NUR1460 Fundamentals HESI Attempt 2 Study Guide 2024 with Complete Solutions

NUR1460 Fundamentals HESI Attempt 2 Study Guide 2024 with Complete Solutions Which medications affect a patient's rapid eye movement (REM) sleep leading to frequent waking at night and sleepiness during the day? - Answer- Narcotics Narcotics are central nervous system stimulants which cause disruption in REM Which complications would the nurse expect to find in a patient who is on beta blockers? Select all that apply. Insomnia Irritability Drowsiness Nightmares Restlessness - Answer- Nightmares Insomnia Beta blockers inhibit the effects of the adrenaline hormone and also inhibit nighttime secretion of melatonin, a hormone involved in regulating both sleep and the body's circadian clock. Which order should the nurse follow when removing personal protective equipment following a surgical procedure? Gloves, eyewear, gown, mask Mask, gown, eyewear, gloves Eyewear, gloves, gown, mask Gown, mask, eyewear, gloves - Answer- Gloves, eyewear, gown, mask Which term is defined as a global set of concepts which describe the central phenomena of the discipline and explains the relationship between those concepts? - Answer- Metaparadigm Which surgeries require general anesthesia? Select all that apply. Mastectomy Nephrectomy Breast biopsy Bowel resection Cataract surgery - Answer- Mastectomy Nephrectomy Bowel Resection Major surgeries require general anesthesia, and minor surgeries need local anesthesia. Which risks would the nurse anticipate in patients with a high red blood cell count (RBC), hemoglobin (Hgb), and hematocrit (Hct)? Select all that apply. Hemorrhage Renal disease Polycythemia vera Congenital heart disease Bone marrow suppression - Answer- Polycythemia vera Congenital heart disease Polycythemia vera is a bone marrow disorder that results in an increased number of RBCs With an elevated RBC count, the patient will also have an increase in Hgb and Hct. A patient with congenital heart disease may also have an increase in RBCs, Hgb, and Hct. Hemorrhage, renal disease, and bone marrow suppression may result in decreased RBC, WBC, and platelet levels in the blood, due to blood loss and immunosuppression. Which intellectual standard of critical thinking is the nurse following when the plan of care for a pregnant patient is based on the knowledge of a previous fetal loss? Select all that apply. Logic Fairness Accuracy Relevance Significance - Answer- Relevance Significance The nurse, following the intellectual standard of relevance, focuses on the facts and ideas provided by the patient. The intellectual standard of significance involves the consideration of the most important information to prepare a care plan or to make a conclusion. Which patient data will the nurse consider while preparing a care plan for a Jehovah's Witness patient? Literacy Preferences Acculturation Medical knowledge - Answer- Preferences Nurses caring for known members of the Jehovah's Witness faith community should document patient preferences to ensure compliance with religious beliefs during medical treatment. The patient's literacy and medical knowledge do not influence the care process but do affect teaching. Acculturation does not refer to patient data; it is a process of interaction and cultural exchange between two or more cultures. During surgery, the nurse finds that the patient has suddenly developed hypertension, muscle rigidity, cyanosis, high fever, and tachycardia. Which intervention is priority in this situation? Discontinuing the anesthesia Providing oxygen to the patient Stopping the surgery immediately Providing intravenous fluids to the patient - Answer- Stopping the surgery immediately The patient's signs indicate that the patient has malignant hype