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NURS 420 Hesi Study Module 10 Physiological
Health Problems - Latest
Hesi Study Module 10 Physiological Health
Problems Questions
1.ID: 383719769
A nurse is assigned to care for four clients on the medical-surgical unit. Which client should the
nurse see first on the shift assessment?
A client admitted with pneumonia with a fever of 100° F and some diaphoresis Incorrect
A client with congestive heart failure with clear lung sounds on the previous shift
A client with new-onset of shortness of breath (SOB) and a history of pulmonary edema
Correct
A client undergoing long-term corticosteroid therapy with mild bruising on the anterior
surfaces of
the arms
Rationale: The client who should be seen first is the one with SOB and a history of pulmonary
edema. In light of such a history, SOB could indicate that fluid-volume overload has once again
developed. The client with a fever and who is diaphoretic is at risk for insufficient fluid volume
as a result of loss of fluid through the skin, but this client is not the priority.
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Test-Taking Strategy: Use the process of elimination and focus on the subject of the question, the
client who should be seen first. Recall the rule of assessment of the ABCs — airway, breathing, and
circulation
— which means that the client experiencing SOB should take precedence over the other clients
on the unit. This client’s condition could progress to respiratory arrest if the client were not
assessed immediately on the basis of the signs and symptoms. Read each option and think
about the client in most critical condition and review the disorders to determine which clients
have the most critical needs. If you had difficulty with this question, review the various disease
processes presented in this question.
Reference: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: Patient-centered
collaborative care. (6th ed., p. 176). St. Louis: Saunders.
Level of Cognitive Ability: Analyzing
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Client Needs: Physiological Integrity
Integrated Process: Nursing
Process/Assessment Content Area:
Delegating/Prioritizing
Awarded 0.0 points out of 1.0 possible
points. 2.ID: 383719781
A client with gastroenteritis who has been vomiting and has diarrhea is admitted to the hospital
with a diagnosis of dehydration. For which clinical manifestations that correlate with this fluid
imbalance would the nurse assess the client? Select all that apply.
Decreased pulse
Decreased urine output Correct
Increased blood pressure
Increased respiratory rate Correct
Decreased respiratory depth
Rationale: A client with dehydration has an increased depth and rate of respirations. The
diminished fluid volume is perceived by the body as a decreased oxygen level (hypoxia), and
increased respiration is an attempt to maintain oxygen delivery. Other assessment findings in
insufficient fluid volume are decreased urine volume, increased pulse, weight loss, poor skin
turgor, dry mucous membranes, concentrated urine with increased specific gravity, increased
Nurs 420 hesi study module 10 physiological health problems columbia college
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hematocrit, and altered level of consciousness. Increased blood pressure, decreased pulse, and
increased urine output occur with fluid- volume overload.
Test-Taking Strategy: Use the process of elimination and focus on the subject, dehydration
(deficient fluid volume). Think about the pathophysiology of deficient fluid volume. Remember
that the body will increase the respiratory rate in an attempt to maintain the oxygen level. If you
had difficulty with this question, review the signs of insufficient fluid volume.
Nurs 420 hesi study module 10 physiological health problems columbia college
Nurs
4 of 205
420 hesi study module 10 physiological health problems columbia college.pdf
college
Nurs1 420
of 205
hesi study module 10 physiological health problems columbia college.pdf
NURS 420 Hesi Study Module 10 Physiological
Health Problems - Latest
Hesi Study Module 10 Physiological Health
Problems Questions
1.ID: 383719769
A nurse is assigned to care for four clients on the medical-surgical unit. Which client should the
nurse see first on the shift assessment?
A client admitted with pneumonia with a fever of 100° F and some diaphoresis Incorrect
A client with congestive heart failure with clear lung sounds on the previous shift
A client with new-onset of shortness of breath (SOB) and a history of pulmonary edema
Correct
A client undergoing long-term corticosteroid therapy with mild bruising on the anterior
surfaces of
the arms
Rationale: The client who should be seen first is the one with SOB and a history of pulmonary
edema. In light of such a history, SOB could indicate that fluid-volume overload has once again
developed. The client with a fever and who is diaphoretic is at risk for insufficient fluid volume
as a result of loss of fluid through the skin, but this client is not the priority.
Nurs 420 hesi study module 10 physiological health problems columbia college
Nurs
1 of 205
420 hesi study module 10 physiological health problems columbia college.pdf
,Nurs 420 hesi study module 10 physiological health problems columbiaPage
college
Nurs2 420
of 205
hesi study module 10 physiological health problems columbia college.pdf
Test-Taking Strategy: Use the process of elimination and focus on the subject of the question, the
client who should be seen first. Recall the rule of assessment of the ABCs — airway, breathing, and
circulation
— which means that the client experiencing SOB should take precedence over the other clients
on the unit. This client’s condition could progress to respiratory arrest if the client were not
assessed immediately on the basis of the signs and symptoms. Read each option and think
about the client in most critical condition and review the disorders to determine which clients
have the most critical needs. If you had difficulty with this question, review the various disease
processes presented in this question.
Reference: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: Patient-centered
collaborative care. (6th ed., p. 176). St. Louis: Saunders.
Level of Cognitive Ability: Analyzing
Nurs 420 hesi study module 10 physiological health problems columbia college
Nurs
2 of 205
420 hesi study module 10 physiological health problems columbia college.pdf
,Nurs 420 hesi study module 10 physiological health problems columbiaPage
college
Nurs3 420
of 205
hesi study module 10 physiological health problems columbia college.pdf
Client Needs: Physiological Integrity
Integrated Process: Nursing
Process/Assessment Content Area:
Delegating/Prioritizing
Awarded 0.0 points out of 1.0 possible
points. 2.ID: 383719781
A client with gastroenteritis who has been vomiting and has diarrhea is admitted to the hospital
with a diagnosis of dehydration. For which clinical manifestations that correlate with this fluid
imbalance would the nurse assess the client? Select all that apply.
Decreased pulse
Decreased urine output Correct
Increased blood pressure
Increased respiratory rate Correct
Decreased respiratory depth
Rationale: A client with dehydration has an increased depth and rate of respirations. The
diminished fluid volume is perceived by the body as a decreased oxygen level (hypoxia), and
increased respiration is an attempt to maintain oxygen delivery. Other assessment findings in
insufficient fluid volume are decreased urine volume, increased pulse, weight loss, poor skin
turgor, dry mucous membranes, concentrated urine with increased specific gravity, increased
Nurs 420 hesi study module 10 physiological health problems columbia college
Nurs
3 of 205
420 hesi study module 10 physiological health problems columbia college.pdf
, Nurs 420 hesi study module 10 physiological health problems columbiaPage
college
Nurs4 420
of 205
hesi study module 10 physiological health problems columbia college.pdf
hematocrit, and altered level of consciousness. Increased blood pressure, decreased pulse, and
increased urine output occur with fluid- volume overload.
Test-Taking Strategy: Use the process of elimination and focus on the subject, dehydration
(deficient fluid volume). Think about the pathophysiology of deficient fluid volume. Remember
that the body will increase the respiratory rate in an attempt to maintain the oxygen level. If you
had difficulty with this question, review the signs of insufficient fluid volume.
Nurs 420 hesi study module 10 physiological health problems columbia college
Nurs
4 of 205
420 hesi study module 10 physiological health problems columbia college.pdf
