HESI RN
Adult Health 2 HESI Quizlet
1. A patient who has been receiving diuretic therapy is admitted to the emergency department with a serum potassium level of 3.0 mEq/L. The nurse should alert the healthcare provider immediately that the patient is on which medication?
- A. Oral digoxin (Lanoxin) 0.25 mg daily
- B. Ibuprofen (Motrin) 400 mg every 6 hours
- C. Metoprolol (Lopressor) 12.5 mg orally daily
- D. Lantus insulin 24 U subcutaneously every evening
Correct answer: A
Rationale: The correct answer is A. Hypokalemia increases the risk for digoxin toxicity, which can lead to serious dysrhythmias. Therefore, with a low potassium level, the nurse should immediately alert the healthcare provider about the patient being on oral digoxin. Choices B, C, and D do not pose as much concern with the given potassium level. However, further assessment is still required for these medications.
2. To be effective, a nurse manager needs both managerial and leadership skills. Interpersonal activities have many concerns that overlap both leaders and managers. However, some interpersonal activities are needed by nurse managers, but are not specific duties of leaders. Which of the following is an interpersonal activity of nurse managers, but not necessarily all nurse leaders?
- A. Coaching
- B. Resource allocation
- C. Planning for the future
- D. Monitoring
Correct answer: B
Rationale: Resource allocation is an interpersonal activity specific to nurse managers because it involves managing the distribution of resources within the healthcare environment, which is not necessarily a duty for all leaders. While coaching, planning for the future, and monitoring are important skills for both leaders and managers, resource allocation is a task that is more specific to the managerial role of nurse managers.
3. What phase corresponds with the luteal phase?
- A. Menstrual phase
- B. Follicular phase
- C. Secretory phase
- D. Menstrual phase
Correct answer: C
Rationale: The luteal phase corresponds with the secretory phase. During the menstrual cycle, the luteal phase follows ovulation and is characterized by the development of the corpus luteum, secreting progesterone to prepare the endometrium for a potential pregnancy. The other choices, menstrual phase (A), follicular phase (B), and the repeated choice of menstrual phase (D) do not align with the luteal phase and its functions.
4. A client is being discharged after lithotripsy for a urinary calculus. Which statements should the nurse include in the discharge teaching? (Select all that apply.)
- A. Finish the prescribed antibiotic even if you are feeling better.
- B. Drink at least 3 liters of fluid each day.
- C. The bruising on your back may take several weeks to resolve.
- D. All of the above
Correct answer: D
Rationale: After lithotripsy for a urinary calculus, it is important for the client to complete the prescribed antibiotic course to prevent urinary tract infections. Drinking at least 3 liters of fluid daily helps dilute stone-forming crystals, prevent dehydration, and promote urine flow. Bruising on the back may occur after the procedure and can take several weeks to resolve. Additionally, the client may experience blood in the urine for several days post-procedure. Reporting any pain, fever, chills, or urination difficulties to the healthcare provider is essential, as these symptoms could indicate infection or stone formation. Choice D is correct as all the statements are appropriate for the client's discharge teaching. Choices A, B, and C are individually correct based on the rationale provided, making D the correct answer.
5. A client with dysphagia is having difficulty swallowing medications. What is the nurse's best intervention?
- A. Crush the medications and mix them with applesauce.
- B. Encourage the client to drink water with each dose.
- C. Consult with the healthcare provider about switching to liquid medications.
- D. Offer the client soft foods to reduce difficulty swallowing.
Correct answer: C
Rationale: The best intervention for a client with dysphagia experiencing difficulty swallowing medications is to consult with the healthcare provider about switching to liquid medications. Liquid medications are often easier to swallow and can reduce the risk of choking and aspiration in clients with dysphagia. Crushing medications can alter their effectiveness, encouraging the client to drink water may not be sufficient, and offering soft foods is not directly related to improving medication swallowing.