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Exam (elaborations)

BSN HESI 266 UPDATED RETAKE GUIDE

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BSN HESI 266 UPDATED RETAKE GUIDE

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An adult who was recently diagnosed with glaucoma tells the nurse, "It feels
like I am driving through a tunnel." The client expresses great concern about
going blind.
Which nursing instruction is most important for the nurses to provide
this client?


a. Maintain prescribed eye drop regimen


b. Eat a diet high in carotene.


c. Wear prescription glasses.

,d. Avoid frequent eye pressure measurement.


Give this one a try later!


a. Maintain prescribed eye drop regimen




A client with gouty arthritis reports tenderness and swelling of the right ankle and
great toe. The nurse observes the area of inflammation extends above the ankle area.
The client receives prescriptions for colchicine and indomethacin.
Which instruction should the nurse include in the discharge teaching?


a. Eat high protein foods to achieve ideal body weight.


b. Use electric heating pad when pain is at its worse.


c. Encourage active range of motion to limit stiffness.


d. Drink at least 8 cups
(1920 mL) of water per day.


Give this one a try later!


d. Drink at least 8 cups
(1920 mL) of water per day.




A female college student comes to the school's health clinic complaining of urinary
frequency and burning with right lower back pain. Which intervention should the
nurse implement first?


a. Palpate the right flank for tenderness.


b. Test her urine for the presence of hematuria

,c. Evaluate the urine for a strong odor.


d. Measure her temperature and pulse rate.


Give this one a try later!


d. Measure her temperature and pulse rate.




Meningitis test to anticipate


Give this one a try later!


lumbar puncture




COPD doing HUFF cough


Give this one a try later!


Re-learn exercise




A client wit lung cancer who wears a subcutaneous morphine sulfate patch for pain is
short of breath and difficult to arouse. When performing a head
-to-toe assessment, the nurse discovers four analgesic patches on


Give this one a try later!

, Remove all morphine patches




While car
ing for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse performs a
neurological assessment every four hours. Which assessment finding warrants
immediate intervention by the nurse?


a. Inappropriate laughter.


b. Weakened cough effort.


c. Asymmetrical weakness.


d. Increasing anxiety.


Give this one a try later!


b. Weakened cough effort.




An overweight, young adult who was
recently Check finger stick glucose diagnosed with type 2 diabetes mellitus is
admitted for a hernia repair. He tells the nurse that he is feeling very weak and jittery.


Which actions should the nurse implement?
(Select all that apply.)


a. Check finger stick
glucose


b. Assess skin temperature
and moisture

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