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, BSN 266 HESI V2
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1. Neutrophil count- The patient is experi- While caring for a client with full thickness burns
encing infection, so a nurse should re- covering 40% of the body, the nurse observes
view the neutrophil count before con- purulent drainage from the wounds. Before re-
tacting the HCP. porting the finding, what is the best lab value to
evaluate?
2. Demonstrate the use of visual scan- An older woman who experienced a cerebrovas-
ning during meals to the client and cular accident (CVA) has difficulty with visual per-
family. ception and she only eats half of the food on her
meal tray. Her family expresses concern about her
nutritional status. How should the nurse respond
to the family's concern?
3. High Fowler's Position- High fowlers Best position for respiratory distress?
helps to decrease venous return, which
decreases fluid volume in the heart
that results in decreased cardiac work-
load.
4. High risk for injury A patient with peripheral artery disease has
marked peripheral neuropath. An appropriate
nursing diagnosis for the patient is
5. Check feet every day for cuts or in- Type 2 diabetes patient discharge teaching pa-
juries. tient and family
6. Institute Contact precautions for staff Plan of care for patient with skin lesions of lower
and visitors extremities with possible MRSA. SATA
Send wound drainage for culture and
sensitivity
Monitor the clients WBC count
7.
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