HESI RN CAT Exam Quizlet - Nurselytic

Questions 51

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HESI RN CAT Exam Quizlet Questions

Question 1 of 5

The nurse is assessing on the first postoperative day following thyroid surgery. Which laboratory value is most important for the nurse to monitor?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

The healthcare provider is caring for a client with jaundice. Which serum laboratory value is likely to be elevated for this client?

Correct Answer: D

Rationale: Bilirubin is a key serum laboratory value that is likely to be elevated in clients with jaundice. Jaundice is characterized by a yellowish discoloration of the skin and eyes due to an excess of bilirubin, a breakdown product of hemoglobin. Elevated amylase levels are associated with pancreatic conditions, not specifically jaundice. Creatinine and blood urea nitrogen are markers of kidney function and are not directly related to jaundice.

Question 3 of 5

The husband and adult children of a woman who abuses alcohol ask the nurse what approach to use when her drinking behavior disrupts family plans. Which response is best for the nurse to provide?

Correct Answer: C

Rationale: The best approach for the nurse to suggest is to make the woman responsible for the consequences of her drinking behaviors. By holding her accountable, she is more likely to recognize the impact of her actions and potentially initiate change. Destroying hidden alcohol supplies (
Choice
A) might lead to conflict and further secretive behavior. Simply communicating the disruptions caused by her drinking (
Choice
B) may not effectively address the issue. Including her in family activities regardless of her drinking status (
Choice
D) could enable the behavior and not address the underlying problem.

Question 4 of 5

A nurse is caring for a client with a new colostomy. Which instruction should the nurse include in the client's teaching plan?

Correct Answer: B

Rationale: The correct instruction the nurse should include in the client's teaching plan is to empty the ostomy pouch when it is one-third full. This practice helps prevent leakage and skin irritation by maintaining an appropriate pouching system. Changing the ostomy appliance daily (
Choice
A) is not necessary unless leakage or other issues occur. Rinsing the ostomy pouch with warm water (
Choice
C) is not a recommended practice as it may cause damage to the pouch. Applying a skin barrier to the peristomal skin (
Choice
D) is important but not the most crucial instruction in this scenario.

Question 5 of 5

The nurse believes that a client who frequently requests pain medication may have a substance abuse problem. Which intervention reflects the nurse's value of client autonomy over veracity?

Correct Answer: A

Rationale: Administering the prescribed analgesic when requested reflects the nurse's value of client autonomy over veracity. This choice respects the client's right to manage their pain as they see fit. Enrolling the client in a substance abuse program (
Choice
B) assumes substance abuse without evidence and infringes on the client's autonomy. Providing a placebo (
Choice
C) violates the principle of beneficence and autonomy by deceiving the client. Documenting the frequency of medication requests (
Choice
D) is important for assessment but does not directly address the client's autonomy in managing their pain.

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