BSN 266 HESI V2 Exam Questions with complete Solutions 1oo% Verified While caring for a client with full thickness burns covering 40% of the body, the nurse observes purulent drainage from the wounds. Before reporting the finding, what is the best lab value to evaluate? - Correct Answers Neutrophil count- The patient is experiencing infection, so a nurse should review the neutrophil count before contacting the HCP.An older woman who experienced a cerebrovascular accident (CVA) has difficulty with visual perception and she only eats half of the food on her meal tray. Her family expresses concern about her nutritional status. How should the nurse respond to the family's concern? - Correct Answers Demonstrate the use of visual scanning during meals to the client and family.Best position for respiratory distress? - Correct Answers High Fowler's Position- High fowlers helps to decrease venous return, which decreases fluid volume in the heart that results in decreased cardiac workload.A patient with peripheral artery disease has marked peripheral neuropath. An appropriate nursing diagnosis for the patient is - Correct Answers High risk for injury Type 2 diabetes patient discharge teaching patient and family - Correct Answers Check feet every day for cuts or injuries.Plan of care for patient with skin lesions of lower extremities with possible MRSA. SATA - Correct Answers Institute Contact precautions for staff and visitors Send wound drainage for culture and sensitivity Monitor the clients WBC count A patient with acute anterior wall MI 1 week ago is given low-dose aspirin. The medication is related to which problem and HCP should be notified? - Correct Answers Hematemesis- - Contact HCP if blood is visible in body fluids such as hematemesis.For a patient with SLE exacerbation what is the most important to report which assessment finding? - Correct Answers Elevated blood urea nitrogen (BUN) Before selecting a medication to administer, which action should the nurse implement in the post-op patient who reports incisional pain and has 2 PRN analgesia available in MAR? - Correct Answers Rate of pain on a scale from 0-10. 1 / 2
Patient had bariatric surgery 2 months ago who developed post-op strictures who is experiencing nausea and vomiting and anorexia who is admitted for fluid resuscitation. Which intervention should the nurse implement? - Correct Answers Keep patient NPO- Patient should be kept NPO until procedure is successfully completed. The patient should not take anything by mouth.Acute Kidney Injury due to aminoglycoside antibiotic moved from oliguric phase to the diuretic phase. Which parameters are most important to monitor? - Correct Answers Vital sign changes and ECGs- Priority parameters are vital sign changes related to hypovolemia and ECG changes due to serum electrolyte loss, which can be life threatening.Patient has a calcium oxalate renal stone. Which food are you going to teach the patient to avoid? - Correct Answers Nuts, chocolate, dark greens, and spinach.A patient had a cholecystectomy 2 days ago, the patient is febrile, abdominal pain radiating to the back and has had 3 episodes of vomiting in the last 8 hours. The patient is exhibiting symptoms for which condition? - Correct Answers Pancreatitis- complications include pancreatitis that may manifest with upper left quadrant or mid-epigastric pain which radiates to the back and accompanied by nausea, vomiting, and fever.Patient has a bowel obstruction and ABGs read ph- 7.50 PaCO2-42 and HCO3-33. How would you define this acid base balance? - Correct Answers Uncompensated Metabolic Alkalosis Psoriasis with silvery, scaly areas on elbows and palms that burn and bleed. Which prescription should the nurse teach the client to use for skin condition? - Correct Answers Prescription strength Corticosteroids- decrease inflammation and help manage psoriasis plaques. Psoriasis is a skin cell proliferation of the surface of the skin causing thick silvery scales or itchy red patches.Patient with AIDs and oral candidiasis has several painful mouth ulcers. The nurse delegates oral care to the UAP and discusses how to assist client. What instructions do you give to the UAP? - Correct Answers Provide a soft bristled toothbrush- allows for gentle cleaning with less risk of trauma than a hard bristled brush. Candidiasis often called oral thrush which is a fungal infection of the mouth, it is common in babies, people with immune deficiency, and those who use steroid sprays for asthma.A young adult with osteoarthritis of both knee's desires to continue daily walks at the park with friends. how should the nurse respond? - Correct Answers Continue maintenance regimen and walks
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