HESI. Studienführer, Klassennotizen & Zusammenfassungen

The nurse assumes care of a postoperative adult client with diabetes mellitus and learns that the client has a current blood glucose level of 720 mg. When assessing the client what is the priority? A. Assess for vital signs of fluid volume deficit. B. Observe wound drainage characteristics. C. Measure the level of acute pain. D. Determine when the client last ate. - CORRECT ANSWER-A. Assess for vital signs of fluid volume deficit. A male client tells the nurse that he is concerned tha...

HESI EXAM 3 QUESTIONS WITH CORRECT SOLUTIONS.

Verbalize the appropriate rationale for performing the specific head-to-toe assessment techniques - correct answer - To obtain baseline data about physical status and functional abilities to serve as a comparison as the patient's health status changes. - To identify nursing diagnoses, collaborative problems, and wellness diagnoses, to form the basis for the plan of care. - To monitor the status of a previously identified problem. - To screen for health problems. Regular checkups can help ...

Abstain - correct answer To voluntarily refrain from something Access - correct answer A means to obtain entry or a means of approach Accountable - correct answer Responsible Adhere - correct answer To hold fast or stick together Adverse - correct answer Undesired,possibly harmful Affect - correct answer Appearance of observable emotions Annual - correct answer Occurring every year Apply - correct answer To place, put on, or spread something Audible - correct answer Able ...

Which assessment data would provide the most accurate determination of proper placement of a nasogastric tube? A) Aspirating gastric contents to assure a pH value of 4 or less. B) Hearing air pass in the stomach after injecting air into the tubing. C) Examining a chest x-ray obtained after the tubing was inserted. D) Checking the remaining length of tubing to ensure that the correct length was inserted. -correct answer C) Examining a chest x-ray obtained after the tubing was inserted ...

." "It will take time, but I promise you, you will get over this depression." "Every client who has this surgery feels the same way for about a month." -correct answer "Tell me more about what you're feeling." Rationale: The therapeutic response by the nurse is, "Tell me more about what you're feeling." When a client expresses feelings of depression, it is extremely important for the nurse to further explore these feelings with the client. In stating, "This is a normal respons...

While discussing the science of nursing, the nurse identifies the domain of nursing theory. Which linkages should the nurse provide to describe nursing's paradigm? A. The person, the environment or situation, and health B. Stress reduction, self-care, and a systems model C. Curative care, restorative care, and terminal care D. Self-actualization, fundamental needs, and belonging - correct answer A. The person, the environment or situation, and health A terrorist attack has occurred and s...

A client with a diagnosis of preeclampsia suddenly begins to exhibit seizure activity. The first action on the part of the nurse is: Calling the physician Inserting an oral airway Turning the client on her side Noting the time of the seizure - correct answer C If seizure activity occurs, the nurse remains with the client and presses the emergency bell for assistance. The client is turned on her side because a side-lying position permits greater circulation through the placenta and...

Nursing Process - correct answer Assessment Diagnosis - problem, etiology, symptoms Planning - outcome and intervention Implementation(treatment) Evaluation ABC + V - correct answer airway Breathing Circulation Vitals Antidotes - correct answer Digoxin - Digiband Coumadin - Vitamin K Benzodiazapines - flumazaemil Heparin - Protamine sulfate Opitates - Narcan Cholinergic meds - Atropine Fall precautions - correct answer - room close to nursing station - assessmen...

A mother runs into the emergency department with a toddler in her arms and tells the nurse that her child got into some cleaning products. the child smells of chemicals on the hands, face, and on the front of the child's clothes. after ensuring the airway is patent, what action should the nurse implement first? a. Assess the child for altered sensorium b. Determine type of chemical exposure c. Obtain equipment for gastric lavage d. Call poison control emergency numbercorrect answer b. Deter...