BSN 266 HESI V2 (Latest 2025/ 2026 Update) Questions and Verified Answers | 100% Correct| Grade A- Nightingale Neutrophil count- The patient is experiencing infection, so a nurse should review the neutrophil count before contacting the HCP. - ANSWER 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?Demonstrate the use of visual scanning during meals to the client and family. - ANSWER 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?High Fowler's Position- High fowlers helps to decrease venous return, which decreases fluid volume in the heart that results in decreased cardiac workload. - ANSWER Best position for respiratory distress?High risk for injury - ANSWER A patient with peripheral artery disease has marked peripheral neuropath. An appropriate nursing diagnosis for the patient is Check feet every day for cuts or injuries. - ANSWER Type 2 diabetes patient discharge teaching patient and family 1 / 2
Institute Contact precautions for staff and visitors Send wound drainage for culture and sensitivity Monitor the clients WBC count - ANSWER Plan of care for patient with skin lesions of lower extremities with possible MRSA. SATA Hematemesis- - Contact HCP if blood is visible in body fluids such as hematemesis. - ANSWER 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?Elevated blood urea nitrogen (BUN) - ANSWER For a patient with SLE exacerbation what is the most important to report which assessment finding?Rate of pain on a scale from 0-10. - ANSWER 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?Keep patient NPO- Patient should be kept NPO until procedure is successfully completed. The patient should not take anything by mouth. - ANSWER 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?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. - ANSWER Acute Kidney Injury due to aminoglycoside
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