HESI RN FUNDAMENTALS OF NURSING FINAL EXAM LATEST 2023 EXAM CONTAINS 55 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!<\/p>\n\n\n\n
HESI RN FUNDAMENTALS OF NURSING FINAL EXAM
LATEST 2023 EXAM CONTAINS 55 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
The nurse should plan care knowing that which client is at risk for fluid
volume deficit? – ANSWER- The client with a colostomy
rationale:
Causes of a fluid volume deficit include vomiting, diarrhea,
conditions that cause increased respirations or increased urinary
output, insufficient intravenous fluid replacement, draining fistulas,
ileostomy, and colostomy. A client with cirrhosis, HF, or decreased
kidney function is at risk for fluid volume excess.
The nurse is caring for a client who has been taking diuretics on a longterm basis. Which finding should the nurse expect to note as a result of
this long-term use? – ANSWER- Increased specific gravity of the urine
The nurse reviews electrolyte values and notes a sodium level of 130
mEq\/L. The nurse expects that this sodium level would be noted in a
client with which condition? – ANSWER- The client with the syndrome
of inappropriate secretion of antidiuretic hormone (SIADH)<\/p>\n\n\n\n
rationale:
Hyponatremia is a serum sodium level less than 135 mEq\/L.
Hyponatremia can occur secondary to SIADH. The client with an
inadequate daily water intake, watery diarrhea, or diabetes
insipidus is at risk for hypernatremia.
The nurse is caring for a client with leukemia and notes that the client
has poor skin turgor and flat neck and hand veins. The nurse suspects
hyponatremia. Which additional signs\/symptoms should the nurse
expect to note in this client if hyponatremia is present? – ANSWERPostural blood pressure changes
Rationale:
Postural blood pressure changes occur in the client with
hyponatremia. Intense thirst and dry mucous membranes are seen
in clients with hypernatremia. A slow, bounding pulse is not
indicative of hyponatremia. In a client with hyponatremia, a rapid,
thready pulse is noted.
The nurse is caring for a client with a diagnosis of hyperparathyroidism.
Laboratory studies are performed, and the serum calcium level is 12.0
mg\/dL. Based on this laboratory value, the nurse should take which
action? – ANSWER- Inform the registered nurse of the laboratory value.
Rationale:
The normal serum calcium level ranges from 8.6 to 10.0 mg\/dL. The
client is experiencing hypercalcemia, and the nurse would inform
the registered nurse of the laboratory value. Because the client is<\/p>\n\n\n\n
experiencing hypercalcemia, the remaining options are incorrect
actions.
The nurse reviews the client’s serum calcium level and notes that the
level is 8.0 mg\/dL. The nurse understands which condition causes this
serum calcium level? – ANSWER- Prolonged bed rest
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg\/dL. A client with a
serum calcium level of 8.0 mg\/dL is experiencing hypocalcemia. The
excessive ingestion of vitamin D, adrenal insufficiency, and
hyperparathyroidism are causative factors associated with
hypercalcemia. Although immobilization can initially cause
hypercalcemia, the long-term effect of prolonged bedrest is
hypocalcemia.
The nurse is caring for a client with a suspected diagnosis of
hypercalcemia. Which sign\/symptom is an indication of this electrolyte
imbalance? – ANSWER- Generalized muscle weakness
Rationale:
Generalized muscle weakness is seen in clients with hypercalcemia.
Twitching, positive Trousseau’s sign, and hyperactive bowel sounds
are signs of hypocalcemia.
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