HESI RN
HESI RN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
After initializing a steroid nebulizer treatment for an asthmatic client in respiratory distress, which intervention is most important for the nurse to implement?
Correct Answer: Elevating the head of the bed maximizes lung expansion, improving breathing and alleviating respiratory effort.
Rationale:
Question 2 of 5
A client with a history of emphysema and heart failure is admitted to the emergency department with enema, coughing, and shortness of breath. The client's laboratory value for brain natriuretic peptide is elevated. Which prescription is most important for the nurse to implement?
Correct Answer: Administering IV furosemide is crucial for managing fluid overload, as indicated by enema and elevated BNP levels.
Rationale:
Question 3 of 5
A client is newly diagnosed with type 2 diabetes mellitus. The nurse is educating the client about self-monitoring blood glucose (SMBG) and haemoglobin A1C. Which statement by the client indicates teaching has been effective?
Correct Answer: Washing hands with warm soapy water prevents infections and ensures accurate glucose readings.
Rationale:
Question 4 of 5
The nurse administers galantamine hydrobromide to a client with early onset Alzheimer's disease. Which nursing problem addresses its therapeutic use?
Correct Answer: Disturbed thought processes are directly related to the therapeutic use of galantamine hydrobromide. This medication helps enhance cognitive function by increasing the levels of acetylcholine in the brain, which is crucial for memory and thinking.
Rationale:
Question 5 of 5
The nurse is obtaining vital sign measurements every 15 minutes for a client who had an emergency appendectomy and currently has a temperature of 101.4°F (38.6°C). Which vital sign measurements should the nurse report to the healthcare provider?
Correct Answer: Heart rate 110 beats/minute and blood pressure 88/56 mmHg indicate tachycardia and hypotension, suggesting potential complications like sepsis or hypovolemia, requiring immediate reporting.
Rationale: