Adult Health 1 HESI

Question 1 of 5

The nurse requests a meal tray for a client who follows Mormon beliefs and who is on a clear liquid diet following abdominal surgery. Which menu items should the nurse request for this client? (Select all that apply)

A. apple juice B. black coffee C. orange juice D. hot chocolate

Question 2 of 5

A female client's significant other has been at her bedside providing reassurances and support for the past 3 days, as desired by the client. The client's estranged husband arrives and demands that the significant other not be allowed to visit or be given condition updates. Which intervention should the nurse implement?

A. Obtain a court order to enforce visitation rights for the significant other B. Request a consultation with the ethics committee for resolution of the situation C. Suggest involving security to manage the conflict between the husband and the significant other D. Discuss with the client the importance of setting clear boundaries with both individuals

Question 3 of 5

A patient with renal failure has been taking aluminum hydroxide/magnesium hydroxide suspension (Maalox) at home for indigestion. The patient arrives for outpatient hemodialysis and is unresponsive to questions and has decreased deep tendon reflexes. Which action should the dialysis nurse take first?

A. Notify the patient's health care provider. B. Obtain an order to draw a potassium level. C. Review the magnesium level on the patient's chart. D. Teach the patient about the risk of magnesium-containing antacids

Question 4 of 5

Following a thyroidectomy, a patient complains of "a tingling feeling around my mouth." Which assessment should the nurse complete immediately?

A. Presence of the Chvostek's sign B. Abnormal serum potassium level C. Decreased thyroid hormone level D. Bleeding on the patient's dressing

Question 5 of 5

A newly admitted patient is diagnosed with hyponatremia. When making room assignments, the charge nurse should take which action?

A. Assign the patient to a room near the nurse's station. B. Place the patient in a room nearest to the water fountain. C. Place the patient on telemetry to monitor for peaked T waves. D. Assign the patient to a semi-private room and place an order for a low-salt diet.

Adult Health 1 HESI

Skildor

HESI RN

HESI RN