Fundamental Health and Physical Assessment Final HESI (Evolve) - Q & A
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Course
Fundamental Health
Institution
Fundamental Health
Fundamental Health and Physical Assessment Final HESI (Evolve) - Q & A The registered nurse is teaching a nursing student about bulimia nervosa in adolescents. Which statement made by the nursing student indicates effective learning? "The client experiences recurrent episodes of binge eating." A...
Fundamental Health and Physical Assessment Final HESI Evolve The registered nurse is teaching a nursing student about bulimia nervosa in adolescents. Which statement made by the nursing student indicates effective learning? "The client experiences recurrent episodes of binge eating." A client reports to the nurse sleeping until noon every day and taking frequent naps during the rest of the day. What should the nurse do initially? Arrange a referral for a thorough medical evaluation. While caring f or a postoperative client, the nurse observed a pulse deficit during physical assessment. Which pulses are used to assess the pulse deficit? Radial and apical pulse A nurse is teaching a client about proper hair hygiene and how to protect his or her hair from lice. Which statement made by the client indicates ineffective learning? "I will soak the comb used to remove lice for 15 minutes in cold water." While assessing a client, a nurse finds adventitious breath sounds. Upon further evaluation, the nurse f inds loud, low -pitched, rumbling coarse sounds during inspiration. This sound can be clearly heard while the client is coughing. What could be the reason behind these sounds? Muscular spasms in the larger airways A registered nurse is supervising a studen t nurse while assessing a 70 -year-old client who is receiving aminoglycoside therapy. Which statement about the client's condition requires correction? "The client may have thinning of the tympanic membrane." The nurse is assessing a client who arrived at the healthcare facility for an appointment. Which action by the nurse will be beneficial during the interview? Asking about the client's current concerns A pregnant woman in her second trimester arrived at the hospital for a general health checkup. The p hysician recommended a pelvic examination to the client. Which position is most suitable for assessing the client in this condition? Lithotomy position A nurse is palpating the peripheral pulse of different clients. Which client has an unacceptable heart rate? Client 3 (2 YEAR OLD HEART RATE 148) What clinical finding does a nurse anticipate when admitting a client with an extracellular fluid volume excess? Distended jugular veins A nursing student is recording the radial pulse rate in a client with dysrh ythmias and documented a radial pulse of 80 beats per minute. The registered nurse reassesses the client and notices a pulse deficit of 15. What is the client's apical pulse? 95 A nurse is evaluating the effectiveness of treatment for a client with excess ive fluid volume. What clinical finding indicates that treatment has been successful? Clear breath sounds A client complains of difficulty breathing. The nurse auscultates wheezing in the anterior bilateral upper lobes. What could be the possible reason for this sound? High velocity airflow through an obstructed airway The nurse teaching a health awareness class identifies which situation as being the highest risk factor for the development of a deep vein thrombosis (DVT)? Inactivity The nurse suspects that an intraoperative client has a distended bladder. Which method is correct to assess for this condition? Percuss and palpate in the hypogastric region. The nurse assesses an elderly client with a diagnosis of dehydration and recognizes which finding a s an early sign of dehydration? Change in mental status The nurse recognizes that a common conflict experienced by older adults is the conflict between what? Independence and dependence The symptoms of four clients with different levels of impaired visio n are given below:Which client is expected to be diagnosed with macular degeneration? Client B (LOSS OF CENTRAL VISON) While assessing a client who sustained a road traffic accident, a nurse notices that the client is unable to clench his teeth. Which cranial nerve might have been affected? Trigeminal nerve A client presents with a shiny appearance of abdominal skin. The skin also has a taut appearance. Which condition may the client have? Ascites
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