ATI NURSING FUNDAMENTALS NCLEX RN HESI EXIT EXAM QUESTIONS WITH VERIFIED ANSWERS 2023_2024 NEW UPDATE
A client who is admitted with emphysema is having
... [Show More] difficulty breathing. In which positionshould the nurse place the client?
A.High Fowler's position without a pillow behind the head B.Semi-Fowler's position with a single pillow behind the head
C.Right side-lying position with the head of the bed elevated 45 degrees D.Sitting upright and forward with both arms supported on an over the bed tableD
Adequate lung expansion is dependent on deep breaths that allow the respiratory muscles to increase the longitudinal and anterior-posterior size of the thoracic cage. Sitting upright and leaning forward with the arms supported on an over the bed table (D)allows the thoracic cage to expand in all four directions and reduces dyspnea. A high Fowler's position does not allow maximum expansion of the posterior lobes of the lungs(A). A semi- Fowler's position restricts expansion of the anterior-posterior diameter of the
thoracic cage (B). Positioning a client on the right side with the head of the bed elevated
(C) does not facilitate lung expansion.
A client with chronic renal insufficiency (CRI) is taking 25 mg of hydrochlorothiazide (HCTZ) PO and 40 mg of furosemide (Lasix) PO daily. Today, at a routine clinic visit, theclient's serum potassium level is 4 mEq/L. What is the most likely cause of this client's potassium level?
A. The client is noncompliant with his medications.
B. The client recently consumed large quantities of pears or nuts.
C. The client's renal function has affected his potassium level.
D. The client needs to be started on a potassium supplement.C
The client has a normalized potassium level despite diuretic use (C). The kidney automatically secretes 90% of potassium consumed, but in chronic renal insufficiency (CRI), less potassium is excreted than normal.
Therefore, the two potassium-wasting drugs, a thiazide diuretic and loop diuretic, are not likely to affect potassium levels. Thenormal potassium level is 3.5 to 5 mEq/L, and with a potassium level of 4 mEq/L, thereis no reason to believe that the client is noncompliant with his treatment (A).
Pears andnuts do not affect the serum potassium level (B). There is no need for a potassium supplement (D) because the client's potassium level is within the normal range.
A registered nurse (RN) delivers telehealth services to clients via electronic communication. Which nursing action creates the greatest risk for professional liabilityand has the potential for a malpractice lawsuit?
A. Participating in telephone consultations with clients
B. Identifying oneself by name and title to clients in telehealth communicationsC.Sending medical records to health care providers via the Internet D.Answering a client-initiated health question via electronic mail
C
Sending medical records over the Internet, even with the latest security protection, creates the greatest risk for liability because of the high potential of breaching client confidentiality and the amount of information being
transferred (C). Client confidentiality is protected by federal wiretapping laws making telephone consultation (A) a private andprotected form of communication. By stating one's name and credentials in telehealth communication (B), one is taking responsibility for the encounter. E-mail initiated by the client (D) poses less risk than sending records via the Internet.
Which pathophysiologic response supports the contraindication for opioids, such asmorphine, in clients with increased intracranial pressure (ICP)?
A.Sedation produced by opioids is a result of a prolonged half-life when the ICP iselevated. [Show Less]