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Exam (elaborations)

HESI 266 QUESTIONS AND CORRECT ANSWERS

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HESI 266 QUESTIONS AND CORRECT ANSWERS

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(32) The nurse is caring for a client with chronic pancreatitis who reports persistent
gnawing abdominal pain. To help the client manage the pain, which assessment data is
most important for the nurse to obtain?


A. Eating patterns of dietary intake
B. Color and consistency of feces
C. Activity level of bowel sounds
D. Level and amount of physical activity


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A. Eating patterns of dietary intake




(27) A client who was recently diagnosed with Raynaud's disease is concerned about
pain management. Which nursing instruction should the nurse provide?


A. Wearing gloves when handling cold items against painful spasms.

, B. Return appointments will be needed for IV pain medication
C. Painful areas should be rubbed gently until the pain subsides
D. Enrolling in a pain clinic can provide pain relief alternatives


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A. Wearing gloves when handling cold items against painful spasms.




(24) A client who underwent cardiac stent placement four days ago arrives to the
emergency department reporting a sudden onset of chest pressure and SOB. Which
action should the next take next?


A. Obtain a 12-lead EKG
B. Listen for extra heart sounds, murmurs, and rhythm with the bell of the stethoscope
C. Evaluate upper and lower extremities for perfusion, pulse volume, and pitting
edema
D. Verify troponin level assessments are scheduled every 3-6 hours for a series of
three


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A. Obtain a 12-lead EKG




A client arrives to the medical-surgical unit 4 hours after transurethral resection of the
prostate. The nurse observes dark, pink-tinged outflow with blood clots. Which action
should the nurse take?


A. Irrigating the catheter manually
B. Decreasing the flow rate
C. Monitoring catheter drainage
D. Discontinuing infusing solution


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