an infection tells the nurse that she has taken tetracycline for infections on other occasions and prefers to take it now. What does the nurse advise regarding the reason tetracycline is avoided during pregnancy?
It alters the development of fetal teeth buds.
A client is admitted to the hospital with the diagnosis of Parkinson disease. What medication should the nurse expect the health care provider to prescribe to relieve the client's physiological responses to this disease?
Levodopa
A nurse is caring for a client who is experiencing urinary incontinence. The client has an involuntary loss of small amounts (25 to 35 mL) of urine from an overdistended bladder. What should this should be documented in the medical record as?
Overflow incontinence
A client is diagnosed with Parkinson disease and receives a prescription for levodopa therapy. The nurse concludes that the medication is appropriate for this client because it does what?
Restores the dopamine levels in the brain
Which cardiac defects are associated with tetralogy of Fallot?
Right ventricular hypertrophy, ventricular septal defect, pulmonic stenosis, and overriding aorta
Before a client has a cardiac catheterization, an electrocardiogram (ECG) is performed and hypokalemia is suspected. The nurse expects that the diagnosis will be confirmed by which diagnostic test?
Serum potassium level
A client is experiencing diplopia, ptosis, and mild dysphagia. Myasthenia gravis is diagnosed and an anticholinergic medication is prescribed. The nurse is planning care with the client and spouse. What direction is the priority?
Take the medication according to a specific schedule
A nurse is caring for a client who was diagnosed with a myocardial infarction. While caring for the client two days after the event, the nurse identifies that the client's temperature is elevated. The nurse concludes that this increase in temperature is most likely the result of what?
Tissue necrosis