HESI Health Assessment Exam Test Bank 2023 Guaranteed A+ Actual Questions and Answers, Complete 100%

HESI Health Assessment Exam Test Bank 2023 Guaranteed A+ Actual Questions and Answers, Complete 100% 1. What is gamma globulin and when is it used?: Answer: Gamma globulin, which is an immune globulin, contains most of the antibodies circulating in the blood. When injected into an individual, it prevents a specific antigen from entering a host cell. So the antigen is neutralized by the antibodies gamma globulin supplies. Used when a pt is exposed to Hep A 2. A nurse is obtaining a health history from the newly admitted client who has chronic pain in the knee. What should the nurse include in the pain assessment? Select all that apply. 1 Pain history, including location, intensity, and quality of pain 2 Client's purposeful body movement in arranging the papers on the bedside table 3 Pain pattern, including precipitating and alleviating factors 4 Vital signs, such as increased blood pressure and heart rate 5 The client's family statement about increases in pain with ambulation: Answer: 1 & 3 Why not others?? Physiological responses such as elevated blood pressure and heart rate are most likely to be absent in the client with chronic pain. Pain is a subjective experience, and therefore the nurse has to ask the client directly instead of accepting the statement of the family members. 3. Pressure Ulcers and stages: Answer: stage I pressure ulcer- an area of persistent redness with no break in skin integrity. stage II pressure ulcer-partial-thickness wound with skin loss involving the epidermis, dermis, or both; the ulcer is superficial and may present as an abrasion, blister, or shallow crater stage III pressure ulcer- full-thickness tissue loss with visible subcutaneous fat. Bone, tendon, and muscle are not exposed. stage IV- full thickness tissue loss with exposed bone, tendon, muscle, bone (slough or eschar may be present within wound bed) unstageable- contains necrotic tissue, necrotic tissue must be removed before the wound can be staged.