Pages 39
1. Which information is a priority for the RN to reinforce to an older client after intravenous
pyelography?
A) Eat a light diet for the rest
... [Show More] of the day
B) Rest for the next 24 hours since the preparation and the test is tiring.
C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2 days
The correct answer is D: Measure the urine output for the next day and immediately notify
the health care provider if it should decrease.
2. A client has altered renal function and is being treated at home. The nurse recognizes that
the most accurate indicator of fluid balance during the weekly visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight
The correct answer is D: weekly weight
3. A client has been diagnosed with Zollinger-Ellison syndrome. Which information is most
important for the nurse to reinforce with the client?
A)It is a condition in which one or more tumors called gastrinomas form in the pancreas or
in the upper part of the small intestine (duodenum)
c)Treatment consists of medications to reduce acid and heal any peptic ulcers and, if possible,
surgery to remove any tumors
D)With the average age at diagnosis at 50 years the peptic ulcers may occur at unusual areas
of the stomach or intestine
The correct answer is B: It is critical to report promptly to your health care provider any findings
of peptic ulcers .
4. A primigravida in the third trimester is hospitalized for preeclampsia. The nurse
determines that the client’s blood pressure is increasing. Which action should the nurse take
first?
2019 HESI EXIT V1Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
A cold, pale lower leg
Have the client turn to the left side
A) Until the health care provider has determined that your ejaculate doesn't contain sperm,
continue to use another form of contraception.
A) Check the protein level in urine
B)
C) Take the temperature
D) Monitor the urine output
The correct answer is B: Have the client turn to the left side
5. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the
ventricular rate is controlled at 75. Which of the following findings is cause for the most
concern?
A) Diminished bowel sounds
B) Loss of appetite
C)
D) Tachypnea
The correct answer is C: A cold, pale lower leg [Show Less]