HESI Comp

D. Immediately after inhalation. - ANSWER The client should be instructed to deliver the medication during the last part of inhalation (B). After the medication is delivered, the client should remove the mouthpiece, keeping his/her lips closed and breath held for several seconds to allow for distribution of the medication. The client should not deliver the dose as stated in (A or D), and should deliver no more than two inhalations at a time (C). Correct Answer: B The healthcare provider pres...

A client who had a lobectomy two days ago has 2 chest tubes, each attached to a water-sealed drainage system, Pleur-Evac. The nurse observes that in the last 8 hours the serosanguineous fluid has diminished to output in the drainage chamber. What is the most likely outcome of this observation? A. Removal of the lower chest tube, if a chest x-ray reveals no pleural accumulations B. Change the Pleur-Evac system and re-assess output in the empty chamber C. An increase in the prescribed suctio...

A. Consultation with the case manager and hospital chaplain B. Visiting after procedures are done to avoid seeing the client in pain C. Participating in the client's care within his/her capabilities and desires D. Information about palliative and hospice care services - ANSWER D The PN is caring for a child who was admitted after experiencing a generalized tonic-clonic seizure. When witnessing the child begin to seize again, which actions should the PN implement immediately? Select all th...

Cardiac arrhythmias are commonly observed with administration of t-PA. Cardiac arrhythmias are associated with reperfusion of the cardiac tissue. Hypotension is commonly observed with administration of t-PA. Seizures and hypothermia are not generally associated with reperfusion of the cardiac tissue. Prior to administering tissue plasminogen activator (t-PA), the nurse should assess the client for which of the following contradictions to administering the drug? 1. Age greater than 60 yea...

4. The passage explicitly states A. That the highest card withing the "trump" suit always wins the trick. B. The Ace card is always the lowest card. C. That there is a pile of leftover" cards that is placed in the middle of the game table. D. That if a player cannot follow suit, she loses her turn to the next player. - ANSWER A. That the highest card withing the "trump" suit always wins the trick. The passage implies that A. Playing bridge requires concentration. B. Bridge is ...

Get people personally involved with traffic safety. Rainforest - ANSWER 1. Rain forests are essential to life on earth 2. Deforestation has long term consequences that we still do not know about 3. The Nile is the longest river Voice What effect does your voice have on others? Does it persuade or irritate, attract or repel? One of the worst qualities is harshness. If you ever get the feeling that people are uncomfortable when you speak, it may be that your harsh tones are jarring their ...

The best antihypertensive agent for clients with asthma is metoprolol (Lopressor) (C), a beta2 blocking agent which is also cardioselective and less likely to cause bronchoconstriction. A client with asthma receives a prescription for high blood pressure during a clinic visit. Which prescription should the nurse anticipate the client to receive that is at least likely to exacerbate asthma? A. Pindolol (Visken). B. Carteolol (Ocupress). C. Metoprolol tartrate (Lopressor). D. Propranolo...

if bleeding or other signs of neurologic impairment occur, the infusion should be stopped The nurse anticipates administering Rho(D) immune globulin (RhoGAM) to which individuals? (Select all that apply.) - ANSWER An Rh-negative woman who has had a miscarriage at 24 weeks, An Rh-negative mother after delivery of an Rh-positive infant with a negative direct Coombs test, & An Rh-negative mother with a negative antibody titer at 28 weeks (RhoGAM should never be given to an infant or father!) ...

White lochia on postpartum day 11 Bloody lochia on postpartum day 2 Reddish lochia on postpartum day 8 - ANSWER Reddish lochia on postpartum day 8 A nurse in a primary health care provider's office is conducting a 2-week postpartum assessment of a client. During abdominal assessment, the nurse is unable to palpate the uterine fundus. This finding would prompt what action by the nurse? Document the findings Ask the primary health care provider to see the client immediately Ask another...