HESI BSN 246 Part II
. The health practitioner is ready to dispose of a chest tube from a customer. After the
dressing is eliminated and the sutures were cut, the nurse helping the health practitioner
asks the purchaser to: - ANS-Perform the Valsalva maneuver.
102. The purchaser is resuming a diet after hemigastrectomy. To minimize complications, the
nurse would inform the patron to keep away from doing which of the following? -
ANS-Drinking liquid with meals
A 27-year-antique woman purchaser is present process evaluation of lumps in her breasts.
In figuring out whether or not the client may want to have fibrocystic breast disease, the
nurse have to ask the client whether or not the breast lumps appear to become greater
outstanding or troublesome at which of the following times? - ANS-earlier than menses
A client being visible in an ambulatory clinic for an unrelated grievance has a butterfly rash
noted across the nostril. The nurse interprets that this finding is constant with early
manifestations of which of the subsequent problems? - ANS-Systemic lupus erythematosus
(SLE)
A purchaser has been admitted with left-sided coronary heart failure. When making plans
take care of the purchaser, interventions have to be focused around discount of which
unique hassle associated with this type of coronary heart failure? - ANS-Bilateral lung
crackles
A purchaser has undergone stomach perineal resection for a bowel tumor. The nurse
translates that the customer's colostomy is beginning to function if which of the following
signs is cited? - ANS-The passage of flatus
A patron is admitted to the health center with a diagnosis of Addison's ailment. The nurse
could display for which of the following problems related to this sickness? Select all that
practice. - ANS-Syncope
Hypotension
Muscle weak point
A customer is admitted to the health center with a analysis of parasitic worms. The nurse
knows that the number one cell type in an effort to assault these overseas particles is: -
ANS-Eosinophils
A consumer is admitted to the hospital with cellulitis of the lower leg. The nurse could
anticipate which of the following therapies to be prescribed? - ANS-Warm compresses to the
affected region
, A patron is experiencing blockage of the eustachian tubes. Which of the subsequent
activities with the aid of the client may additionally forcibly open the eustachian tube? -
ANS-Performing the Valsalva maneuver
A purchaser returns to the nursing unit after present process an
esophagogastroduodenoscopy (EGD). Which of the following reflects suitable intervention
with the aid of the nurse? - ANS-Withhold oral fluids until the customer's gag reflex has lower
back.
A customer who suffered carbon monoxide poisoning from running on an vehicle in a closed
storage has a carbon monoxide level of 15%. The nurse might count on gazing which signal
or symptom? - ANS-Flushing
A client who visits the medical doctor's workplace for a routine physical reports new onset of
intolerance to cold. Knowing that that is a frequent grievance related to hypothyroidism, the
nurse maintains to assess for which of the subsequent? - ANS-Complaints of weak point and
lethargy
A customer with angina complains that the anginal pain is extended, severe, and happens
on the same time each day, most usually inside the morning. On further evaluation, a nurse
notes that the pain takes place within the absence of precipitating elements. How would the
nurse exceptional describe this type of anginal pain? - ANS-Variant Angina
A client with liver cancer who's receiving chemotherapy tells the nurse that a few meals on
the meal tray flavor bitter. The nurse would try to limit which of the subsequent meals which
can be most probably to have this taste for the customer? - ANS-Pork
A consumer's total ldl cholesterol stage is 344 mg/dL, low-density lipoprotein ldl cholesterol
(LDL-C) level is 164 mg/dL, and high-density lipoprotein ldl cholesterol (HDL-C) level is 30
mg/dL. Based on analysis of the records, how should the nurse direct consumer teaching? -
ANS-The patron is at excessive threat for cardiovascular sickness, and measures to regulate
all identified hazard elements must study.
A nurse assessing a postoperative ureterostomy purchaser will interpret that the stoma has
everyday characteristics if the stoma is: - ANS-Red and moist
A nurse is caring for a consumer recognized with Ménière's disorder. The nurse plans care,
understanding that this sickness is characterized via: - ANS-Dizziness
A nurse is worrying for a patron postoperatively following advent of a colostomy. Which of
the subsequent nursing diagnoses ought to the nurse consist of within the plan of care? -
ANS-Disturbed body image
According to the American Cancer Society, fecal occult blood testing should be done
annually after the age of _____ years. - ANS-50
An adult purchaser trapped in a burning house has suffered burns to the again of the head,
top half of the posterior trunk, and the back of each arms. Using the rule of nines, what does
. The health practitioner is ready to dispose of a chest tube from a customer. After the
dressing is eliminated and the sutures were cut, the nurse helping the health practitioner
asks the purchaser to: - ANS-Perform the Valsalva maneuver.
102. The purchaser is resuming a diet after hemigastrectomy. To minimize complications, the
nurse would inform the patron to keep away from doing which of the following? -
ANS-Drinking liquid with meals
A 27-year-antique woman purchaser is present process evaluation of lumps in her breasts.
In figuring out whether or not the client may want to have fibrocystic breast disease, the
nurse have to ask the client whether or not the breast lumps appear to become greater
outstanding or troublesome at which of the following times? - ANS-earlier than menses
A client being visible in an ambulatory clinic for an unrelated grievance has a butterfly rash
noted across the nostril. The nurse interprets that this finding is constant with early
manifestations of which of the subsequent problems? - ANS-Systemic lupus erythematosus
(SLE)
A purchaser has been admitted with left-sided coronary heart failure. When making plans
take care of the purchaser, interventions have to be focused around discount of which
unique hassle associated with this type of coronary heart failure? - ANS-Bilateral lung
crackles
A purchaser has undergone stomach perineal resection for a bowel tumor. The nurse
translates that the customer's colostomy is beginning to function if which of the following
signs is cited? - ANS-The passage of flatus
A patron is admitted to the health center with a diagnosis of Addison's ailment. The nurse
could display for which of the following problems related to this sickness? Select all that
practice. - ANS-Syncope
Hypotension
Muscle weak point
A customer is admitted to the health center with a analysis of parasitic worms. The nurse
knows that the number one cell type in an effort to assault these overseas particles is: -
ANS-Eosinophils
A consumer is admitted to the hospital with cellulitis of the lower leg. The nurse could
anticipate which of the following therapies to be prescribed? - ANS-Warm compresses to the
affected region
, A patron is experiencing blockage of the eustachian tubes. Which of the subsequent
activities with the aid of the client may additionally forcibly open the eustachian tube? -
ANS-Performing the Valsalva maneuver
A purchaser returns to the nursing unit after present process an
esophagogastroduodenoscopy (EGD). Which of the following reflects suitable intervention
with the aid of the nurse? - ANS-Withhold oral fluids until the customer's gag reflex has lower
back.
A customer who suffered carbon monoxide poisoning from running on an vehicle in a closed
storage has a carbon monoxide level of 15%. The nurse might count on gazing which signal
or symptom? - ANS-Flushing
A client who visits the medical doctor's workplace for a routine physical reports new onset of
intolerance to cold. Knowing that that is a frequent grievance related to hypothyroidism, the
nurse maintains to assess for which of the subsequent? - ANS-Complaints of weak point and
lethargy
A customer with angina complains that the anginal pain is extended, severe, and happens
on the same time each day, most usually inside the morning. On further evaluation, a nurse
notes that the pain takes place within the absence of precipitating elements. How would the
nurse exceptional describe this type of anginal pain? - ANS-Variant Angina
A client with liver cancer who's receiving chemotherapy tells the nurse that a few meals on
the meal tray flavor bitter. The nurse would try to limit which of the subsequent meals which
can be most probably to have this taste for the customer? - ANS-Pork
A consumer's total ldl cholesterol stage is 344 mg/dL, low-density lipoprotein ldl cholesterol
(LDL-C) level is 164 mg/dL, and high-density lipoprotein ldl cholesterol (HDL-C) level is 30
mg/dL. Based on analysis of the records, how should the nurse direct consumer teaching? -
ANS-The patron is at excessive threat for cardiovascular sickness, and measures to regulate
all identified hazard elements must study.
A nurse assessing a postoperative ureterostomy purchaser will interpret that the stoma has
everyday characteristics if the stoma is: - ANS-Red and moist
A nurse is caring for a consumer recognized with Ménière's disorder. The nurse plans care,
understanding that this sickness is characterized via: - ANS-Dizziness
A nurse is worrying for a patron postoperatively following advent of a colostomy. Which of
the subsequent nursing diagnoses ought to the nurse consist of within the plan of care? -
ANS-Disturbed body image
According to the American Cancer Society, fecal occult blood testing should be done
annually after the age of _____ years. - ANS-50
An adult purchaser trapped in a burning house has suffered burns to the again of the head,
top half of the posterior trunk, and the back of each arms. Using the rule of nines, what does
