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HI 4 Complete Questions with 100% Correct Answers.
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HI 4 Complete Questions with 100% Correct Answers.
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HI4
A
68-year-old
black
man
who
has
smoked
for
at
least
50
years
reports
that
lately
he
feels
as
though
food
is
getting
stuck
in
his
throat.
At
first
this
was
a
problem
just
with
dry
food,
but
now
his
morning
oatmeal
is
getting
"stuck."
On
questioning,
he
reports
drinking
at
least
3
alcoholic
beverages
nearly
every
day.
Which
is
most
likely
his
problem?
Squamous
cell
carcinoma
of
the
esophagus
Gastrointestinal
reflux
disease
Achalasia
Dysphagia
secondary
to
scleroderma
-
Squamous
cell
carcinoma
of
the
esophagus
A
client
asks
the
nurse
if
systolic
heart
failure
will
affect
any
other
body
function.
What
body
system
response
correlates
with
systolic
heart
failure
(HF)?
decrease
in
renal
perfusion
vasodilation
of
skin
increased
blood
volume
ejected
from
ventricle
dehydration
-
decrease
in
renal
perfusion
A
client
at
the
clinic
has
just
been
diagnosed
with
iron
deficiency
anemia.
What
would
you
recommend
the
client
consume
to
promote
the
absorption
of
iron?
Rich
sources
of
vitamin
C
Sources
of
vitamin
B12
Meat,
egg
yolks,
oysters,
and
shellfish
Vitamin
E
-
Rich
sources
of
vitamin
C
A
client
comes
to
the
emergency
department
reporting
severe
substernal
chest
pain
radiating
down
the
left
arm.
The
client
is
admitted
to
the
coronary
care
unit
with
a
diagnosis
of
myocardial
infarction
(MI).
Which
should
the
nurse
do
first
when
the
client
is
admitted
to
the
coronary
care
unit?
Auscultate
heart
sounds.
Obtain
a
health
history .
Begin
telemetry
monitoring.
Evaluate
the
client's
pain.
-
Begin
telemetry
monitoring.
A
client
has
a
leg
immobilized
in
traction.
Which
observation
by
the
nurse
indicates
that
the
client
understands
actions
to
take
to
prevent
muscle
atrophy?
The
client
adducts
the
affected
leg
every
2
hours.
The
client
performs
isometric
exercises
to
the
affected
extremity
three
times
per
day.
The
client
rolls
the
affected
leg
away
from
the
body's
midline
twice
per
day.
The
client
asks
the
nurse
to
add
a
5-lb
(2.3-kg)
weight
to
the
traction
for
30
minutes
per
day.
-
The
client
adducts
the
affected
leg
every
2
hours.
The
client
performs
isometric
exercises
to
the
affected
extremity
three
times
per
day.
A
client
has
a
myocardial
infarction
in
the
left
ventricle
and
develops
crackles
bilaterally;
3-pillow
orthopnea;
an
S3
heart
sound;
and
a
cough
with
pink,
frothy
sputum.
The
nurse
obtains
a
pulse
oximetry
reading
of
88%.
What
do
these
signs
and
symptoms
indicate
for
this
client?
The
development
of
left-sided
heart
failure
The
development
of
chronic
obstructive
pulmonary
disease
(COPD)
The
development
of
cor
pulmonale
The
development
of
right-sided
heart
failure
-
The
development
of
left-sided
heart
failure A
client
has
a
significant
history
of
congestive
heart
failure.
What
should
the
nurse
specifically
assess
during
the
client's
semiannual
cardiology
examination?
Select
all
that
apply .
Monitor
the
client
for
signs
of
lethargy
or
confusion.
Examine
the
client's
neck
for
distended
veins.
Examine
the
client's
eyes
for
excess
tears.
Examine
the
client's
joints
for
crepitus.
-
Monitor
the
client
for
signs
of
lethargy
or
confusion.
Examine
the
client's
neck
for
distended
veins.
A
client
has
a
total
hip
replacement.
Which
of
the
following
client
statements
indicates
a
need
for
further
teaching
before
discharge?
"I
will
be
careful
not
to
cross
my
legs."
"I
will
need
an
elevated
toilet
seat."
"I
can't
wait
to
take
a
tub
bath
when
I
get
home."
"I
will
implement
the
exercise
program
as
soon
as
I
get
home."
-
"I
can't
wait
to
take
a
tub
bath
when
I
get
home."
A
client
has
been
diagnosed
with
hypothyroidism
and
started
on
synthetic
levothyroxine
for
thyroid
replacement
therapy .
Which
effect
is
the
most
important
to
report
to
the
physician?
increased
temperature
and
metabolic
rate
insomnia
and
loss
of
weight
palpitations
and
chest
pain
on
exertion
increased
energy
level
and
reduction
of
edema
-
palpitations
and
chest
pain
on
exertion
A
client
has
discussed
therapy
for
his
HIV-positive
status.
What
does
the
nurse
understand
is
the
goal
of
antiretroviral
therapy?
Eliminate
the
risk
of
AIDS.
Treat
mycobacterium
avium
complex.
Reverse
the
HIV+
status
to
a
negative
status.
Bring
the
viral
load
to
a
virtually
undetectable
level
-
Bring
the
viral
load
to
a
virtually
undetectable
level
A
client
in
a
late
stage
of
acquired
immunodeficiency
syndrome
(AIDS)
shows
signs
of
AIDS-related
dementia.
Which
nursing
diagnosis
takes
highest
priority?
Bathing
or
hygiene
self-care
deficit
Risk
for
injury
Complicated
grieving
Ineffective
cerebral
tissue
perfusion
-
Risk
for
injury
A
client
is
2
hours
postoperative
after
an
appendectomy .
The
nurse
recognizes
a
priority
is
to
teach
the
client
potential
pulmonary
postoperative
complications.
What
action
by
the
client
demonstrates
understanding
of
the
teaching?
incisional
splinting
to
assist
with
pain
management
continued
bed
rest
for
24-48
hours
postoperatively
to
protect
the
incision
site
diaphragmatic
breathing
and
use
of
incentive
spirometry
4-8
times
an
hour
while
awake
passive
range
of
motion
exercises
with
the
physiotherapist
-
diaphragmatic
breathing
and
use
of
incentive
spirometry
4-8
times
an
hour
while
awake
A
client
is
admitted
to
an
acute
care
facility
with
a
tentative
diagnosis
of
hypoparathyroidism.
The
nurse
should
monitor
the
client
closely
for
the
related
problem
of
severe
hypotension. profound
neuromuscular
irritability .
acute
gastritis.
excessive
thirst.
-
profound
neuromuscular
irritability .
A
client
is
being
evaluated
for
hypothyroidism.
During
assessment,
the
nurse
should
stay
alert
for
decreased
body
temperature
and
cold
intolerance.
flushed,
warm,
moist
skin.
exophthalmos
and
conjunctival
redness.
systolic
murmur
at
the
left
sternal
border .
-
decreased
body
temperature
and
cold
intolerance.
A
client
is
found
to
have
a
low
hemoglobin
and
hematocrit
when
laboratory
work
was
performed.
What
does
the
nurse
understand
the
anemia
may
have
resulted
from?
Select
all
that
apply .
Blood
loss
Inadequate
formed
white
blood
cells
Infection
Destruction
of
normally
formed
red
blood
cells
Abnormal
erythrocyte
production
-
Destruction
of
normally
formed
red
blood
cells
Abnormal
erythrocyte
production
Blood
loss
A
client
is
receiving
furosemide
as
part
of
the
treatment
for
heart
failure.
Which
assessment
finding
indicates
that
the
medication
is
attaining
a
therapeutic
effect?
crackles
auscultated
halfway
up
lungs,
previously
in
bases
PaO2
80
mm
Hg
trace
peripheral
edema,
previously
+2
blood
pressure
140/80
mm
Hg
-
trace
peripheral
edema,
previously
+2
A
client
is
scheduled
to
undergo
surgical
creation
of
an
ileal
conduit.
The
primary
nurse
educates
the
client
about
surgery
and
the
postoperative
period.
The
nurse
states
that
many
members
of
the
health
care
team
(including
a
mental
health
practitioner)
will
see
the
client.
A
mental
health
practitioner
should
be
involved
in
the
client's
care
to:
assess
whether
the
client
is
a
good
candidate
for
surgery .
help
the
client
cope
with
the
anxiety
associated
with
changes
in
body
image.
evaluate
the
client's
need
for
mental
health
intervention.
assess
suicidal
risk
postoperatively .
-
help
the
client
cope
with
the
anxiety
associated
with
changes
in
body
image.
A
client
is
seen
in
the
clinic
for
newly
diagnosed
hypothyroidism.
Which
topics
should
the
nurse
include
in
a
client
teaching
plan?
Select
all
that
apply .
use
of
stool
softeners
review
of
the
procedure
for
thyroid
radiation
therapy
thyroid
hormone
replacements
high-fiber ,
low-calorie
diet
high-protein,
high-calorie
diet
plan
for
a
thyroidectomy
-
High-fiber ,
low-calorie
dietUse
of
stool
softenersThyroid
hormone
replacements
A
client
is
treated
for
anemia.
What
is
the
nurse's
best
understanding
about
the
correlation
between
anemia
and
the
client's
iron
stores?
There
is
an
inverse
relationship
between
iron
stores
and
hemoglobin
levels.
There
is
a
weak
correlation
between
iron
stores
and
hemoglobin
levels.
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