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BSN 366 HESI RN Exit Comprehensive Exam Study Guide 2025 | Pass Guaranteed | Verified Content

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BSN 366 HESI RN Exit Comprehensive Exam Study
Guide 2025 | Pass Guaranteed | Verified Content
Airway and breathing - First priority in nursing care, especially in emergency situations.

Pain management - Second priority in nursing care, addressing the client's pain.

Definitive therapy - Treatment aimed at addressing the underlying cause of a health
issue.

Sleep and rest - Third priority in nursing care, related to Maslow's hierarchy of needs.

Blood-borne pathogen standard - A federally regulated standard for healthcare workers
to minimize exposure to bloodborne pathogens.

Resource Conservation and Recovery Act (RCRA) - A federal law that governs the disposal
of hazardous waste.

Standard precautions - Basic infection control practices that healthcare workers must
follow.

N-95 tuberculosis standard - A guideline requiring the use of N-95 masks when caring for
tuberculosis patients.

Biological product exposure limit (BPEL) - Not federally regulated; refers to limits on
exposure to biological products.

As Low as Reasonably Allowable standard (ALARA) - Not federally regulated; principle
aimed at minimizing radiation exposure.

Therapeutic response - A response that provides hope and support to a client, especially
in mental health care.

Cognitive strategies - Techniques taught to clients to help them manage negative
thoughts.

Infection, risk for - A nursing diagnosis indicating a client's increased susceptibility to
infection.

Clean technique - Infection control practice that involves maintaining cleanliness during
medical procedures.

,Maslow's hierarchy of needs - A psychological theory that prioritizes human needs in a
specific order.

Client with severe depression - A patient experiencing significant mood disturbances and
feelings of hopelessness.

Nursing intervention - Actions taken by nurses to address patient needs and improve
health outcomes.

Limit visitors - A nursing intervention aimed at reducing the risk of infection exposure.

IV access - Intravenous access used for medication administration and fluid delivery.

Surgical incision - A cut made during surgery that can be a site for potential infection.

Negative thinking - A cognitive pattern that can hinder recovery in clients with mental
health issues.

Hope in recovery - The belief that improvement is possible, which can motivate clients in
treatment.

Effective communication - The ability to convey messages in a way that is understood and
supportive.

Healthcare worker rights - Entitlements and protections provided to healthcare workers
under federal regulations.

Assess and document skin condition - Assess and document skin condition around the
incision and IV site at each shift.

Early identification of infection - Early identification of infection leads to prompt
treatment and decreased nosocomial transmission to others.

Ileoanal reservoir (J pouch) - An ileal pouch-anal anastomosis (also known as the J pouch)
is a surgically created ileoanal reservoir in the anal canal that preserves the rectal sphincter
muscle.

Transverse loop ostomy - The transverse loop ostomy is permanent.

Easily removable appliances - Easily removable appliances allow independence in self-
care.

Daily irrigation after J pouch heals - Daily irrigation is started after the J pouch heals.

Stool expulsion - Stool is eventually expelled through the rectum.

,Cuff inflation on tracheostomy tube - Inject air until no air is auscultated over the larynx
during a deep breath.

Minimal occlusion pressure - To achieve minimal pressure against the tracheal wall, inject
air into the tracheostomy tube cuff while auscultating with a stethoscope placed over the
larynx.

10 mm induration after PPD test - The PPD skin test results is indicative of exposure or
latent Mycobacterium tuberculosis infection (LTBI).

Refer for further diagnostic evaluation - Refer for further diagnostic evaluation for clients
with a positive PPD test.

High-risk category for LTBI - This client is in a high-risk category for exposure in a
homeless environment.

External environmental influences - Contextual factors considered external
environmental influences in the framework for occupational health programs and services
include economics, workforce, technology, socio-economic status, and legislation/regulation.

Economics - Economics is a contextual factor in occupational health programs.

Workforce - Workforce is a contextual factor in occupational health programs.

Technology - Technology is a contextual factor in occupational health programs.

Socio-economic status - Socio-economic status is a contextual factor in occupational
health programs.

Legislation/regulation - Legislation/regulation is a contextual factor in occupational
health programs.

Economics - Affects the health of the company and its workforce productivity, in terms of
profitability, growth, and expansion.

Technology - Adds to an industry's capacity to develop and implement new or improved
work processes.

Legislation/regulation - In the workplace, such as the blood-borne pathogen standard,
affects the workforce in terms of requirements, administration, and control strategies.

Occupational safety programs - Built around the workforce to strive for maximum
internal productivity.

, Interventions - Internal environmental influences of an occupational health and safety
program.

Socio-economic status - A demographic variable commonly used in epidemiology.

QRS interval - A finding that indicates a disturbance in electrical conduction in the
ventricles; normal duration is 0.04 to 0.12 second.

T wave - Normally 0.16 seconds.

PR interval - Range is 0.12 to 0.20 second.

QT interval - Should be 0.31 to 0.38 second.

Prioritize tasks - Planning care for a client with numerous treatments should be
prioritized with the most crucial client needs first to the least.

Contact precautions - Require the use of a barrier that prevents contact with wound
secretions on soiled dressings.

Discharge instruction for infected client - Dispose of soiled dressings in plastic bags that
are securely closed.

Ophthalmoscope - An instrument used to assess a client's interior eye structures.

Adjust the diopters - An action the nurse should use to bring the retina into focus when a
client's error of refraction causes a change in the eyeball shape.

Red-free filter - Produces a green beam for examination of the optic disc for pallor and
recognition of retinal hemorrhages.

Direct wide-beam light - Used to examine the anterior eye.

Ophthalmic mydriatic - Should be instilled prior to extended fundoscopic visualization.

Dopamine (Intropin) IV infusion - Administered at 3 mcg/kg/min to increase urine output
due to increased renal perfusion.

Expected outcome of dopamine treatment - Increase in urine output to 55 ml/hr due to
increased renal perfusion.

Dopamine - A catecholamine that provides renal and mesenteric vasodilation at low
dosage levels.

Client statement about drug use - "I do not use many drugs."
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