BSN 266 HESI V2 Questions and
Answers | 100% Pass
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? - Answer-Neutrophil count- The patient is
...
BSN 266 HESI V2 Questions and
Answers | 100% Pass
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? - Answer✔✔-Neutrophil count- The patient is
experiencing infection, so a nurse should review the neutrophil count before contacting
the HCP.
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? - Answer✔✔-Demonstrate the use of visual
scanning during meals to the client and family.
Best position for respiratory distress? - Answer✔✔-High Fowler's Position- High
fowlers helps to decrease venous return, which decreases fluid volume in the heart that
results in decreased cardiac workload.
A patient with peripheral artery disease has marked peripheral neuropath. An
appropriate nursing diagnosis for the patient is - Answer✔✔-High risk for injury
Type 2 diabetes patient discharge teaching patient and family - Answer✔✔-Check
feet every day for cuts or injuries.
Plan of care for patient with skin lesions of lower extremities with possible MRSA. SATA
- Answer✔✔-Institute Contact precautions for staff and visitors
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? - Answer✔✔-Rate of pain on a scale from 0-10.
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? - Answer✔✔-Keep patient NPO-
Patient should be kept NPO until procedure is successfully completed. The patient
should not take anything by mouth.
Acute Kidney Injury due to aminoglycoside antibiotic moved from oliguric phase to the
diuretic phase. Which parameters are most important to monitor? - Answer✔✔-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.
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