1. - D Enjoys fat-free yogurt as an occasion- Question 1 of 55
al snack food. The nurse is evaluating a client's
understand- ing about the DASH (Dietary
Approaches to Stop Hypertension) eating
plan. Which behav- ior indicates that the
client is adhering to the eating plan?
-A Uses only lactose-free dairy products.
-B Carefully cleans and peels all fresh fruit
and vegetables.
-C No longer incudes grains in daily diet
-D Enjoys fat-free yogurt as an
occasional snack food.
2. - A Further decline in level of Question 2 of 55
conscious- ness. A client who has a history of
hypothyroidism was initially admitted
with lethargy and con- fusion. Which
additional finding warrants the most
immediate action by the nurse? [Hema-
tocrit (Reference Range: Male: 42% to
52% (0.42 to 0.52 volume fraction)]
-A Further decline in level of consciousness
-B Hematocrit of 30% (0.30 volume
fraction)
-C Cold and dry skin.
-D Facial puflness and periorbital edema
3. - B Full thickness. Question 3 of 55
The nurse is caring for a client with a
burn that is severely edematous with a
wound bed that is brown and yellow in
, appearance. The client expresses feeling
no pain. Which classification
, 266 HESI lots of questions colec- tomy.
Study online at https://quizlet.com/_e5i72m The nurse should
recognize that clients
4. - A Urinary output.
- B Oxygen saturation.
- D Lung sounds.
Orthopneic position, sometimes
called tripod position, is a sitting
position where an individual
leans slightly for- ward with their
arms propped up on an overbed
table or their knees.
Orthopnea is the sensation of
breath- lessness in the recumbent
(lying down) position, relieved by
sitting or standing.
5. - B Crohn's disease with colectomy.
Question # 5
Rationale - B Crohn's disease with
, of burn depth should the nurse document?
-A Deep full-thickness.
-B Full thickness.
-C Deep partial-thickness.
-D Superficial partial-thickness.
Question 4 of 55
An older client who is agitated, dyspneic, orthopneic, and
using accessory muscles to breathe is admitted for further
treatment.
Initial assessment includes a heart rate 128 beats/minute
and irregular, respirations 38 breaths/minute, blood
pressure 168/100 mm Hg, wheezes and crackles in all lung
fields. An hour after the administration of furosemide 60
mg intravenous (IV), which assessment(s) should the
nurse obtain to determine the client's response to
treatment? (Select all that apply.)
-A Urinary output.
-B Oxygen saturation.
-C Pain scale.
-D Lung sounds.
-E Skin elasticity.
Question 5 of 55
A client is diagnosed with chronic kidney dis- ease and
needs to begin dialysis. Which con- dition entered on the
client's medical record should the nurse recognize as a
contraindica-