Leadership HESI Quizlet

Leadership HESI Quizlet Related

Review Leadership HESI Quizlet related questions and content

A female client with physical findings suggestive of a hyperpituitary condition undergoes an extensive diagnostic workup. Test results reveal a pituitary tumor, necessitating a transsphenoidal hypophysectomy. The evening before the surgery, Nurse Jacob reviews preoperative and postoperative instructions provided to the client earlier. Which postoperative instruction should the nurse emphasize?

  • A. You must lie flat for 24 hours after surgery.
  • B. You must avoid coughing, sneezing, and blowing your nose.
  • C. You must restrict your fluid intake.
  • D. You must report ringing in your ears immediately.
Correct Answer: B

Rationale: Following a transsphenoidal hypophysectomy, it is crucial to avoid activities such as coughing, sneezing, and blowing the nose to prevent an increase in intracranial pressure or the risk of cerebrospinal fluid leakage. Coughing, sneezing, or nose blowing can strain the surgical site, potentially leading to complications. Lying flat for 24 hours is not typically required after this surgery. Fluid intake should be encouraged to prevent dehydration. Ringing in the ears is not a common complication associated with this type of surgery.

You may also like to solve these questions

The healthcare provider is caring for a client with pheochromocytoma. Which of the following interventions should the healthcare provider implement?

  • A. Administer beta-blockers to control blood pressure
  • B. Encourage a high-sodium diet
  • C. Monitor for signs of hyperglycemia
  • D. Restrict fluid intake to prevent edema
Correct Answer: A

Rationale: The correct intervention for a client with pheochromocytoma is to administer beta-blockers to control blood pressure. Pheochromocytoma is a catecholamine-secreting tumor that can cause severe hypertension. Beta-blockers are used to block the effects of catecholamines and help control blood pressure in these clients. Encouraging a high-sodium diet (Choice B) would not be appropriate as it can worsen hypertension. Monitoring for signs of hyperglycemia (Choice C) is not directly related to managing pheochromocytoma. Restricting fluid intake (Choice D) may lead to dehydration and is not a recommended intervention for this condition.

A client with diabetes mellitus is scheduled for surgery. The nurse should prioritize which of the following preoperative actions?

  • A. Administer a full dose of insulin before surgery
  • B. Hold all oral hypoglycemic agents the day before surgery
  • C. Monitor blood glucose levels closely before surgery
  • D. Instruct the client to avoid all fluids the morning of surgery
Correct Answer: C

Rationale: Monitoring blood glucose levels closely before surgery is the priority for a client with diabetes mellitus. This allows for early detection of any abnormalities and helps prevent hypo- or hyperglycemia complications that can arise during the perioperative period. Option A is incorrect because insulin dosing should be individualized based on the client's current blood glucose levels and the surgical plan. Option B is incorrect as abruptly holding oral hypoglycemic agents can lead to uncontrolled blood glucose levels. Option D is incorrect as adequate fluid intake is important for the client's hydration status and overall well-being before surgery.

A healthcare provider caring for a client with severe malnutrition reviews the laboratory results and notes a magnesium level of 1.0 mg/dL. Which electrocardiographic change would the healthcare provider expect to note based on the magnesium level?

  • A. Prominent U waves
  • B. Prolonged PR interval
  • C. Depressed ST segment
  • D. Widened QRS complexes
Correct Answer: C

Rationale: A magnesium level of 1.0 mg/dL can cause a depressed ST segment on the ECG. Magnesium deficiency commonly leads to ST segment depression on an electrocardiogram. Prominent U waves are associated with hypokalemia, prolonged PR interval is seen in conditions like first-degree heart block, and widened QRS complexes are typically related to conditions affecting the conduction system of the heart, such as bundle branch blocks.

A client with hyperthyroidism is prescribed propranolol. The nurse explains that this medication is used to:

  • A. Increase thyroid hormone production
  • B. Decrease thyroid hormone production
  • C. Relieve symptoms such as tachycardia and anxiety
  • D. Prevent weight loss
Correct Answer: C

Rationale: Propranolol is a beta-blocker that works by blocking the effects of adrenaline, which helps to reduce symptoms such as tachycardia (fast heart rate) and anxiety in individuals with hyperthyroidism. Choices A and B are incorrect because propranolol does not affect thyroid hormone production; it only addresses symptoms. Choice D is incorrect because propranolol does not prevent weight loss associated with hyperthyroidism.

The client has been diagnosed with primary aldosteronism. Which of the following clinical findings would the nurse expect?

  • A. Hyperkalemia
  • B. Hypokalemia
  • C. Hyponatremia
  • D. Hypercalcemia
Correct Answer: B

Rationale: Primary aldosteronism involves the overproduction of aldosterone by the adrenal glands. Aldosterone increases potassium excretion, leading to hypokalemia. Therefore, in primary aldosteronism, the nurse would expect to find hypokalemia, not hyperkalemia (choice A), hyponatremia (choice C), or hypercalcemia (choice D).

Copyright © 2025 Nokea. All rights reserved.