NURS 4025 HESI Critical Care Comprehensive Exam 1 QU
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ESTIONS AND ANSWERS 100%CORRECT/VERIFIED GU V V V V
ARANTEED SUCCESS LATEST UPDATE 2022 V V V V
1. A client with asthma receives a prescription for high blood pressure
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during a clinic visit. Which prescription should the nurse anticipate the cli
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ent to receive that is least likely to exacerbate asthma?
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A. Carteolol (Ocupress). V
B. Propranolol hydrochloride (Inderal). V V
C. Pindolol (Visken). Incorrect V V
D. Metoprolol tartrate (Lopressor). Correct V V V
The best antihypertensive agent for clients with asthma is metoprolol (Lopre
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ssor) (C), a beta2 blocking agent which is also cardioselective and less likely
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to cause bronchoconstriction. Pindolol (A)
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isVaVbeta2VblockerVthatVcanVcauseVbronchoconstrictionVandVincreaseVasthmaticVsymptoms.VAlthoug
h
carteolol (B) is a beta blocking agent and an effective antihypertensive age
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nt used in managing angina, it can increase a client's risk for bronchoconstr
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iction due to its nonselective beta blocker action. Propranolol (D) also block
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s the beta2 receptors in the lungs, causing bronchoconstriction, and is not in
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dicated in clients with asthma and other obstructive pulmonary disorders.
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2. A male client who has been taking propranolol (Inderal) for 18 months t
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ells the nurse that the healthcare provider discontinued the medication beca
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use his blood pressure has been normal for the past three months. Which ins
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truction should the nurse provide?
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A. Obtain another antihypertensive prescription to avoid withdrawal sym
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NURS 4025 HESI Critical Care Comprehensive Exam 1 QU
V V V V V V V V
ESTIONS AND ANSWERS 100%CORRECT/VERIFIED GU V V V V
ARANTEED SUCCESS LATEST UPDATE 2022 V V V V
,NURS 4025 HESI Critical Care Comprehensive Exam 1 QU
V V V V V V V V
ESTIONS AND ANSWERS 100%CORRECT/VERIFIED GU V V V V
ARANTEED SUCCESS LATEST UPDATE 2022 V V V V
ptoms.
B. Stop the medication and keep an accurate record of blood pressure.
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C. Report any uncomfortable symptoms after stopping the medication.
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D. Ask the healthcare provider about tapering the drug dose over the nex
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t week. Correct
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Although the healthcare provider discontinued the propranolol, measures to
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prevent rebound cardiac excitation, such as progressively reducing the dose
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over one to two weeks (C), should be recommended to prevent rebound tac
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hycardia, hypertension, and ventricular dysrhythmias. Abrupt cessation (A a
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nd B) of the beta-
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blocking agent may precipitate tachycardia and rebound hypertension, so gr
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adual weaning should be recommended. (D) is not indicated.
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3. A client who is taking clonidine (Catapres, Duraclon) reports dro
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wsiness. Which additional assessment should the nurse make?
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A. Has the client experienced constipation recently?
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B. Did the client miss any doses of the medication?
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C. How long has the client been taking the medication? Correct
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D. Does the client use any tobacco products?
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Drowsiness can occur in the early weeks of treatment with clonidine and wit
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h continued use becomes less intense, so the length of time the client has b
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een on the medication (A) provides
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NURS 4025 HESI Critical Care Comprehensive Exam 1 QU
V V V V V V V V
ESTIONS AND ANSWERS 100%CORRECT/VERIFIED GU V V V V
ARANTEED SUCCESS LATEST UPDATE 2022 V V V V
,NURS 4025 HESI Critical Care Comprehensive Exam 1 QU
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ESTIONS AND ANSWERS 100%CORRECT/VERIFIED GU
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ARANTEED SUCCESS LATEST UPDATE 2022 V V V V
informationVtoVdirectVadditionalVinstruction.V(B,VC,VandVD)VareVnotVrelevan
t.
4.ID: 6974873590V
The nurse is preparing to administer atropine, an anticholinergic, to a client w
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ho is scheduled for a cholecystectomy. The client asks the nurse to explain th
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e reason for the prescribed medication. What response is best for the nurse to
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provide?
V
NURS 4025 HESI Critical Care Comprehensive Exam 1 QU
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ESTIONS AND ANSWERS 100%CORRECT/VERIFIED GU
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ARANTEED SUCCESS LATEST UPDATE 2022 V V V V
, NURS 4025 HESI Critical Care Comprehensive Exam 1 QU
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ESTIONS AND ANSWERS 100%CORRECT/VERIFIED GU
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ARANTEED SUCCESS LATEST UPDATE 2022 V V V V
A. Provide a more rapid induction of anesthesia.
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B. Induce relaxation before induction of anesthesia.
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C. Decrease the risk of bradycardia during surgery. Correct
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D. Minimize the amount of analgesia needed postoperatively.
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Atropine may be prescribed preoperatively to increase the automaticity of the
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sinoatrial node and prevent a dangerous reduction in heart rate (B) during sur
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gical anesthesia. (A, C and D) do not address the therapeutic action of atropi
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ne use perioperatively.
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5.ID: 6974876286
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An 80-year-
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old client is given morphine sulphate for postoperative pain. Which concomit
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ant medication should the nurse question that poses a potential developmen
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t of urinary retention in this geriatric client?
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A. Antacids.
B. Tricyclic antidepressants. Correct
V V
C. Nonsteroidal antiinflammatory agents. V V
D. Insulin.
Drugs with anticholinergic properties, such as tricyclic antidepressants (C), c
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an exacerbate urinary retention associated with opioids in the older client. Alt
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hough tricyclic antidepressants and antihistamines with opioids can exacerb
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ate urinary retention, the concurrent use of (A and B) with opioids do not. No
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NURS 4025 HESI Critical Care Comprehensive Exam 1 QU
V V V V V V V V
ESTIONS AND ANSWERS 100%CORRECT/VERIFIED GU
V V V V
ARANTEED SUCCESS LATEST UPDATE 2022 V V V V
V V V V V V V V
ESTIONS AND ANSWERS 100%CORRECT/VERIFIED GU V V V V
ARANTEED SUCCESS LATEST UPDATE 2022 V V V V
1. A client with asthma receives a prescription for high blood pressure
V V V V V V V V V V V
during a clinic visit. Which prescription should the nurse anticipate the cli
V V V V V V V V V V V
ent to receive that is least likely to exacerbate asthma?
V V V V V V V V V
A. Carteolol (Ocupress). V
B. Propranolol hydrochloride (Inderal). V V
C. Pindolol (Visken). Incorrect V V
D. Metoprolol tartrate (Lopressor). Correct V V V
The best antihypertensive agent for clients with asthma is metoprolol (Lopre
V V V V V V V V V V
ssor) (C), a beta2 blocking agent which is also cardioselective and less likely
V V V V V V V V V V V V
to cause bronchoconstriction. Pindolol (A)
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isVaVbeta2VblockerVthatVcanVcauseVbronchoconstrictionVandVincreaseVasthmaticVsymptoms.VAlthoug
h
carteolol (B) is a beta blocking agent and an effective antihypertensive age
V V V V V V V V V V V
nt used in managing angina, it can increase a client's risk for bronchoconstr
V V V V V V V V V V V V
iction due to its nonselective beta blocker action. Propranolol (D) also block
V V V V V V V V V V V
s the beta2 receptors in the lungs, causing bronchoconstriction, and is not in
V V V V V V V V V V V V
dicated in clients with asthma and other obstructive pulmonary disorders.
V V V V V V V V V
2. A male client who has been taking propranolol (Inderal) for 18 months t
V V V V V V V V V V V V
ells the nurse that the healthcare provider discontinued the medication beca
V V V V V V V V V V
use his blood pressure has been normal for the past three months. Which ins
V V V V V V V V V V V V V
truction should the nurse provide?
V V V V
A. Obtain another antihypertensive prescription to avoid withdrawal sym
V V V V V V V
NURS 4025 HESI Critical Care Comprehensive Exam 1 QU
V V V V V V V V
ESTIONS AND ANSWERS 100%CORRECT/VERIFIED GU V V V V
ARANTEED SUCCESS LATEST UPDATE 2022 V V V V
,NURS 4025 HESI Critical Care Comprehensive Exam 1 QU
V V V V V V V V
ESTIONS AND ANSWERS 100%CORRECT/VERIFIED GU V V V V
ARANTEED SUCCESS LATEST UPDATE 2022 V V V V
ptoms.
B. Stop the medication and keep an accurate record of blood pressure.
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C. Report any uncomfortable symptoms after stopping the medication.
V V V V V V V
D. Ask the healthcare provider about tapering the drug dose over the nex
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t week. Correct
V V
Although the healthcare provider discontinued the propranolol, measures to
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prevent rebound cardiac excitation, such as progressively reducing the dose
V V V V V V V V V V
over one to two weeks (C), should be recommended to prevent rebound tac
V V V V V V V V V V V V
hycardia, hypertension, and ventricular dysrhythmias. Abrupt cessation (A a
V V V V V V V V
nd B) of the beta-
V V V V
blocking agent may precipitate tachycardia and rebound hypertension, so gr
V V V V V V V V V
adual weaning should be recommended. (D) is not indicated.
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3. A client who is taking clonidine (Catapres, Duraclon) reports dro
V V V V V V V V V
wsiness. Which additional assessment should the nurse make?
V V V V V V V
A. Has the client experienced constipation recently?
V V V V V
B. Did the client miss any doses of the medication?
V V V V V V V V
C. How long has the client been taking the medication? Correct
V V V V V V V V V
D. Does the client use any tobacco products?
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Drowsiness can occur in the early weeks of treatment with clonidine and wit
V V V V V V V V V V V V
h continued use becomes less intense, so the length of time the client has b
V V V V V V V V V V V V V V
een on the medication (A) provides
V V V V V
NURS 4025 HESI Critical Care Comprehensive Exam 1 QU
V V V V V V V V
ESTIONS AND ANSWERS 100%CORRECT/VERIFIED GU V V V V
ARANTEED SUCCESS LATEST UPDATE 2022 V V V V
,NURS 4025 HESI Critical Care Comprehensive Exam 1 QU
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ESTIONS AND ANSWERS 100%CORRECT/VERIFIED GU
V V V V
ARANTEED SUCCESS LATEST UPDATE 2022 V V V V
informationVtoVdirectVadditionalVinstruction.V(B,VC,VandVD)VareVnotVrelevan
t.
4.ID: 6974873590V
The nurse is preparing to administer atropine, an anticholinergic, to a client w
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ho is scheduled for a cholecystectomy. The client asks the nurse to explain th
V V V V V V V V V V V V V
e reason for the prescribed medication. What response is best for the nurse to
V V V V V V V V V V V V V
provide?
V
NURS 4025 HESI Critical Care Comprehensive Exam 1 QU
V V V V V V V V
ESTIONS AND ANSWERS 100%CORRECT/VERIFIED GU
V V V V
ARANTEED SUCCESS LATEST UPDATE 2022 V V V V
, NURS 4025 HESI Critical Care Comprehensive Exam 1 QU
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ESTIONS AND ANSWERS 100%CORRECT/VERIFIED GU
V V V V
ARANTEED SUCCESS LATEST UPDATE 2022 V V V V
A. Provide a more rapid induction of anesthesia.
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B. Induce relaxation before induction of anesthesia.
V V V V V
C. Decrease the risk of bradycardia during surgery. Correct
V V V V V V V
D. Minimize the amount of analgesia needed postoperatively.
V V V V V V
Atropine may be prescribed preoperatively to increase the automaticity of the
V V V V V V V V V V V
sinoatrial node and prevent a dangerous reduction in heart rate (B) during sur
V V V V V V V V V V V V
gical anesthesia. (A, C and D) do not address the therapeutic action of atropi
V V V V V V V V V V V V V
ne use perioperatively.
V V
5.ID: 6974876286
V
An 80-year-
V
old client is given morphine sulphate for postoperative pain. Which concomit
V V V V V V V V V V
ant medication should the nurse question that poses a potential developmen
V V V V V V V V V V
t of urinary retention in this geriatric client?
V V V V V V V
A. Antacids.
B. Tricyclic antidepressants. Correct
V V
C. Nonsteroidal antiinflammatory agents. V V
D. Insulin.
Drugs with anticholinergic properties, such as tricyclic antidepressants (C), c
V V V V V V V V V
an exacerbate urinary retention associated with opioids in the older client. Alt
V V V V V V V V V V V
hough tricyclic antidepressants and antihistamines with opioids can exacerb
V V V V V V V V
ate urinary retention, the concurrent use of (A and B) with opioids do not. No
V V V V V V V V V V V V V V
NURS 4025 HESI Critical Care Comprehensive Exam 1 QU
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ESTIONS AND ANSWERS 100%CORRECT/VERIFIED GU
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ARANTEED SUCCESS LATEST UPDATE 2022 V V V V
