HESI CASE STUDY END OF LIFE EXAM
WITH ACTUAL CORRECT ANSWERS.
The client asks the practical nurse (PN) why his medication was changed.
What is the most likely reason for this change? - CorreCt Answers -Dry
cough is a common side effect of an ACE inhibitor.
What laboratory tests or analyses would the PN anticipate being ordered on
Mr. Pinner's pleural fluid specimen to confirm the diagnosis of metastatic
disease?
Select all that apply - CorreCt Answers -Cytology.
The cells that were obtained during a thoracentesis can substantiate a
diagnosis of a malignancy.
Color.
Bloody fluid, when there is no trauma, is indicative of a malignancy.
After the procedure, the PN takes Mr. Pinner's vital signs. His vital signs
are as follows:
BP 132/76
HR 78
R 18
Oxygen saturation 96% on room air
T 98.6° F (37°C)
, Mr. Pinner states that he "feels fine." The PN reinforces to Mr. Pinner the
signs and symptoms of a pneumothorax that could occur in the first 24
hours after the thoracentesis. - CorreCt Answers -
Which signs and symptoms will the PN tell Mr. Pinner to report
immediately?
Select all that apply - CorreCt Answers -Pain on the affected side.
This is a sign of a pneumothorax and should be reported immediately. The
pain would intensify at the end of the inhalation and the exhalation.
The feeling of a rapid heart rate.
This is a sign of a pneumothorax and should be reported immediately.
New onset of a "nagging" cough.
This is a sign of a possible pneumothorax and should be reported
immediately.
Feeling like he cannot catch his breath.
This is a sign of a possible pneumothorax and should be reported
immediately.
WITH ACTUAL CORRECT ANSWERS.
The client asks the practical nurse (PN) why his medication was changed.
What is the most likely reason for this change? - CorreCt Answers -Dry
cough is a common side effect of an ACE inhibitor.
What laboratory tests or analyses would the PN anticipate being ordered on
Mr. Pinner's pleural fluid specimen to confirm the diagnosis of metastatic
disease?
Select all that apply - CorreCt Answers -Cytology.
The cells that were obtained during a thoracentesis can substantiate a
diagnosis of a malignancy.
Color.
Bloody fluid, when there is no trauma, is indicative of a malignancy.
After the procedure, the PN takes Mr. Pinner's vital signs. His vital signs
are as follows:
BP 132/76
HR 78
R 18
Oxygen saturation 96% on room air
T 98.6° F (37°C)
, Mr. Pinner states that he "feels fine." The PN reinforces to Mr. Pinner the
signs and symptoms of a pneumothorax that could occur in the first 24
hours after the thoracentesis. - CorreCt Answers -
Which signs and symptoms will the PN tell Mr. Pinner to report
immediately?
Select all that apply - CorreCt Answers -Pain on the affected side.
This is a sign of a pneumothorax and should be reported immediately. The
pain would intensify at the end of the inhalation and the exhalation.
The feeling of a rapid heart rate.
This is a sign of a pneumothorax and should be reported immediately.
New onset of a "nagging" cough.
This is a sign of a possible pneumothorax and should be reported
immediately.
Feeling like he cannot catch his breath.
This is a sign of a possible pneumothorax and should be reported
immediately.
