3/21/25, 7:48 NU371 HESI Case Study: Suicide, A Sentinel Event Flashcards |
AM
NU371 HESI CASE STUDY: SUICIDE, A SENTINEL EVENT EXAM
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
Terms in this set (46)
The client has a 45-year history of smoking one pack a day of cigarettes. He admits
he has had a productive cough, hoarseness, and a hard time breathing. He
attributes these symptoms to his age. He describes waking up three to four times at
night with coughing and difficulty breathing. He states that he has lost weight, but
thinks it is because he isn't really hungry anymore. He talks about being unusually
tired lately
and mentions that sometimes doesn't have enough energy to get from the bedroom
Meet the Client
to the kitchen. The client also says he drinks nutrition shakes for meals because
they are easy to prepare and they taste good. The client's medical history includes
insulin- dependent type II diabetes mellitus. He says that what bothers him the most
is that he has difficulty concentrating. He compares it to "suffering from some sort of
brain fog."
As the nurse documents the a)Client's frequency for checking blood glucose.
client's assessment, the nurse is b) Quantity of Ensure taken per day.
correct to
c) Reason for lack of appetite.
question which activity of a client with type
d) Amount of water and other fluids taken daily.
II diabetes mellitus? (Select all that apply.
One, some, or all options may be correct.)
a) Client's frequency for checking
blood glucose.
b) Quantity of Ensure taken per day.
c) Reason for lack of appetite.
d) Amount of water and other fluids
taken daily.
e) Last blood glucose result obtained
by client.
1/17
,3/21/25, 7:48 NU371 HESI Case Study: Suicide, A Sentinel Event Flashcards |
AM
The client mentions that he feels "blue" d) Becoming widowed within the past year.
lately because his wife died one year ago, -
and his children live out of state and
The combinations of sadness, loneliness from losing a loved one in widowhood, and
seldom visit. The nurse knows that the
hopelessness leads to social withdrawal. Those feelings place an older adult at
greatest risk for major depression includes greater risk of suffering from major depression because older adults are reluctant to
which event? adapt to changes.
a) Being retired from the military.
b)The realization of growing older.
c) Inability to attend church regularly.
d) Becoming widowed within the past year.
The client is alert and oriented to time and place. He is a pale, thin male, with
shallow respirations. He exhibits some nasal flaring, mild intercostal retractions, and
a
productive cough. He leans forward as he sits in a tripod position. Upon auscultation,
the nurse notices wheezing to the right side and diminished breath sounds to the
left side, and his heart rate is slightly elevated. Visual inspection of the client reveals
a
Physical Assessment
barrel chest, mild clubbing of the fingers, and cyanosis to the nail beds. His skin is
very warm and dry to the touch, and an examination reveals decreased skin turgor,
and a stage II decubitus ulcer in the sacral area that scored a 14 on the Braden
scale.
The client has mild swelling of the feet and he reports limited mobility related
to feeling weak. He denies allergies to medication or food and denies any pain.
He does not have advance directives.
T 101.5° F (38.6° C), HR 110 beats/min, R 20 breaths/min, BP 150/90 mmHg, blood
VITAL SIGNS
glucose 200, O2 saturation 88% on room air
albuterol and ipratropium bromide, meter dose inhalers
diltiazem
furosemide
aspirin 81 mg
MEDICATIONS metformin
regular insulin (sliding scale)
enoxaparin sodium
The nurse follows the healthcare provider's (HCP) prescriptions for treatment of
exacerbation of chronic obstructive pulmonary disease (COPD)
Obtain ABG, CBC with diff, chemistry 7, blood cultures (BC), urinanalysis (UA)
PA and lateral chest x-ray
PRESCRIPTIONS Consult PT/OT for wound care
2/17
, 3/21/25, 7:48 NU371 HESI Case Study: Suicide, A Sentinel Event Flashcards |
AM
Start sequential compression device (SCD)
Establish intravenous access (saline lock)
The HCP prescribes 1000 mL dextrose 5% c) Dextrose (D5).
with normal saline 0.9% and 20 mEq/L -
potassium chloride (KCl) to infuse at 100
Solutions that contain dextrose are not recommended for client with diabetes
mL/hr. The nurse is correct to question
because they can result in the rise of insulin, which will cause a decreased level of
which additive to this infusion prescription?
potassium in the blood. Dextrose may be prescribed for a client with diabetes to
a) Normal saline (NS) and Potassium prevent low blood sugar during surgery. As a result of the many treatment and
chloride (KCl). approaches to diabetes, it is important for the nurse to clarify the drug and
b) Normal saline (NS). intravenous fluid prescriptions with the HCP.
c) Dextrose (D5).
d) Potassium chloride (KCl).
The HCP prescribes 1000 mL normal saline 1 hr/125 mL X 1,000 = 1,000/125 = 8 hours
0.45% with 20 mEq/L potassium chloride
(KCl) to infuse at 125 mL/hr. The nurse
calculates that it will take how many hours
for the infusion to be complete? (Enter
numeric value only. If rounding is required,
round to the whole number.)
The client is febrile with temperature of a) Contact the lab and request blood cultures be drawn.
101.5°F (38.6°C). Based on this information, -
which intervention should the nurse Blood culture specimens are always drawn before giving acetaminophen or starting
implement first? antibiotic therapy because the antibiotic usually interferes with the organism's
a) Contact the lab and request growth in the laboratory.
blood cultures be drawn.
b)Administer acetaminophen per hospital
protocol.
c) Contact the HCP for a prescription for
an antibiotic.
d) Retake temperature with a
tympanic thermometer.
3/17
AM
NU371 HESI CASE STUDY: SUICIDE, A SENTINEL EVENT EXAM
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
Terms in this set (46)
The client has a 45-year history of smoking one pack a day of cigarettes. He admits
he has had a productive cough, hoarseness, and a hard time breathing. He
attributes these symptoms to his age. He describes waking up three to four times at
night with coughing and difficulty breathing. He states that he has lost weight, but
thinks it is because he isn't really hungry anymore. He talks about being unusually
tired lately
and mentions that sometimes doesn't have enough energy to get from the bedroom
Meet the Client
to the kitchen. The client also says he drinks nutrition shakes for meals because
they are easy to prepare and they taste good. The client's medical history includes
insulin- dependent type II diabetes mellitus. He says that what bothers him the most
is that he has difficulty concentrating. He compares it to "suffering from some sort of
brain fog."
As the nurse documents the a)Client's frequency for checking blood glucose.
client's assessment, the nurse is b) Quantity of Ensure taken per day.
correct to
c) Reason for lack of appetite.
question which activity of a client with type
d) Amount of water and other fluids taken daily.
II diabetes mellitus? (Select all that apply.
One, some, or all options may be correct.)
a) Client's frequency for checking
blood glucose.
b) Quantity of Ensure taken per day.
c) Reason for lack of appetite.
d) Amount of water and other fluids
taken daily.
e) Last blood glucose result obtained
by client.
1/17
,3/21/25, 7:48 NU371 HESI Case Study: Suicide, A Sentinel Event Flashcards |
AM
The client mentions that he feels "blue" d) Becoming widowed within the past year.
lately because his wife died one year ago, -
and his children live out of state and
The combinations of sadness, loneliness from losing a loved one in widowhood, and
seldom visit. The nurse knows that the
hopelessness leads to social withdrawal. Those feelings place an older adult at
greatest risk for major depression includes greater risk of suffering from major depression because older adults are reluctant to
which event? adapt to changes.
a) Being retired from the military.
b)The realization of growing older.
c) Inability to attend church regularly.
d) Becoming widowed within the past year.
The client is alert and oriented to time and place. He is a pale, thin male, with
shallow respirations. He exhibits some nasal flaring, mild intercostal retractions, and
a
productive cough. He leans forward as he sits in a tripod position. Upon auscultation,
the nurse notices wheezing to the right side and diminished breath sounds to the
left side, and his heart rate is slightly elevated. Visual inspection of the client reveals
a
Physical Assessment
barrel chest, mild clubbing of the fingers, and cyanosis to the nail beds. His skin is
very warm and dry to the touch, and an examination reveals decreased skin turgor,
and a stage II decubitus ulcer in the sacral area that scored a 14 on the Braden
scale.
The client has mild swelling of the feet and he reports limited mobility related
to feeling weak. He denies allergies to medication or food and denies any pain.
He does not have advance directives.
T 101.5° F (38.6° C), HR 110 beats/min, R 20 breaths/min, BP 150/90 mmHg, blood
VITAL SIGNS
glucose 200, O2 saturation 88% on room air
albuterol and ipratropium bromide, meter dose inhalers
diltiazem
furosemide
aspirin 81 mg
MEDICATIONS metformin
regular insulin (sliding scale)
enoxaparin sodium
The nurse follows the healthcare provider's (HCP) prescriptions for treatment of
exacerbation of chronic obstructive pulmonary disease (COPD)
Obtain ABG, CBC with diff, chemistry 7, blood cultures (BC), urinanalysis (UA)
PA and lateral chest x-ray
PRESCRIPTIONS Consult PT/OT for wound care
2/17
, 3/21/25, 7:48 NU371 HESI Case Study: Suicide, A Sentinel Event Flashcards |
AM
Start sequential compression device (SCD)
Establish intravenous access (saline lock)
The HCP prescribes 1000 mL dextrose 5% c) Dextrose (D5).
with normal saline 0.9% and 20 mEq/L -
potassium chloride (KCl) to infuse at 100
Solutions that contain dextrose are not recommended for client with diabetes
mL/hr. The nurse is correct to question
because they can result in the rise of insulin, which will cause a decreased level of
which additive to this infusion prescription?
potassium in the blood. Dextrose may be prescribed for a client with diabetes to
a) Normal saline (NS) and Potassium prevent low blood sugar during surgery. As a result of the many treatment and
chloride (KCl). approaches to diabetes, it is important for the nurse to clarify the drug and
b) Normal saline (NS). intravenous fluid prescriptions with the HCP.
c) Dextrose (D5).
d) Potassium chloride (KCl).
The HCP prescribes 1000 mL normal saline 1 hr/125 mL X 1,000 = 1,000/125 = 8 hours
0.45% with 20 mEq/L potassium chloride
(KCl) to infuse at 125 mL/hr. The nurse
calculates that it will take how many hours
for the infusion to be complete? (Enter
numeric value only. If rounding is required,
round to the whole number.)
The client is febrile with temperature of a) Contact the lab and request blood cultures be drawn.
101.5°F (38.6°C). Based on this information, -
which intervention should the nurse Blood culture specimens are always drawn before giving acetaminophen or starting
implement first? antibiotic therapy because the antibiotic usually interferes with the organism's
a) Contact the lab and request growth in the laboratory.
blood cultures be drawn.
b)Administer acetaminophen per hospital
protocol.
c) Contact the HCP for a prescription for
an antibiotic.
d) Retake temperature with a
tympanic thermometer.
3/17
