BSN 266 HESI V2 Questions And Answers Rated A+ 2024.
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Course
BSN 266 HESI V2
Institution
BSN 266 HESI V2
BSN 266 HESI V2 Questions And Answers Rated A+ 2024.
Neutrophil count- The patient is experiencing infection, so a nurse should review the neutrophil count before contacting the HCP. - correct answer. While caring for a client with full thickness burns covering 40% of the body, the nu...
BSN 266 HESI V2 Questions And
Answers Rated A+ 2024.
Neutrophil count- The patient is experiencing infection, so a nurse should review the
neutrophil count before contacting the HCP. - correct 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. - correct
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. - correct answer.
Best position for respiratory distress?
High risk for injury - correct 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. - correct answer. Type 2 diabetes patient
discharge teaching patient and family
Institute Contact precautions for staff and visitors
Send wound drainage for culture and sensitivity
Monitor the clients WBC count - correct 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. -
correct 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) - correct 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. - correct 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. - correct 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. - correct answer. Acute Kidney Injury due to aminoglycoside antibiotic
moved from oliguric phase to the diuretic phase. Which parameters are most important
to monitor?
Nuts, chocolate, dark greens, and spinach. - correct answer. Patient has a calcium
oxalate renal stone. Which food are you going to teach the patient to avoid?
Pancreatitis- complications include pancreatitis that may manifest with upper left
quadrant or mid-epigastric pain which radiates to the back and accompanied by nausea,
vomiting, and fever. - correct answer. A patient had a cholecystectomy 2 days ago,
the patient is febrile, abdominal pain radiating to the back and has had 3 episodes of
vomiting in the last 8 hours. The patient is exhibiting symptoms for which condition?
Uncompensated Metabolic Alkalosis - correct answer. Patient has a bowel obstruction
and ABGs read ph- 7.50 PaCO2-42 and HCO3-33. How would you define this acid base
balance?
Prescription strength Corticosteroids- decrease inflammation and help manage
psoriasis plaques. Psoriasis is a skin cell proliferation of the surface of the skin causing
thick silvery scales or itchy red patches. - correct answer. Psoriasis with silvery, scaly
areas on elbows and palms that burn and bleed. Which prescription should the nurse
teach the client to use for skin condition?
Provide a soft bristled toothbrush- allows for gentle cleaning with less risk of trauma
than a hard bristled brush. Candidiasis often called oral thrush which is a fungal
infection of the mouth, it is common in babies, people with immune deficiency, and
those who use steroid sprays for asthma. - correct answer. Patient with AIDs and oral
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