HESI RN Med Surg Exam 3 | Nurselytic

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HESI RN Med Surg Exam 3 Questions

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Question 1 of 5

The home health nurse visits a client who has a serum sodium level of 123 me/L (123 mmol/L). To explore possible etiologist for this value, what question should the nurse ask the client?

Correct Answer: This question is most relevant because excessive water or ice chip intake can lead to dilutional hyponatremia. Identifying excessive fluid intake is critical in determining if this is the cause of the client's hyponatremia.

Rationale:

Question 2 of 5

The nurse is assessing a client who is newly diagnosed with hypothyroidism. Which assessment finding requires immediate intervention?

Correct Answer: Hypoventilation is the most critical finding because it indicates respiratory depression. Immediate intervention is required to support the client's breathing and prevent respiratory failure.

Rationale:

Question 3 of 5

A 26-year-old client is admitted to the hospital for treatment of a simple goitre, and levothyroxine sodium is prescribed. Which symptoms indicate to the nurse that the prescribed dosage is too high for this client?

Correct Answer: Palpitations and shortness of breath are signs of hyperthyroidism, which can occur if the dosage of levothyroxine is too high.

Rationale:

Question 4 of 5

A client who weighs 176 pounds is admitted to the intensive care unit with a serum glucose level of 600 mg/dL (33.3 mmol/L). Regular insulin at a rate of 0.1 unit/kg/hour is prescribed. The pharmacy provides a solution of regular insulin 100 units/100 mL of normal saline. The nurse should set the infusion pump to deliver how many mL/hours?

Correct Answer: The nurse should set the pump to 8 mL/hour, calculated as 176 pounds ÷ 2.2 = 80 kg, 80 kg × 0.1 unit/kg/hour = 8 units/hour, 8 units ÷ (100 units/100 mL) = 8 mL/hour.

Rationale:

Question 5 of 5

The practical nurse (PN) reports to the charge nurse that a client who is receiving a parenteral nutrition infusion has a capillary glucose of 365 mg/dL (20.3 mmol/L). Which action should the charge nurse implement?

Correct Answer: Determining if the client has a sliding scale insulin prescription allows for prompt management of hyperglycaemia.

Rationale:

Similar Questions

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A client who is receiving normal saline IV at 75 mL/hour has dry, sticky mucous membranes, and inelastic skin turgor. Which action should the nurse implement?
After placing a client who is having a seizure in the side-lying position, which intervention should the nurse implement?
The nurse is caring for an older adult client with Alzheimer's disease who becomes increasingly agitated and is speaking to someone who is not visible to the nurse. Which action should the nurse implement?

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