RN Hesi Mental Health | Nurselytic

Questions 37

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RN Hesi Mental Health Questions

Extract:

History and Physical
Initial vital signs:
Imaging Studies
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 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.


Question 1 of 5

The nurse determines the plan of care. For each action, click to indicate whether they would be included or not included in the plan of care for the client.

OptionsIncludedNot Included
Monitor cardiac status
Educate on dialysis compliance
Monitor vital signs
Perform head-to-toe assessment
Monitor heart rhythm
Monitor fluid intake and output
Monitor neuromuscular status

Correct Answer: A,B,C,D,E,F,G

Rationale: Monitoring cardiac status, vital signs, heart rhythm, fluid balance, and neuromuscular status, along with educating on dialysis compliance and low-potassium diet, are essential for managing ESRD and hyperkalemia. Transfer to telemetry is not indicated with stable vitals.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

Similar Questions

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