BSN 266 HESI V2 questions and answers

Neutrophil count- The patient is experiencing infection, so a nurse should review the neutrophil count before contacting the HCP. - ans -----While caring for a client with full thickness burns covering 40% of the body, the nurse observes purulent drainage from the wounds. Before reporting the finding, what is the best lab value to evaluate? Demonstrate the use of visual scanning during meals to the client and family. - ans -----An older woman who experienced a cerebrovascular accident (CVA) has difficulty with visual perception 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? High Fowler's Position- High fowlers helps to decrease venous return, which decreases fluid volume in the heart that results in decreased cardiac workload. - ans -----Best position for respiratory distress? High risk for injury - ans -----A patient with peripheral artery disease has marked peripheral neuropath. An appropriate nursing diagnosis for the patient is Check feet every day for cuts or injuries. - ans -----Type 2 diabetes patient discharge teaching patient and family Institute Contact precautions for staff and visitors Send wound drainage for culture and sensitivity Monitor the clients WBC count - ans -----Plan of care for patient with skin lesions of lower extremities with possible MRSA. SATA Hematemesis- - Contact HCP if blood is visible in body fluids such as hematemesis. - ans -----A patient with acute anterior wall MI 1 week ago is given low-dose aspirin. The medication is related to which problem and HCP should be notified? Elevated blood urea nitrogen (BUN) - ans -----For a patient with SLE exacerbation what is the most important to report which assessment finding?