SPRING 2023 HESI COMPREHENSIVE EXIT WITH 100% GUARANTEED PASS EXAM

SPRING 2023 HESI COMPREHENSIVE EXIT WITH 100% GUARANTEED PASS EXAM A client with pancreatitis complains of severe epigastric pain, so the nurse administers a prescribed narcotic analgesic. Ten minutes later, the client insists on sitting up and leaning forward. Which intervention should the nurse implement? A Raise head of bed until to a 90 degree angle. B Position bedside table so the client can lean across it. C Place bed in a reverse trendelenburg position. D Encourage rest until the analgesic becomes effective. - ANSWERS-B Position bedside table so the client can lean across it. What actions should the nurse take to assure safety during morphine administration? Select all that apply. A Have a manual resuscitation bag at the bedside B Ask the client about other medications she takes C Perform a 12-lead electrocardiogram D Take an initial respiratory rate E Suction the client to clear the airway F Restrain the client with soft restraints - ANSWERS-B Ask the client about other medications she takes D Take an initial respiratory rate NGN: The client is a 42 yr old female who had a right above the knee amputation for osteomyelitis. The client has a drain in place and a surgical dressing that will need to be changed by the surgeon on post-op day 1. What other medications would the nurse expect the surgeon to prescribe along with Morphine? Select all that apply. A Docusate sodium B Methadone C Propofol D Naloxone E Senna F Ibuprofen - ANSWERS-A Docusate sodium D Naloxone NGN: The client is a 42 yr old female who had a right above the knee amputation for osteomyelitis. The client has a drain in place and a surgical dressing that will need to be changed by the surgeon on post-op day 1. The charge nurse places a fall precautions sign on the client's door. What side effects of Morphine could contribute to this client's fall risk? Select all that apply. A Urinary retention B Seizures C Orthostatic hypotension D Sedation E Nausea F Itching G Euphoria - ANSWERS-C Orthostatic hypotension D Sedation G Euphoria An older client with a history of cataracts is recovering from intraocular lens implant (OL) surgery to the left eye. During the post-procedure period, which intervention should the nurse implement? A Encourage deep breathing and coughing exercises. B Obtain vital signs every 2 hours during hospitalization. C Provide an eye shield to be worn while sleeping. D Teach a family member to administer eye drops. - ANSWERS-C Provide an eye shield to be worn while sleeping. An adult client is admitted to the critical care unit with systemic inflammatory response syndrome (SIRS) as a result of a postbur infection. The client has a long line peripherally inserted IV catheter for fluid and medication administration and current vital signs include temperature 102.8° F (39.3° C), heart rate 108 beats/minute, respirations 32 breaths/minute. Which action should the nurse implement first? A Provide bedside equipment for transmission and protective precautions. B Culture sputum, urine, burn wound, and all intravenous access sites. C Implement central line-associated bloodstream infection (CLABSI) protocols. D Evaluate daily serum electrolytes and hydration status. - ANSWERS-B Culture sputum, urine, burn wound, and all intravenous access sites. Five days after surgical fixation of a fractured femur, a client suddenly reports chest pain and difficulty in breathing. The nurse suspects that the client may have had a pulmonary embolus. Which action should the nurse take first? A Bring the emergency crash cart to the bedside. B Prepare a continuous heparin infusion per protocol. C Notify the healthcare provider. D Provide supplemental oxygen. - ANSWERS-D Provide supplemental oxygen