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HESI RN Exit VI
Total Questions : 129
Showing 20 questions, Sign in for moreA client arrives at a hurricane disaster medical area seeking treatment for diarrhea, Which source of contamination should the nurse consider when interviewing the client about exposure?
The adult child of an older adult client who has Parkinson's disease, calls the clinic and reports that the client has been confused for the past week. What action(s) should the nurse take? Select all that apply.
A 2-year-old is brought to the emergency department (ED) with a history of several days of rhinitis and now exhibits a productive barking cough and difficulty breathing.
Which additional finding should alert the nurse that the child is experiencing respiratory distress?
An client who weighs 160 pounds receives a prescription for gentamicin 5 mg/kg/day intravenously in divided doses every 8 hours. How many mg should the nurse administer with each dose?
(Enter numerical value only. If rounding is required, round to the nearest whole number.)
Explanation
To calculate the dosage of gentamicin for a client who weighs 160 pounds, first convert the weight to kilograms, knowing that 1 kilogram equals 2.2 pounds. The client's weight in kilograms is approximately 72.73 kg (160 ÷ 2.2).
The prescription is for 5 mg/kg/day, so the total daily dosage is 363.65 mg (72.73 kg × 5 mg). Since the medication is to be divided into doses every 8 hours, divide the total daily dosage by 3, because there are three 8-hour intervals in 24 hours.
Therefore, each dose should be approximately 121.22 mg. 121 mg rounded off to the nearest whole number.
In caring for a client following a head injury, the nurse plans to assess for rhinorrhea so that a sample can be tested for the presence of cerebrospinal fluid (CSF). At which location should the nurse observe for this finding? (Click the chosen location. To change, click on the new location.)
Explanation
In the assessment of a client with a head injury, the nurse should be vigilant for signs of rhinorrhea, which could indicate a leakage of cerebrospinal fluid (CSF).
The nurse should observe for a clear, watery discharge from the nose, which is a characteristic sign of CSF rhinorrhea.
A client newly diagnosed with diabetes mellitus suddenly becomes confused and weak.
Which intervention(s) should the nurse implement? Select all that apply.
A client with chronic obstructive pulmonary disease (COPD) smokes two packs of cigarettes per day and is admitted to the hospital for a respiratory infection. The client reports difficulty controlling respiratory distress at home when using the rescue inhaler.
Which comment from the client indicates to the nurse that the client is not using the inhaler properly
The nurse on the medical-surgical unit is receiving a transfer report from the postanesthesia care unit (PACU) nurse for a client who had an exploratory laparotomy. The PACU nurse provides the following information: "1,000 mL 0.9% sodium chloride is infusing at 125 mL/hr into the left wrist with 600 mL remaining.
Ondansetron 4 mg IV every 8 hours is prescribed for nausea. The last dose was administered at 0700. The client is currently describing pain at a level 2 on a 0 to 10 pain scale. The client has a prescription for hydromorphone 1 mg IV every 2 hours PRN for pain. The last dose was administered at 1000."
Which additional information should the PACU nurse report?
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