HESI RN Med Surg Exam 3

Extract:

Question 1 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 2 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?

A. Determine if the client has a sliding scale insulin prescription. B. Stop the infusion until the healthcare provider is notified. C. Assess the client's urinary output for the previous 24 hours. D. Review the client's record for a history of diabetes mellitus. G. A

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

Rationale:

Question 3 of 5

The nurse is evaluating a client's understanding of diet teaching about the DASH (Dietary Approaches to Stop Hypertension) eating plan. Which behaviour indicates that the client is adhering to the eating plan?

A. No longer includes grains in daily diet. B. Enjoys fat-free yogurt as an occasional snack food. C. Uses only lactose-free dairy products. D. Carefully cleans and peels all fresh fruit and vegetables. G. B

Correct Answer: Enjoying fat-free yogurt aligns with the DASH diet's emphasis on low-fat dairy products.

Rationale:

Question 4 of 5

A client with peptic ulcer disease (PUD) is admitted to the medical unit. Which assessment finding requires the most immediate intervention by the nurse?

A. A haemoglobin of 12 g/dL (7.45 mmol/L) and haematocrit of 42% (0.42 volume fraction). B. Vital signs are temperature 99.0Â°F (37.2Â°C) orally, heart rate 94 beats/minute, respirations 18 breaths/minute, blood pressure 110/70 mm Hg. C. Vomits coffee-grounds emesis. D. Reports having sharp epigastric pain. G. C

Correct Answer: Vomiting coffee-grounds emesis indicates gastrointestinal bleeding, requiring immediate intervention.

Rationale:

Question 5 of 5

A client with cholelithiasis is admitted with jaundice due to obstruction of the common bile duct. Which finding is most important for the nurse to report to the healthcare provider?

A. Clay coloured stool. B. Distended, hard, and rigid abdomen. C. Bile-stained emesis. D. Radiating, sharp pain in right shoulder. G. B

Correct Answer: A distended, hard, and rigid abdomen is a sign of possible peritonitis or other severe abdominal complications. This finding indicates a medical emergency that requires immediate attention and intervention by the healthcare provider.

Rationale:

HESI RN Med Surg Exam 3 | Nurselytic

Nurselytic

HESI RN

HESI RN