BSN 225 Hesi Prep Updated 2024/2025 Actual Questions and answers with complete solutions

A 40-year-old patient is experiencing poorly controlled hypertension. The dietitian recommends several dietary modifications to the patient. The patient tries to explain the reason for her poor dietary compliance; she says she works extra hours and does not have the time to cook. The patient further adds that she has diabetes. The patient expresses that it is difficult for her to choos a diet that is low in sugar and low in salt and carbohydrates. The nurse communicates this to the dietitian using SBAR technique. Which patient information would be addressed first? A. the need for a diet revision b. the desire for a dietary consult c. current medical conditions of chronic diabtese w/ hypertension d. the need for the patient to eat low-salt, low-sugar meals - C. Current medical conditions of chronic diabetes w/ hypertension When using SBAR communication protocol, the nurse should first identify the patient's situation. In this case, that means the nurse should convey that the patient is suffering from chronic diabetes and hypertension. The nurse then should further address the breakdown of the situation and ask the dietitian to consider revising the diet. Following the dietary assessment and consult, the recommendations for dietary changes-- including low-salt and low-sugar meals--should be made. a 61 y/o man is undergoing an emergency cardiac catheterization when the nurse gives his wife a packet of registration paperwork and asks her to complete the forms. Which observed actions may indicate a health literacy issue? Select all that apply. A. Putting on glasses before beginning the paperwork B. Asking someone in the waiting area to read the forms to her "becuase I need to get new glasses-- these just don't work" C. Waiting until her daughter arrives to begin the paperwork so that her daughter can complete the forms D. Setting the clipboard aside and staring tearfully out the window E. Returning the forms only partially filled out, with missing or inaccurate information. - B. Asking someone in the waiting area to read the forms to her "becuase I need to get new glasses-- these just don't work" C. Waiting until her daughter arrives to begin the paperwork so that her daughter can complete the formsE. Returning the forms only partially filled out, with missing or inaccurate information. A client expresses concerns over having black stool. The fecal occult test is negative. Which response by the nurse is most appropriate? A. This is probably a false negative; we should rerun the test. B. Do you take iron supplements? C. You should schedule a colonoscopy as soon as possible. D. Sometimes severe stress can alter stool color - B. Do you take iron supplements? Rationale: Certain medications and supplements, such as iron, can alter the color of stool. The fecal occult test takes three separate samples over a period of time and is a fairly reliable test. A colonoscopy is health prevention screening that should be done every 5 to 10 years; it is not the nurses initial priority. Stress alters GI motility and stool consistency, not color. A client has orders for the intitiation of continuous enteral feeding. Which action by the nurse is essential during the feeding? A. warming the fomula before the administration B. elevating the head of the bed prior to feeding C. placing the client on the left-side lying position D. hanginf enough formula good for 24 hours - B. Elevating the head of the bed prior to feeding