Apical pulse is heard at Study guides, Class notes & Summaries

The retinal structures viewed through the ophthalmoscope are: - Correct answer-optic disc, vessels, macula, background "Positive consensual light reflex" means... - Correct answer-simultaneous constriction The thickening and yellowing of the lens due to aging is described as: - Correct answercataract Eye emergency - Correct answer-sudden change in vision Visual acuity is assessed with: - Correct answer-Snellen eye chart The cover test is used to assess for: - Correct answer-muscle weakne...

Critical Care Hesi Exit Exam Questions and Answers 2023/2024 update 1 - ANSWER-The nurse cares for a client with a cuffed tracheostomy tube. Before performing oral care, the nurse notes that the client's tracheostomy cuff is inflated. Which of the following is the MOST appropriate action for the nurse to take? 1. Leave the cuff inflated and suction through the tracheostomy.2. Deflate the cuff and suction through the tracheostomy tube. 3. Inflate the cuff pressure to 40 mm Hg before suc...

ATI Comprehensive Exit Exam (CHECK THE LAST PAGE FOR MULTIPLE VERSIONS OF THE EXAM AND OTHER ATI EXAMS) 1) A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The client threatened suicide to teacher at school. Which of the following statements should the nurse include in the assessment? a) Tell me about your siblings b) Tell me what kind of music you like c) Tell me how often do you drink alcohol d) Tell me about your school schedule...

Critical Care Exit HESI 55 Questions and Answers Updated 2022. The nurse cares for a client with a cuffed tracheostomy tube. Before performing oral care, the nurse notes that the client's tracheostomy cuff is inflated. Which of the following is the MOST appropriate action for the nurse to take? 1. Leave the cuff inflated and suction through the tracheostomy. 2. Deflate the cuff and suction through the tracheostomy tube. 3. Inflate the cuff pressure to 40 mm Hg before suctioning. 4. Adju...

PNR 408 Review Questions With Certified Solutions the nurse who is caring for a client with kidney failure notes that the client is to dyspneic and crackles are heard when listening to the breath sounds in the lungs. Which additional signs and symptoms should the nurse expect to note in this client? an increase in blood pressure a nurse is reviewing the health records of an assigned client. The nurse should plan care knowing that which client is a risk for potassium deficiency? the client rece...

1. A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle crash. Identify the sequence of actions the nurse should take. (Move the actions into the box on the right, placing them in the selected order of performance. Use all the steps.) C. Open the airway using a jaw-thrust maneuver. D. Determine effectiveness of ventilator efforts. B. Establish IV access. A. Perform a Glasgow Coma Scale assessment. E. Remove clothing for a thor...

Next Generation NCLEX Rn Exam 1. Which of the following clients is at a higher risk of developing oral health problems? a. A pregnant client b. A client with diabetes c. A client receiving chemotherapy d. Both b and c 2. Which nursing intervention is most appropriate to reduce environmental stimuli that may cause discomfort for a client? a. Loosen pressure dressings on wounds b. Use assistance to pull a client up in bed c. Check temperature of water used in a sponge bath ...

A 29 year old male client informs the nurse that he came to the clinic to see if, "Maybe I have lung cancer or something," and wants to get checked out since, "I can't seem to get rid of this body-wracking dry cough that has been hanging around for the last six weeks." Which computer documentation of this client's concerns should the nurse enter? A. Presents with a hacking non-productive cough of 6 weeks duration. B. Describe having a "body-wracking dry cough" of 6 weeks duration. C. ...

NURS 6512 Final Exam Review (Week 7-11) 1. Examination techniques of the Heart: • Inspection - use tangential lighting; stand to the patient’s right, patient should sit erect and lean forward, lye supine, and left lateral recumbent position; apical pulse midclavicular line 5th left intercostal space; check the skin for cyanosis, venous distention, nail bed for cyanosis and capillary refill time • Palpation - patient supine, palpate the precordium, use proximal halves of the 4 fi...

1. The client is admitted to the telemetry unit diagnosed with acute exacerbation of congestive heart failure (CHF). Which signs/symptoms would the nurse expect to find when assessing this client? 1. Apical pulse rate of 110 and 4 pitting edema of feet. 2. Thick white sputum and crackles that clear with cough. 3. The client sleeping with no pillow and eupnea. 4. Radial pulse rate of 90 and capillary refill time 3 seconds. *CORRECT 1. The client with CHF would exhibit tachycardia (apical p...