HESI CAT EXAM (Recent exam) Fully solved &
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Terms in this set (83)
A client with irritable bowel Dried fruits & nuts
syndrome is recovering from surgery
to create an ileostomy what foods Rationale: dried fruits and nuts can cause a
should the nurse instruct the client to blockage in the small intestine the client should be
avoid to reduce the risk of food instructed to avoid these food items with an
blockage ileostomy
A client with malnutrition is assessed Vitamin D levels
for osteomalacia what data show the
nurse review to determine their
clients risk for this health problem Rationale: Malnutrition has widespread affects on
various organ systems osteomalacia is defective
mineralization of newly formed bones secondary
to chronic deficiency of vitamin D it results in soft,
weak bones that fracture easily vitamin D levels will
provide the nurse with the most accurate
information regarding this health problem
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The nurse has determine an Wear warm clothes outside in cold weather
adolescent client needs take your hydroxyurea (Droxia) daily as prescribed
reinforcement education about Drink at least eight 12 ounces glasses of water a
prevention of a sickle cell crisis day
which instruction should the nurse Get regular exercise but do not exercise so much
include select all that apply that you become tired
Rationale: Vaso-occlusive crisis is the most
common clinical manifestation of a sickle cell
disease. it occurs when the micro circulation is
obstructed by sickling of the red blood cells
resulting in local tissue ischemia and severe pain.
the three most common identify triggers for the
development of a vaso-occlusive crisis are
hypoxemia, dehydration, and body temperature
changes
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The nurse is caring for a client with Remove the other clients in nonessential staff from
schizophrenia who has refused they the day room
are risperidone for the last week the
client has been suspicious of nursing Rationale: schizophrenia is a mental health disorder
staff and periodically aggressive for which causes hallucinations, delusions, disorder
the past three days today the client thought process and impaired behavior function.
broke a chair in their room and is Safety for all staff clients and visitors is priority and
making verbal threats to the nurse potential violence situations
and to other clients in the day wrong
what is the first action the nurse
should take
A nurse who normally works on a I don't feel totally comfortable floating so I would
post surgical care unit has been like to be paired with a resource nurse for my shift
asked to float to the preoperative
care unit what is the best response Rationale: The nurse has acknowledged their
by the nurse discomfort with floating and has also identified a
means of making a float shift nurse more
comfortable and important part of a successful
float shift and identifying using resources on the
float unit including a partnership with a specific
resource nurse for the shift to answer questions
locate supplies etc.
The nurse is preparing to administer Assessed for placement of the nasalgastric tube
medication through a client's
nasalgastric tube what will the nurse Rationale: Before inserting any medication through
do first when administering these the nasal gastric tube the nurse needs to assess for
medications correct placement of the tube
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