HESI-Saunders Online Review- Module 10- Physiological Health Problems Exam Latest Update Questions and Verified Correct Answers Guaranteed A+

HESI-Saunders Online Review- Module 10- Physiological Health Problems Exam Latest Update Questions and Verified Correct Answers Guaranteed A+
A cardiac monitor alarm sounds, and a nurse notes a straight line on the monitor
screen. The nurse immediately: - CORRECT ANSWER: B. Assesses the client.
Rationale: If a monitor alarm sounds, the nurse should first assess the clinical status of
the client to see whether the problem is an actual dysrhythmia or a malfunction of the
monitoring system. Asystole should not be mistaken for an unattached
electrocardiogram wire. If the client is alert and the client's status is stable, the problem
is likely an unattached cardiac lead or wire. Calling a code and obtaining a rhythm strip
from the monitor device are unnecessary if the client's condition is stable.
A child with a diagnosis of pertussis (whooping cough) is being admitted to the pediatric
unit. As soon as the child arrives to the unit, the nurse first: - CORRECT ANSWER: C.
Attaches the child to a pulse oximeter.
Rationale: To adequately determine whether the child is getting enough oxygen, the
nurse attaches the child to a pulse oximeter. The pulse oximeter will then provide
ongoing information on the child's oxygen level. The child is also immediately attached
to a cardiorespiratory monitor to provide early identification of periods of apnea and
bradycardia. Next the nurse performs an assessment, including the child's temperature
and weight, and asks the parents about the child. An antibiotic may be prescribed, but
the child's airway status must be assessed first.
A client arrives at the emergency department with complaints of a headache, hives,
itching, and difficulty swallowing. The client states that he took ibuprofen (Motrin) 1 hour
earlier and believes that he is experiencing an allergic reaction to this medication. After
ensuring that the client has a patent airway, which intervention does the nurse prepare
the client for first? - CORRECT ANSWER: D. Administration of a subcutaneous injection
of epinephrine (Adrenalin).
Rationale: Once airway has been established, the client would be given subcutaneous
epinephrine. IV corticosteroids and IV fluids may also be prescribed. Pain medication
may or may not be prescribed.
A client arrives in the emergency department for treatment of a surface injury sustained
when sand blew into the eye. Which action does the nurse take first? - CORRECT
ANSWER: A. Assessing the client's vision.
Rationale: When a client has sustained a surface injury of the eye as a result of the
introduction of a foreign body, the nurse must first assess visual acuity. The eye is then
assessed for corneal abrasions; this is followed by irrigation with sterile normal saline
solution to gently remove the particles. Ice would be placed on the eye if the client had
sustained an eye contusion.

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