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NU272 HESI PRACTICE LATEST UPDATED 2024 FINAL EXAM WITH EXPECTED COMPLETE DETAILED QUESTIONS AND 100% CORRECT VERIFIED ANSWERS GUARANTEED A+ GRADED$22.49
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NU272 HESI PRACTICE LATEST UPDATED 2024 FINAL EXAM
WITH EXPECTED COMPLETE DETAILED QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS GUARANTEED A+ GRADED
A male client with chronic atrial fibrillation and a slow ventricular response is scheduled for surgical
placement of a permanent pacemaker. The client asks the nurse how this device will help him. How
should the nurse explain the action of a synchronous pacemaker? - ANSWER-An electrical stimulus is
discharged when no ventricular response is sensed.
-
The artificial cardiac pacemaker is an electronic device used to pace the heart when the normal
conduction pathway is damaged or diseased, such as a symptomatic dysrhythmias like atrial fibrillation
with a slow ventricular response. Pacing modes that are synchronous (impulse generated on demand or
as needed according to the patient's intrinsic rhythm) send an electrical signal from the pacemaker to
the wall of the myocardium stimulating it to contract when no ventricular depolarization is sensed.
The nurse is caring for a client with end stage liver disease who is being assessed for the presence of
asterixis. To assess the client for asterixis, what position should the nurse ask the client to demonstrate?
- ANSWER-Extend the arm, dorsiflex the wrist, and extend the fingers.
-
Asterixis (flapping tremor, liver flap) is a hand-flapping tremor that is often seen frequently in hepatic
encephalopathy. The tremor is induced by extending the arm and dorsiflexing the wrist causing rapid,
non-rhythmic extension and flexion of the wrist while attempting to hold position.
The nurse is giving discharge instructions to a client with chronic prostatitis. What instruction should the
nurse provide the client to reduce the risk of spreading the infection to other areas of the client's urinary
tract? - ANSWER-Have intercourse or masturbate at least twice a week.
-
The prostate is not easily penetrated by antibiotics and can serve as a reservoir for microorganisms,
which can infect other areas of the genitourinary tract. Draining the prostate regularly through
intercourse or masturbation decreases the number of microorganisms present and reduces the risk for
further infection from stored contaminated seminal fluids.
,Which action should the nurse implement on the scheduled day of surgery for a client with type 1
diabetes mellitus (DM)? - ANSWER-Obtain a prescription for an adjusted dose of insulin.
-
Stressors, such as surgery, increase serum glucose levels. A client with type 1 DM who is NPO for
scheduled surgery should receive a prescribed adjusted dose of insulin.
A client with osteoarthritis receives a prescription for Naproxen (Naprosyn). Which potential side effect
should the nurse provide to the client about this medication? - ANSWER-Gastrointestinal disturbance.
-
Prostaglandin synthesis inhibitors such as naproxen can have gastrointestinal side effects such as nausea
and gastric burning. It is recommended that this drug be taken with food to avoid gastrointestinal upset.
The nurse is caring for a male client who had an inguinal herniorrhaphy 3 hours ago. The nurse
determines the client's lower abdomen is distended and assesses dullness to percussion. What is the
priority nursing action? - ANSWER-Determine the time the client last voided.
-
Swelling at the surgical site in the immediate postoperative period can impact the bladder and prostate
area causing the client to experience difficulty voiding due to pressure on the urethra. To provide
additional data supporting bladder distention, the last time the client voided should be determined
next.
When teaching a client with breast cancer about the prescribed radiation therapy for treatment, what
information is important to include? - ANSWER-Dry, itchy skin changes may occur.
-
Side effects from radiation to the breast most often include temporary skin changes such as: dryness,
tenderness, redness, swelling, and pruritis.
Which finding should the nurse identify as an indication of carbon monoxide poisoning in a client who
experienced a burn injury during a house fire? - ANSWER-Cherry red color to the mucous membranes.
-
, The saturation of hemoglobin molecules with carbon monoxide molecules, instead of oxygen molecules
and the subsequent vasodilation induced cherry red color of the mucous membranes is an indication of
carbon monoxide poisoning.
What assessment finding should the nurse identify that indicates a client with an acute asthma
exacerbation is beginning to improve after treatment? - ANSWER-Wheezing becomes louder.
-
In an acute asthma attack, air flow may be so significantly restricted that breath sounds and wheezing is
diminished. If the client is successfully responding to bronchodilators and respiratory treatments,
wheezing should become louder as the air flow increases in the airways. As the airways open and
mucous is mobilized in response to treatment, the cough should become more productive.
The nurse is caring for a client with human immunodeficiency virus (HIV) infection who develops
Mycobacterium avium complex (MAC). What is the most significant desired outcome for this client? -
ANSWER-Return to pre-illness weight.
-
MAC is an opportunistic infection that presents as a tuberculosis-like pulmonary process. MAC is a major
contributing factor to the development of wasting syndrome, so the most significant desired outcome is
the client's return to a pre-illness weight using oral, enteral, or parenteral supplementation as needed.
The nurse obtains a client's history that includes right mastectomy and radiation therapy for cancer of
the breast 10 years ago. Which current health problem should the nurse consider is a consequence of
the radiation therapy? - ANSWER-Pathologic fracture of two ribs on the right chest.
-
The ribs lie in the radiation pathway and lose density over time, becoming thin and brittle, so the
occurence of two right-sided ribs with pathological fractures resulting without evidence of trauma is
related to radiation damage.
A client is admitted to the emergency department after being lost for four days while hiking in a national
forest. Upon review of the laboratory results, the nurse determines the client's serum level for thyroid-
stimulating hormone (TSH) is elevated. Which additional assessment should the nurse make? - ANSWER-
Exposure to cold environmental temperatures.
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