Practice Question
A 24-year-old female client presents to the emergency department (ED) with reports of abdominal pain.
Answer Choices:
Correct Answer:
Effective coping with illness related anxiety
Rationale:
Effective coping with illness related anxiety
- Anxiety is documented in the client assessment.
- Addressing emotional responses improves cooperation and reduces stress-related physiological effects.
- Early intervention supports therapeutic communication and psychological stabilization.
Infection prevention related to illness
- Fever and leukocytosis suggest inflammation or early infection (appendicitis).
- Preventing spread of infection (e.g., peritonitis) is critical while awaiting surgery.
- Preoperative care must include monitoring for worsening signs of sepsis.
Relief of acute pain
- Pain is severe (9/10) and localized, consistent with appendicitis.
- Managing pain improves patient comfort and helps in accurate clinical assessment.
- Immediate analgesia was prescribed and is essential for stabilization.
Fluid volume management
- Client is tachycardic with vomiting, indicating possible dehydration.
- IV fluids (Lactated Ringer's) help correct volume loss and prevent hypovolemic shock.
- This is a pre-op stabilization priority in appendicitis cases.
Client education about diagnosis and plan of care
- Providing brief, clear information supports informed consent and emotional readiness.
- Explaining the CT results and surgical plan prepares the patient and fosters cooperation.
- Education is key even in urgent situations to support client autonomy.
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This question is from RN HESI Exit~2024 Exam 1 which contains 122 questions.
More Questions from This Exam
A 24-year-old female client presents to the emergency department (ED) with reports of abdominal pain.
Answer Choices:
A. Severe abdominal pain in right lower quadrant
B. Blood pressure 115/76 mm Hg
C. Capillary refill 2 seconds
D. Radial and pedal pulses 2+1
E. Temperature 100.8° F (38.2° C)
F. Respirations 28 breaths/minute with shallow breathing
G. Feels anxious
H. Heart rate 121 beats/minute
I. Vomiting small amounts of green bile.
A 24-year-old female client presents to the emergency department (ED) with reports of abdominal pain.
Answer Choices:
A. Encourage sitting up and ambulation
B. Monitor for bleeding once daily
C. Use Incentive spirometer every 1 hour
D. Promote adequate hydration
E. Assess for sedation after pain medications
F. Complete neurologic assessment every 2 hours
G. Administer pain medication after activity
A 24-year-old female client presents to the emergency department (ED) with reports of abdominal pain.
Answer Choices:
A. The client returned from appendectomy surgery last night at approximately 2100. The client was admitted for observation due to a delay in waking from anesthesia. The client is currently resting in bed. The incision dressing is dry and intact, and no bleeding is noted. The client tolerated clear liquids post recovery and has advanced to a soft diet. The client ambulated around the unit this morning and tolerated activity well. Bowel sounds are present in all 4 quadrants, and per client report, she has passed flatus. Pain is tolerated with analgesia PO.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI-Exit Exam(s)
- Domain: HESI Exit Exam(s)~2024
- Answer Choices: 8