HESI RN EXIT EXAM 2021

The nurse is reviewing medical prescriptions for newly admitted clients. It would be a priority for the nurse to follow up withthe physician if a client with Apotassiumof4.5 mEq/L has Kayexalate(sodium polystyrene) prescribed A. • Dilantin(phenytoin)levelof8mcg/mlisplaced on seizure precautions • Sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol (acetaminophen) • Sensitivity to Penicillinis prescribed Zithromax (azithromycin) ACADEMICMASTER HESI RN EXIT EXAM 2021 The nurse should intervene if thenurse notes a staff member • Obtaining a clients consent prior to their operativeprocedure after receiving Ativan (lorazepam) • Placing a client on the affected side following surgical repair of a retinal detachment • Handling a wet cast with the palms of the hands • Using a broad base of support while transferring a client ACADEMICMASTER HESI RN EXIT EXAM 2021 The community health nurse is caring for the following clients. It would be a priority for the nurse to initiate amultidisciplinary conference for the client who is A. 12 years old with Autism who isstarting a newschool and recently had a URI (upper respiratory tract infection) yeaB,hastype 1DiabetesMellitus, andarecent HemoglobinA1c of 1 C. 52 years old, with Myasthenia Gravis, recentlyprescribed Mestinon (pyridostigmine) and employed as a mailcarrier D. 70years old, hasschizophrenia, livesalone and reports hearing non threatening voices. ACADEMICMASTER HESI RN EXIT EXAM 2021 The nurse from the postpartum unit has been temporarily assigned to the medical surgical unit. It would be most appropriate toassign thisnurse to the client who • has returned from right total hipreplacement surgery four hours ago • is being observed for increased intracranial pressure • had surgery two hours ago to remove the appendix • is two weeks post partum being maintained on a mechanical ventilator forrespiratory failure ACADEMICMASTER HESI RN EXIT EXAM 2021 The nurse in a well baby clinic has assessed several children today.It would be a priority for the nurse to suggest follow up for the child who is • 2monthsoldwitha positivebabinskireflex • 4 months old and does not hold their own bottle • 10 months old who cries around strangers • 18 months old who needs support while ambulating ACADEMICMASTER HESI RN EXIT EXAM 2021 The nurse is caring for a mechanically ventilated client who was declared brain dead. An Advance Directive is not documented on the medical record. It would be most appropriate to obtain consent for organ donation from the • client’s primary care provider • client’s nurse manager C. closest living family member D. hospital’s ethics committee