NR 304 HESI Study ||| Faultless Answers 100%.
An older adult with peripheral vascular disease has stopped smoking, and the client's children
want to make the home environment safe. What should the home healthcare nurse emphasize
when providing instructions?
1
Observe for evidence of blurred vision
2
Use measures that can prevent thermal injuries
3
Reduce fluid intake to prevent peripheral edema
4
Limit activities to reduce the workload on the heart correct answers 2
The ability to perceive extremes in temperature is limited in the presence of peripheral vascular
disease. Prevention of thermal injury through avoidance of hot and cold (e.g., hot water, heating
pads, ice packs) is advised. Blurred vision is not associated with peripheral vascular disease.
Limiting fluid intake may precipitate dehydration, increasing the risk of thrombophlebitis.
Limiting fluids may be indicated if a client has heart failure, not peripheral vascular disease.
Limiting activities to reduce the workload on the heart may be important for a client with heart
failure, not with peripheral vascular disease.
A nurse is reviewing the clinical record of a client with a diagnosis of benign prostatic
hyperplasia (BPH). Which test result will the nurse check to confirm the diagnosis?
1
Rectal examination
2
Serum phosphatase level
3
Biopsy of prostatic tissue
4
, Massage of prostatic fluid correct answers 3
A definitive diagnosis of the cellular changes associated with benign prostatic hyperplasia [1] [2]
(BPH) is made by biopsy, with subsequent microscopic evaluation. Palpation of the prostate
gland through rectal examination is not a definitive diagnosis; this only reveals size and
configuration of the prostate. The serum phosphatase level will provide information for prostatic
cancer; a definitive diagnosis cannot be made with this test for BPH. A sample of prostatic fluid
helps to diagnosis prostatitis.
What is the function of a client's cranial nerve VI?
1
Movement of the eye with levator muscle
2
Movement of the eye with lateral rectus muscles
3
Movement of the eye with medial rectus muscles
4
Movement of the eye with superior oblique muscles correct answers 2
Cranial nerve VI (abducens) helps eye movement with the lateral rectus muscles. Cranial nerve
III (oculomotor) helps in the lid elevation with the levator muscle. Cranial nerve III (oculomotor)
helps in the eye movement with medial rectus muscles. Cranial nerve IV (trochlear) helps in eye
movement with the superior oblique muscles.
A postoperative client is diagnosed as having atelectasis. Which nursing assessment supports this
diagnosis?
1
Productive cough
2
Clubbing of the fingertips
3
Crackles at the height of inhalation
An older adult with peripheral vascular disease has stopped smoking, and the client's children
want to make the home environment safe. What should the home healthcare nurse emphasize
when providing instructions?
1
Observe for evidence of blurred vision
2
Use measures that can prevent thermal injuries
3
Reduce fluid intake to prevent peripheral edema
4
Limit activities to reduce the workload on the heart correct answers 2
The ability to perceive extremes in temperature is limited in the presence of peripheral vascular
disease. Prevention of thermal injury through avoidance of hot and cold (e.g., hot water, heating
pads, ice packs) is advised. Blurred vision is not associated with peripheral vascular disease.
Limiting fluid intake may precipitate dehydration, increasing the risk of thrombophlebitis.
Limiting fluids may be indicated if a client has heart failure, not peripheral vascular disease.
Limiting activities to reduce the workload on the heart may be important for a client with heart
failure, not with peripheral vascular disease.
A nurse is reviewing the clinical record of a client with a diagnosis of benign prostatic
hyperplasia (BPH). Which test result will the nurse check to confirm the diagnosis?
1
Rectal examination
2
Serum phosphatase level
3
Biopsy of prostatic tissue
4
, Massage of prostatic fluid correct answers 3
A definitive diagnosis of the cellular changes associated with benign prostatic hyperplasia [1] [2]
(BPH) is made by biopsy, with subsequent microscopic evaluation. Palpation of the prostate
gland through rectal examination is not a definitive diagnosis; this only reveals size and
configuration of the prostate. The serum phosphatase level will provide information for prostatic
cancer; a definitive diagnosis cannot be made with this test for BPH. A sample of prostatic fluid
helps to diagnosis prostatitis.
What is the function of a client's cranial nerve VI?
1
Movement of the eye with levator muscle
2
Movement of the eye with lateral rectus muscles
3
Movement of the eye with medial rectus muscles
4
Movement of the eye with superior oblique muscles correct answers 2
Cranial nerve VI (abducens) helps eye movement with the lateral rectus muscles. Cranial nerve
III (oculomotor) helps in the lid elevation with the levator muscle. Cranial nerve III (oculomotor)
helps in the eye movement with medial rectus muscles. Cranial nerve IV (trochlear) helps in eye
movement with the superior oblique muscles.
A postoperative client is diagnosed as having atelectasis. Which nursing assessment supports this
diagnosis?
1
Productive cough
2
Clubbing of the fingertips
3
Crackles at the height of inhalation
