HESI EXIT V6 NEWEST VERSION UPDATED QUESTIONS AND ACCURATE DETAILED ANSWERS GRADED A+

A client presses the call bell and requests pain medication for a severe headache. To assess the quality of the client's pain, which approach should the nurse use? Ask the client to describe the pain A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been soaking in hot baths at night with no relief. of his discomfort. Which action should the nurse take? Encourage the client to use cooler water and apply calamine lotion after soaking An older client with a long history of coronary artery disease, hypertension and heart failure arrives in the emergency department in respiratory distress. The healthcare provider prescribes Furosemide IV. Which therapeutic response to the furosemide should the nurse expect in the client with acute heart failure? Reduced preload Which intervention should the nurse include in the plan of care for a child with tetanus? Minimize the amount of stimuli in the room An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9 is admitted to the hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the ketoacidosis? Had a cold and ear infection for the past two days A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of impending death. After notifying the family of the client's status, what priority action should the nurse implement? The client's need for pain medication should be determined Which self-care measure is most important for the clinic nurse to emphasize when teaching a client who was recently diagnosed with Type 2 diabetes mellitus? Blood glucose monitoring A client who gave birth 48 hours ago has decided to bottle feed the infant. During the assessment, the nurse observes that both breasts are swollen, warm and tender on palpation. Which instruction should the nurse provide? apply ice to the breasts for comfort The nurse is preparing a client who had a below the-knee amputation for discharge to home. Which recommendations should the nurse provide this client? SATA Use a residual limb shrinker Inspect skin for redness Wash the stump with soap and water A toddler presenting with a history of intermittent skin rashes, hives, abdominal pain and vomiting that occurs after injecting of milk products arrives to the clinic accompanied but the parents. Which type of testing should the nurse provide education to the toddler's family about? Serum immunoglubulin IgE A client who is scheduled for a bronchoscope in the morning is anxious and taking the nurse numerous questions about the procedure. In preparing the client for the procedure, which intervention has the Instruct client to write down the questions highest priority? The nurse assesses a client one hour after starting a transfusion of packed red blood cells and determines that there are no indications of a transfusion reaction. What instruction should the nurse provide the UAP who is working with the nurse? Continue to measure the client's vital signs every thirty minutes until the transfusion is complete The healthcare provider prescribes a sepsis protocol for a client with multi organ failure caused by a ruptured appendix. Which intervention is most important for the nurse to include in the plan of care? Maintain strict intake and output A client presents to the labor and delivery unit with a report of leaking fluid that is greenish-brown vaginal discharge. Which action should the nurse take first? Begin continuous fetal monitoring A client asks the nurse for information about how to reduce risk factors fr benign hyperplasia. Which information should the nurse provide? Increase physical activity The healthcare provider prescribes a fluid challenge of NS 1000mL to be infused IV over 4 hours. The IV administration delivers 10gtt/mL. How many get/minute should the nurse regulate the infusion? 42 Following a cardiac catherization and placement of a stent in the right coronary artery, the nurse administers Prasugrel, a platelet inhibitor, to the client. To monitor for adverse effects from the medication, which assessment is most important for the nurse to include in this clients plan of care? Observe color of urine