HESI RN
RN Medical Surgical HESI Questions
Extract:
The patient is a 68-year-old with a history of diabetes, hypertension (HTN), coronary artery disease (CAD), and recently diagnosed with end-stage renal disease (ESRD). She has been placed on hemodialysis three times a week for one month. She presents to the emergency department (ED) with fatigue, generalized weakness, muscle cramps, tingling sensation in arms and legs, and lightheadedness following 3 days of illness during which her husband reports she has complained of nausea and had a poor appetite and was not able to go for her scheduled dialysis 2 days ago.
Question 1 of 5
For each assessment finding, explain whether the actions taken were effective or ineffective.
| Options | Effective | Ineffective |
|---|---|---|
| Denies cramps, weakness, or nausea | ||
| BP 116/68 mm Hg, HR 75 bpm | ||
| Potassium level 3.6 mEq/L (3.6 mmol/L) | ||
| Verbalizes commitment to dialysis appointments | ||
| Client states that she will need to resume her Lisinopril to control blood pressure | ||
| Client is eager to add dark green vegetables and potatoes to her diet |
Correct Answer: A,B,C,D
Rationale: Denying symptoms, normalized vitals, potassium, and dialysis commitment indicate effective actions. Misunderstandings about Lisinopril and diet suggest ineffective education.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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