HESI 799 RN Exit Exam Quizlet

HESI 799 RN Exit Exam Quizlet Related

Review HESI 799 RN Exit Exam Quizlet related questions and content

A client with hyperthyroidism who has not been responsive to medications is admitted for evaluation. What action should the nurse implement?

  • A. Notify the healthcare provider.
  • B. Review the client's medication history.
  • C. Prepare the client for thyroid function tests.
  • D. Initiate seizure precautions.
Correct Answer: A

Rationale: In a scenario where a client with hyperthyroidism is not responding to medications, the nurse's priority action should be to notify the healthcare provider. This is important because the client may require immediate intervention, such as adjusting the treatment plan or exploring alternative therapies. Reviewing the client's medication history (choice B) may be relevant but not as urgent as involving the healthcare provider. While preparing the client for thyroid function tests (choice C) may be necessary as part of the evaluation process, it is not the most immediate action to take. Initiating seizure precautions (choice D) is not directly related to the non-responsiveness of medications in hyperthyroidism and is not a priority in this situation.

You may also like to solve these questions

The healthcare provider prescribes carboprost tromethamine (Hemabate) 250 mcg IM for a multigravida postpartum client who is experiencing heavy, bright red vaginal bleeding. Prior to administering this medication, which intervention should the RN implement?

  • A. Give the prescribed antiemetic.
  • B. Administer IV fluids.
  • C. Prepare for possible blood transfusion.
  • D. Monitor vital signs every 5 minutes.
Correct Answer: A

Rationale: The correct answer is A. Hemabate can cause severe nausea, vomiting, or diarrhea, so administering the prescribed antiemetic can help manage these side effects. Choice B is incorrect as there is no indication in the scenario to administer IV fluids. Choice C is not the priority at this stage as the client's condition does not necessitate an immediate blood transfusion. Choice D is unnecessary every 5 minutes; monitoring vital signs should be done but not at such a high frequency.

In caring for a client receiving the aminoglycoside antibiotic gentamicin, what diagnostic test should the nurse prioritize monitoring?

  • A. Urinalysis
  • B. Serum creatinine
  • C. Serum osmolarity
  • D. Liver enzymes
Correct Answer: B

Rationale: The correct answer is B: Serum creatinine. Aminoglycosides, such as gentamicin, are known to cause nephrotoxicity, which can lead to kidney damage. Monitoring serum creatinine levels is crucial in assessing renal function and detecting any potential kidney problems early. Choices A, C, and D are incorrect because urinalysis primarily assesses urine composition, serum osmolarity measures the concentration of solutes in the blood, and liver enzymes are not directly impacted by aminoglycoside antibiotics like gentamicin.

Which nursing intervention has the highest priority for a multigravida who delivered twins and is at risk for postpartum hemorrhage?

  • A. Maintain cold packs on the perineum for 24 hours.
  • B. Assess the client's pain level frequently.
  • C. Observe for appropriate interaction with the infants.
  • D. Assess fundal tone and lochia flow.
Correct Answer: D

Rationale: Assessing fundal tone and lochia flow is crucial in the early detection and prevention of postpartum hemorrhage. Fundal tone helps identify uterine atony, a common cause of postpartum hemorrhage, while monitoring lochia flow can indicate excessive bleeding. Cold packs on the perineum, although helpful for pain and swelling, are not the priority in this situation. Pain assessment and observing interactions with infants are important but secondary to assessing for signs of postpartum hemorrhage.

In a client with liver cirrhosis admitted with ascites and jaundice, which laboratory value is most concerning to the nurse?

  • A. Serum albumin of 3.0 g/dl
  • B. Bilirubin of 3.0 mg/dl
  • C. Ammonia level of 80 mcg/dl
  • D. Prothrombin time of 18 seconds
Correct Answer: C

Rationale: An elevated ammonia level of 80 mcg/dl is most concerning in a client with liver cirrhosis because it may indicate hepatic encephalopathy, a serious complication. Serum albumin, though low, is expected in cirrhosis and contributes to ascites. Bilirubin elevation is common in liver disease but may not be the most concerning in this case. Prothrombin time is typically prolonged in liver disease but may not be as acute as an elevated ammonia level suggesting hepatic encephalopathy.

A client with hyperthyroidism is admitted to the postoperative unit after subtotal thyroidectomy. Which of the client's serum laboratory values requires intervention by the nurse?

  • A. Total calcium 5.0 mg/dL.
  • B. Serum sodium 140 mEq/L.
  • C. Serum potassium 4.0 mEq/L.
  • D. Serum glucose 90 mg/dL.
Correct Answer: A

Rationale: The correct answer is A. A calcium level of 5.0 mg/dL is critically low and could indicate hypoparathyroidism, a possible complication after thyroidectomy. Low calcium levels can lead to tetany, seizures, and cardiac dysrhythmias, requiring immediate intervention. Choices B, C, and D fall within the normal range and do not require immediate intervention in this scenario.

Copyright © 2025 Nokea. All rights reserved.