BSN HESI 266 Exam: Questions & Answers: Updated A+ Guide Solution

The nurse is caring for a client with human immunodeficiency virus (HIV) who has developed oral thrush and is experiencing burning and soreness in the mouth. Which intervention should the nurse implement first? A. Cleanse the mouth with swabs B. Encourage frequent mouth care C. Obtain a soft diet for the client D. Administer a topical analgesic (Ans- D. Administer a topical analgesic While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse performs a neurological assessment every four hours. Which assessment finding warrants immediate intervention by the nurse? A. Weakened cough effort B. Inappropriate laughter C. Increasing anxiety D. Asymmetrical weakness (Ans- A. Weakened cough effort A client is diagnosed with chronic kidney disease and needs to begin dialysis. Which condition entered on the client's medical record should the nurse recognize as a contraindication for peritoneal dialysis? A. Type 2 Diabetes Mellitus B. Nephrotic syndrome history C. Crohn's disease with colectomy D. Latent hepatitis C (Ans- C. Crohn's disease with colectomy After falling down the basement steps, a client is brought to the emergency room. X-rays confirms that the client's right leg is fractured. Following application of a leg cast, which assessment finding warrants immediate intervention by the nurse? A. Complaint of throbbing right leg pain B. Circumferential edema of right foot C. Increased temperature to lower extremity D. Right foot pale with sluggish capillary refill (Ans- D. Right foot pale with sluggish capillary refill The nurse has conducted a cancer prevention community education program. In evaluating the participants understanding of the carcinogens, which statement indicates an accurate understanding? A. Carcinogens are in the environment and cannot be avoided B. Substances that change a cell so that it becomes cancerous C. Carcinogens are substances that contain cancerous cells D. Environmental factors such as sunlight and chemicals can cause cancer to spread (Ans- B. Substances that change a cell so that it becomes cancerous The nurse is evaluating a client's understanding of diet teaching about the DASH (Dietary Approaches to Stop Hypertension) eating plan. Which behavior indicates that she is adhering to the eating plan? A. Enjoys fat-free yogurt as an occasional snack food B. No longer includes grains in daily diet C. Carefully cleans and peels all fresh fruit and vegetables D. Uses only lactose-free dairy products (Ans- A. Enjoys fat-free yogurt as an occasional snack food