hesi review
A client reports to the clinic for follow-up after a 1-month treatment with acebutolol. The nurse determines that a therapeutic effect of the medication has occurred if which response is noted?
A blood pressure of 130/84 mm Hg
A client with cancer has received a course of chemotherapy with fluorouracil. The nurse should plan to reinforce which instructions?
"Do not get any immunizations without primary health care provider approval."
The nurse is caring for a child with a suspected diagnosis of rheumatic fever (RF). The nurse reviews the laboratory results. Which laboratory study should assist in confirming the diagnosis of RF?
Antistreptolysin O titer
A client states that he has removed all dairy foods from his diet because he is lactose intolerant. The nurse plans care for the client knowing which information?
Calcium and protein are valuable nutrients and need to be supplemented in some form.
The nurse has a prescription to give a client a scheduled dose of digoxin. Before administering the medication, the nurse routinely screens for which signs/symptoms that could indicate early signs of digoxin toxicity?
Loss of appetite, nausea, and vomiting
The nurse is caring for a client diagnosed with catatonic stupor. The client is lying on the bed, with the body pulled into a fetal position. Which is the appropriate nursing intervention?
Sit beside the client in silence and verbalize occasional open-ended questions.
The nurse caring for a child with aplastic anemia is reviewing the laboratory results and notes a white blood cell (WBC) count of 6000 mm3 (6 × 109/L) and a platelet count of 20,000 mm3 (20 × 109/L). Which nursing intervention should be incorporated into the plan of care?
Encourage quiet play activities.
The nurse enters a client's room and notes that the client's lawyer is present and that the client is preparing a living will. The living will requires that the client's signature be witnessed, and the client asks the nurse to witness the signature. Which is the appropriate nursing action?
Decline to sign the will.
The nurse is reviewing the health care record of a client suspected of having mastoiditis. Which documented findings should the nurse expect to note if this disorder is present? Select all that apply.
-Swelling behind the ear on affected ear -elevated wbc -headache
A client has been admitted for urinary tract infection and dehydration. The nurse determines that the client has received adequate volume replacement if the blood urea nitrogen (BUN) level drops to which value?
15 mg/dL
the nurse is caring for a client who has been prescribed citalopram and checks the client for which signs/symptoms of serotonin syndrome? Select all that apply.
Diarrhea 4.Abdominal pain 5.Increased blood pressure
An adolescent client is admitted to the hospital following an accidental gunshot wound to the foot. The nurse should plan to do which as a first step for the prevention of future injury?
Explore the adolescent's knowledge of gun safety.
the client who is being prepared for a cesarean delivery is brought to the delivery room. To maintain the optimal perfusion of oxygenated blood to the fetus, the nurse should place the client in which position?
Supine position with a wedge under the right hip
The nurse is providing information to the family of a child about a synthetic cast that has been applied to the child for the treatment of a clubfoot. Which information should the nurse provide to the mother?
The synthetic cast allows for greater mobility than a plaster cast.
The nursing student is asked to describe the size of the uterus in a nonpregnant client. Which response indicates an understanding of the anatomy of this structure?
The uterus weighs about 2 ounces."
The nurse prepares to take a blood pressure (BP) on a school-age child. Where should the nurse place the blood pressure cuff to obtain an accurate measurement?
Two thirds the distance between the antecubital fossa and the shoulder
The nurse is reviewing the results of an eye examination on a client. Which tests can detect glaucoma? Select all that apply.
Visual field check -tonometry
The nurse is caring for a client who has a history of opioid abuse and is monitoring the client for signs of withdrawal. Which manifestations are specifically associated with withdrawal from opioids?
Yawning, irritability, diaphoresis, cramps, and diarrhea
Thrombolytic therapy was administered to a client following an acute inferior myocardial infarction. The nurse giving discharge instructions to the client evaluates a need for further teaching when the client makes which statement?
"I will apply pressure for 10 minutes for minor bleeding."
The nurse is teaching a male client with osteomalacia about this disorder. Which comment by the client indicates a need for further teaching?
"This condition is primarily due to my lack of calcium and testosterone."
A licensed practical nurse (LPN) is a certified basic life support (BLS) instructor. The LPN is conducting a BLS recertification class and is discussing automated external defibrillation. A member of the class asks the LPN to identify the correct location for the placement of conductive gel pads to treat ventricular fibrillation. The LPN tells the class that the conductive gel pads are placed in which location on the client's chest?
nder the right clavicle and to the left of the precordium
A client receiving total parenteral nutrition (TPN) is demonstrating signs and symptoms of an air embolism. Which action should the nurse take first?
lace the client on the left side with the head lowered.
