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HESI/ HESI NCLEX EXAM BUNDLE 100% CORRECT ANSWERS
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[Show more]HESI/ HESI NCLEX EXAM BUNDLE 100% CORRECT ANSWERS
[Show more]Which assessment is most important for the nurse to perform on a client who is hospitalized for Guillain-Barre syndrome that is rapidly progressing? 
 
Respiratory effort. 
Unsteady gait. 
Intensity of pain. 
Ability to eat. - ANSWER Respiratory effort. 
 
Guillain-Barre syndrome causes paralysis or...
Preview 4 out of 42 pages
Add to cartWhich assessment is most important for the nurse to perform on a client who is hospitalized for Guillain-Barre syndrome that is rapidly progressing? 
 
Respiratory effort. 
Unsteady gait. 
Intensity of pain. 
Ability to eat. - ANSWER Respiratory effort. 
 
Guillain-Barre syndrome causes paralysis or...
A client has not had a bowel movement in 2 days and reports this information to the nurse. Which intervention should the nurse implement first? 
 
A. Instruct the caregiver to offer a glass of warm prune juice at mealtimes. 
B. Notify the HCP and request a prescription for a stool softener 
C. Asse...
Preview 2 out of 14 pages
Add to cartA client has not had a bowel movement in 2 days and reports this information to the nurse. Which intervention should the nurse implement first? 
 
A. Instruct the caregiver to offer a glass of warm prune juice at mealtimes. 
B. Notify the HCP and request a prescription for a stool softener 
C. Asse...
Impetdaiper Brain Natriuretic Peptide (BNP) - ANSWER Normal: <100 
 
Elevated levels indicate CHF 
 
apixaban (Eliquis) - ANSWER used to treat pulmonary emboli 
Direct oral anticoagulant 
 
Causes of non-cardiogenic pulmonary edema - ANSWER IS NOT THE HEART 
 
I nhaled Toxins (Ammonia, Chlorine,...
Preview 2 out of 6 pages
Add to cartImpetdaiper Brain Natriuretic Peptide (BNP) - ANSWER Normal: <100 
 
Elevated levels indicate CHF 
 
apixaban (Eliquis) - ANSWER used to treat pulmonary emboli 
Direct oral anticoagulant 
 
Causes of non-cardiogenic pulmonary edema - ANSWER IS NOT THE HEART 
 
I nhaled Toxins (Ammonia, Chlorine,...
The nurse is reviewing a patient's list of nursing diagnoses in the medical record. The most recent nursing diagnosis is diarrhea related to intestinal colitis. Why is this an incorrectly stated diagnosis statement? - ANSWER It identifies the medical diagnosis instead of the patient's response to ...
Preview 2 out of 12 pages
Add to cartThe nurse is reviewing a patient's list of nursing diagnoses in the medical record. The most recent nursing diagnosis is diarrhea related to intestinal colitis. Why is this an incorrectly stated diagnosis statement? - ANSWER It identifies the medical diagnosis instead of the patient's response to ...
What types of procedures should be assigned to professional nurses? - ANSWER Sterile or invasive procedures. 
 
Negligence is measured by reasonableness. What question might the nurse ask when determining such reasonableness? - ANSWER Would a reasonable and prudent nurse act in the same manner under...
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Add to cartWhat types of procedures should be assigned to professional nurses? - ANSWER Sterile or invasive procedures. 
 
Negligence is measured by reasonableness. What question might the nurse ask when determining such reasonableness? - ANSWER Would a reasonable and prudent nurse act in the same manner under...
A client with a diagnosis of preeclampsia suddenly begins to exhibit seizure activity. The first action on the part of the nurse is: 
 
 Calling the physician 
 Inserting an oral airway 
 Turning the client on her side 
 Noting the time of the seizure - ANSWER C 
 
 If seizure activity occurs, the ...
Preview 3 out of 25 pages
Add to cartA client with a diagnosis of preeclampsia suddenly begins to exhibit seizure activity. The first action on the part of the nurse is: 
 
 Calling the physician 
 Inserting an oral airway 
 Turning the client on her side 
 Noting the time of the seizure - ANSWER C 
 
 If seizure activity occurs, the ...
An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the client's nursing care? 
A. Massage any reddened areas for at least five minutes. 
B. Encourage active range of motion exercises on extremities. 
C. Position the client laterally, prone, and...
Preview 3 out of 21 pages
Add to cartAn elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the client's nursing care? 
A. Massage any reddened areas for at least five minutes. 
B. Encourage active range of motion exercises on extremities. 
C. Position the client laterally, prone, and...
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