HESI Remediation (NCLEX-PN) NCLEX-PN Remediation

HESI Remediation (NCLEX-PN) NCLEX-PN Remediation Elimination • A male client reports dysuria, nocturia, and difficulty starting the urinary stream. A cystoscopy and biopsy of the prostate gland have been scheduled. After the procedure the client reports an inability to void. What should the nurse do? • • A nurse is obtaining a health history from the mother of a 15-month-old toddler with celiac disease. The nurse expects the mother to indicate what about her toddler? A client with an ileal conduit is being prepared for discharge. As part of the discharge teaching, what does the nurse instruct the client to do? . • A client is scheduled for a transurethral resection of the prostate (TURP). Which statement made by the client most indicates the need for further preoperative teaching? • A health care provider prescribes bisacodyl (Dulcolax) for a client with cardiac disease. The nurse explains to the client that this drug acts by doing what? • A male client with a brain attack (cerebrovascular accident) has regained control of bowel movements but still is incontinent of urine. To help reestablish bladder control, the nurse should encourage the client to do what? • A nurse is caring for a client with a T-tube after an open cholecystectomy. What specificaction should the nurse include in the plan of care? • A four-year-old child with a new colostomy is to be discharged in several days. What should the nurse teach the parents about their child's home care? . • A nurse is assessing a client with hypothyroidism. Which clinical manifestations should the nurse expect the client to exhibit? Select all that apply. • A client is scheduled for ligation of hemorrhoids. Which diet does the nurse expect to be prescribed in preparation for this surgery? . • A client who had a transurethral resection of the prostate is transferred to the postanesthesia care unit with an intravenous (IV) line and a urinary retention catheter. For which major complication is it most important for the nurse to assess during the immediate postoperative period? • A nurse is caring for a client who is experiencing urinary incontinence. The client has an involuntary loss of small amounts (25 to 35 mL) of urine from an overdistended bladder. What should this should be documented in the medical record as? • After an abdominal hysterectomy the client returns to the unit with an indwelling catheter. The nurse notes that the urine in the client's collection bag has become increasingly sanguineous. What complication does the nurse suspect? • Which interventions should the nurse anticipate will be prescribed initially for a client who had a hemorrhoidectomy? Select all that apply. • A client with cancer of the prostate requests the urinal at frequent intervals but either does not void or voids in very small amounts. What does the nurse conclude is most likely the causative factor? Intracranial Regulation • Initially after a brain attack (cerebrovascular accident), a client's pupils are equal and reactive to light. Later, the nurse assesses that the right pupil is reacting more slowly than the left and that the systolic blood pressure is beginning to rise. What complication should the nurse consider that the client is developing? • A client is admitted to the hospital with a tentative diagnosis of a brain tumor. The nurse recalls that the diagnostic test conducted to confirm this diagnosis is what? • What action should be included in the nursing care of an infant with increased intracranial pressure? • A client who had a brain attack (CVA) two weeks ago is having problems communicating. The nurse shows the client a picture of a baseball and asks the client to identify it and its characteristics. The client describes its color, size, and purpose but cannot identify it as a ball. What does the nurse document this response as? • Which antiepileptic drug can cause photophobia? • The parents of an infant who just underwent insertion of a ventriculoperitoneal shunt for hydrocephalus are concerned about the prognosis. What information should the nurse give the parents? • What therapeutic effect does the nurse expect to identify when mannitol is administered parenterally to a client with cerebral edema? • A client is admitted with a closed head injury sustained in a motor vehicle accident (MVA). The nursing assessment indicates increased intracranial pressure (ICP). Which intervention should the nurse perform first? • A nurse is caring for a client with an underactive thyroid gland. Which responses should the nurse expect the client to exhibit as a result of decreased levels of triiodothyronine (T 3) and thyroxine (T 4)? Select all that apply. • Which symptom in the client indicates late-stage brain herniation? • The nurse is caring for a client with increased intracranial pressure (ICP). What clinical manifestations are associated with increased ICP? Select all that apply. • A nurse notes that a child is exhibiting signs of cerebral palsy. At what age are these signs usually first noticeable? • A client with multiple sclerosis is informed that it is a chronic progressive neurologic condition. The client asks the nurse, "Will I experience pain?" What is the nurse's bestresponse? • A client with a 5-year history of myasthenia gravis is admitted to the hospital because of an exacerbation. When assessing the client, the nurse identifies ptosis, dysarthria, dysphagia, and muscle weakness. The nurse expects what client response?......................................................CONTINUED…………………………………….