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BSN 246 HESI Health Assessment Exam Review with Verified Answers (Already Graded A) | Latest 2024/2025 Nightingale.
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  • BSN 246 HESI
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  • BSN 246 HESI

The nurse is caring for a client with Crohn's disease who has a calcium level of 8 mg/dL (2 mmol/L). Which patterns would the nurse watch for on the electrocardiogram? Select all that apply. 1. U waves 2. Widened T wave 3. Prominent U wave 4. Prolonged QT interval 5. Prolonged ST segment ...

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  • October 30, 2024
  • 33
  • 2024/2025
  • Exam (elaborations)
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  • bsn 246 hesi
  • bsn 246 hesi health assessment exam review
  • bsn 246 hesi health assessment

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  • BSN 246 HESI

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BSN 246 HESI Health Assessment
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Exam Review with Verified Answers
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(Already Graded A) | Nightingale. i.- i.- i.- i.-




The nurse is caring for a client with Crohn's disease who has a
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calcium level of 8 mg/dL (2 mmol/L). Which patterns would the
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nurse watch for on the electrocardiogram? Select all that apply.
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1. U waves
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2. Widened T wave
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3. Prominent U wave
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4. Prolonged QT interval
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5. Prolonged ST segment
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5. Prolonged ST segment
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The nurse notes documentation that a client is exhibiting
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Cheyne-Stokes respirations. On assessment of the client, the i.- i.- i.- i.- i.- i.- i.- i.-



nurse should expect to note which finding?
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1. Rhythmic respirations with periods of apnea
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2. Regular rapid and deep, sustained respirations
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3. Totally irregular respiration in rhythm and depth
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,4. Irregular respirations with pauses at the end of inspiration
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and expiration i.- 1. Rhythmic respirations with periods of i.-i.- i.- i.- i.- i.- i.- i.- i.-



apnea


A Spanish-speaking client arrives at the triage desk in the
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emergency department and states to the nurse that an i.- i.- i.- i.- i.- i.- i.- i.- i.-



interpreter is needed. Which is the best action for the nurse to i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-



take? i.-




1. Have one of the client's family members interpret.
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2. Have the Spanish-speaking triage receptionist interpret.
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3. Page an interpreter from the hospital's interpreter services.
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4. Obtain a Spanish-English dictionary and attempt to triage the
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client. 3. Page an interpreter from the hospital's interpreter
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services.


The best action is to have a professional hospital-based
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interpreter translate for the client. English-speaking family i.- i.- i.- i.- i.- i.- i.-



members may not appropriately understand what is asked ofi.- i.- i.- i.- i.- i.- i.- i.- i.-



them and may paraphrase what the client is actually saying.
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Also, client confidentiality as well as accurate information may
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be compromised when a family member or a non-health care
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provider acts as interpreter. i.- i.- i.-

,The nurse is performing a neurological assessment on a client
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and notes a positive Romberg's test. The nurse makes this
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determination based on which observation? i.- i.- i.- i.- i.-




1. An involuntary rhythmic, rapid, twitching of the eyeballs
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2. A dorsiflexion of the great toe with fanning of the other toes
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3. A significant sway when the client stands erect with feet
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together, arms at the side, and the eyes closed i.- i.- i.- i.- i.- i.- i.- i.- i.-




4. A lack of normal sense of position when the client is unable
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to return extended fingers to a point of reference
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significant sway when the client stands erect with feet together,
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arms at the side, and the eyes closed
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A client with Crohn's disease is at risk for hypocalcemia. The
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normal serum calcium level is 9 to 10.5 mg/dL (2.25 to 2.75
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mmol/L). A serum calcium level lower than 9 mg/dL (2.25
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mmol/L) indicates hypocalcemia. Electrocardiographic changes
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that occur in a client with hypocalcemia include a prolonged QT
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interval and prolonged ST segment. A shortened ST segment
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and a widened T wave occur with hypercalcemia. ST depression
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and prominent U waves occur with hypokalemia.
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The nurse reviews the electrolyte results of a client with chronic
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kidney disease and notes that the potassium level is 5.7 mEq/L
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(5.7 mmol/L). Which patterns would the nurse watch for on the
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, cardiac monitor as a result of the laboratory value? Select all
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that apply.
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1. ST depression
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2. Prominent U wave
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3. Tall peaked T waves
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4. Prolonged ST segment
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5. Widened QRS complexes
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5. Widened QRS complexes
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The client with chronic kidney disease is at risk for
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hyperkalemia. The normal potassium level is 3.5 to 5.0 mEq/L i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-



(3.5 to 5.0 mmol/L). A serum potassium level greater than 5.0
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mEq/L (5.0 mmol/L) indicates hyperkalemia.
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Electrocardiographic changes associated with hyperkalemia i.- i.- i.- i.- i.-



include flat P waves, prolonged PR intervals, widened QRS
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complexes, and tall peaked T waves. ST depression and a i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-



prominent U wave occurs in hypokalemia. A prolonged ST i.- i.- i.- i.- i.- i.- i.- i.- i.-



segment occurs in hypocalcemia. i.- i.- i.-




The nurse is caring for a client with heart failure who is
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receiving high doses of a diuretic. On assessment, the nurse
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notes that the client has flat neck veins, generalized muscle
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weakness, and diminished deep tendon reflexes. The nurse
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