An older adult client with eye dryness reports itching and excessive tearing. Which medication group is most likely to have produced this client's symptoms?- Skildor

Question 1 of 5

An older adult client with eye dryness reports itching and excessive tearing. Which medication group is most likely to have produced this client's symptoms?

A. Antiinfectives and antidepressants. B. Anticoagulants and antihistamines. C. Antiretrovirals and antivirals. D. Antihypertensives and anticholinergics.

Correct Answer: D

Rationale: Anticholinergics often cause dryness of secretions and could lead to these symptoms.

Question 2 of 5

The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is receiving oxygen therapy. Which assessment finding indicates that the client's oxygenation is improving?

A. Pulse oximetry reading of 94% B. Heart rate increases from 80 to 90 beats per minute C. Respiratory rate increases from 16 to 20 breaths per minute D. Client reports increased energy levels

Correct Answer: A

Rationale: A pulse oximetry reading of 94% indicates adequate oxygenation. Monitoring oxygen saturation is the most objective way to assess the effectiveness of oxygen therapy.

Question 3 of 5

A client with a seizure disorder is prescribed phenytoin. What is the most important teaching the nurse should provide?

A. Take phenytoin with antacids to reduce stomach upset. B. Maintain a consistent dosing schedule to prevent seizures. C. Monitor for excessive drowsiness and dizziness. D. Take the medication at bedtime to reduce seizure risk.

Correct Answer: B

Rationale: Phenytoin should be taken consistently, as missing doses can increase the risk of seizures. Additionally, clients should be aware of drug interactions, such as with antacids, which can reduce the absorption of phenytoin.

Question 4 of 5

A client asks the nurse to call the police and states: 'I need to report that I am being abused by a nurse.' The nurse should first

A. Focus on reality orientation to place and person B. Assist with the report of the client's complaint to the police C. Obtain more details of the client's claim of abuse D. Document the statement on the client's chart with a report to the manager

Correct Answer: C

Rationale: The nurse should first gather more details to better understand the situation before proceeding with documentation or reporting.

Question 5 of 5

The nurse assesses a client one hour after starting a transfusion of packed red blood cells and determines that there are no indications of a transfusion reaction. What instruction should the nurse provide the UAP who is working with the nurse?

A. Encourage the client to increase fluid intake B. Document the absence of reaction C. Notify the nurse if the client develops a fever D. Continue to measure the client's vital signs every thirty minutes until the transfusion is complete

Correct Answer: D

Rationale: Monitoring vital signs throughout a transfusion is critical, as reactions can occur later in the process. The UAP should continue to check vital signs regularly to ensure that any delayed reaction is promptly detected.

HESI RN Exit Exam Capstone

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HESI RN

HESI RN

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