RN EXAM / HESI RN EXIT EXAM (NEWEST, 2022) | VERIFIED
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,HESI EXIT EXAM
, two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and
he admits that he has not been taking the prescribedmedication because
the drugs make him “feel bad”. In explainingthe need for hypertension
control, the nurse should stress that anelevated BP places the client at risk
for which pathophysiologicalcondition?
a- Blindness secondary to cataracts
b- Acute kidney injury due to glomerular damage
c- Stroke secondary to hemorrhage
d- Heart block due to myocardial damage
Rationale: Stroke related to cerebral hemorrhage is major risk for
uncontrolled hypertension.
3. The nurse observes an unlicensed assistive personnel (UAP) positioning a
newly admitted client who has a seizure disorder. The client is supine and
the UAP is placing soft pillows along theside rails. What action should the
nurse implement?
a- Ensure that the UAP has placed the pillows effectively to protect theclient.
b- Instruct the UAP to obtain soft blankets to secure to the side railsinstead
of pillows.