RN Hesi Mental Health

Extract:

History and Physical
Laboratory Results
Imaging Studies
Initial vital signs
Vital signs
The client is a 68-year-old with a history of diabetes, hypertension (HTN), coronary artery disease (CAD), and was recently diagnosed with end-stage renal disease (ERSD). 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 her 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 not able to go for her scheduled dialysis.
On further assessment, the client reports that her doctor had recently started her on Lisinopril for blood pressure control but it "doesn't seem to help". She then complained of some chest discomfort. The client is moved to an ED room and another set of vital signs is performed. Physician notified and orders received.

Question 1 of 5

Select the client actions that were effective in her treatment.

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

The client is eager to add dark green vegetables and potatoes to her diet

Correct Answer: B,C,D

Rationale: Stable BP/HR, normal potassium, and dialysis commitment indicate effective treatment. Denying symptoms needs investigation, resuming Lisinopril requires provider guidance, and high-potassium foods are inappropriate.

Extract:

Question 2 of 5

Correct Answer:

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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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