Ericmunenewarui

Critical Care HESI Exam 2023 A client recovering from a percutaneous coronary intervention (PCI) after an acute myocardial infarction is being transferred from the PACU to the Cardiac ICU. Which assessment finding should the PACU nurse inform the healthcare provider of immediately? a. onset of chest pain b. need to apply pressure dressing c. presence of occasional PVCs d. absence of any urinary output during PACU stay - CORRECT ANSWERS a. onset of chest pain This suggests the ons...

HESI Health Assessment Exam2023 "My life is really out of balance." - CORRECT ANSWERS A client is reporting chest pain. What statement made by the client, helps the nurse to understand this client has a naturalistic belief in the cause of illness? Be open to people who are different Have a curiosity about people. Become culturally competent. - CORRECT ANSWERS 2. A nurse is working in a healthcare facility that serves a diverse population. What action(s) by the nurse will allow the ...

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Health Assessment HESI 2023 SOAP modified format - CORRECT ANSWERS Subjective Objective Assessment Plan What color ink should be used when documenting on paper - CORRECT ANSWERS Permanent black ink What is the correct order for vital signs - CORRECT ANSWERS T, P, RR, BP, extremity, pt position, SPO2 What should be at the top of every page of documentation - CORRECT ANSWERS Patient initials and date and time of entry What should be at the end of every documentation entry - CORRECT...

HESI health assessment 2023 pt taking ipratropium reports nausea, blurred vision, has, insominia after using the inhaler. RN action to implement - CORRECT ANSWERS withhold med and report symptoms primary reason for teahing pt pursed lip breathing - CORRECT ANSWERS promote CO2 elimination additional finding that RN should assess for bronchitis - CORRECT ANSWERS phlegm production and wheezing lung cancer s/sx - CORRECT ANSWERS hypoptysis (new cough) or changes in persistent cough tu...

Health Assessment HESI 2023 SOAP modified format - CORRECT ANSWERSSubjective Objective Assessment Plan What color ink should be used when documenting on paper - CORRECT ANSWERSPermanent black ink What is the correct order for vital signs - CORRECT ANSWERST, P, RR, BP, extremity, pt position, SPO2 What should be at the top of every page of documentation - CORRECT ANSWERSPatient initials and date and time of entry What should be at the end of every documentation entry - CORRECT A...

Health Assessment Hesi2023 Which of the following statements from a patient's history is it most important to investigate further? a. "I have an allergy to peanuts." b. "I have lost 30 pounds over the last 4 months." c. "I don't like many vegetables so I take multivitamins." d. "I drink 2 cups of coffee each morning." - CORRECT ANSWERS ANS: B The statement in option "b is most important to investigate further because any significant weight loss may indicate a serious problem...

HESI Health Assessment 2023 The nurse is caring for a patient with chronic lower back pain. The nurse knows that the most reliable indicator of pain in this client is: The patient is reporting "6/10" pain. The patient is refusing to get out of bed. The patient is refusing to eat breakfast. The patient's heart rate is 90 beats per minute. A Which of the following actions should the nurse take to ensure an accurate blood pressure (BP) reading? Ensure the width of the BP cuff is equal...

Health Assessment HESI 2023 Metabolic acidosis - CORRECT ANSWERSlow pH, low HCO3 Diarrhea Symptoms: kussmaul respirations metabolic alkalosis - CORRECT ANSWERShigh pH, high HCO3 Prolonged vomiting Symptoms: mostly neurologic Respiratory acidosis - CORRECT ANSWERSlow pH, high CO2 hypoventilation Respiratory alkalosis - CORRECT ANSWERShigh pH, low CO2 Hyperventilation Aspirin overdose S1 - CORRECT ANSWERSSound caused by turbulence created when the mitral and tricuspid valve close ...

HESI Health Assessment 2023 The nurse is completing a physical assessment of a client who fell from a tree. The client's abdomen is soft with hyperactive bowel sounds in all four quadrants. Which assessment technique should the nurse implement when evaluating the client's spleen? Percuss the splenic area as the client takes a deep breath. The client is experiencing severe pruritus and small papules and burrows on areas over one hand and the inner thighs. Which assessment data best exp...