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HESI Critical Care Comprehensive Exam 1 (Latest Update)

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HESI Critical Care Comprehensive Exam 1 Critical Care Comprehensive Exam 1. The nurse is preparing to administer a high-volume saline enema to a client. Which information is most important... for the nurse to obtain prior to administering the enema? a) Allergies to medications. b) Feelings about having an enema. c) History of inflammatory bowel disorders. d) Reason for administering the enema. Enemas should be avoided or administered with extreme caution to clients with inflammatory bowel disorders, so obtaining this historical information has the highest priority (A). (B and C) also provide valuable information, but are not of the same priority as (A). (D) is not necessary prior to enema administration. 2. Which information should the nurse give a client with chronic kidney disease (CKD)? a) Obtain monthly B12 injections. b) Restrict calcium-rich foods. c) Avoid salt substitutes. d) Increase daily intake of fiber. A client with CKD should restrict sodium and potassium dietary intake, and salt substitutes usually contain potassium, so (C) should be taught. Hypocalcemia is a complication of CKD and calcium supplements are often needed, not (A). Anemia related to CKD is treated with iron, folic acid, and erythropoietin, not (B). Although (D) is a common dietary recommendation, it not an essential part of client teaching for CKD. 3. The nurse is caring for critically ill clients. Which client should be monitored for the development of neurogenic shock? A client with a) congestive heart failure. b) diabetes insipidus. c) spinal cord injury. d) gastrointestinal hemorrhage. Spinal cord injuries (C) place the client at high risk for the development of neurogenic distributive shock. The development to watch for in (A) is cardiogenic shock, in (B) is hemorrhagic shock, and in (D) is hypovolemic shock. [Show More]

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