BSN 246

Which of the following sites should be avoided for intravenous (IV) line insertion? (Select all that apply.) correct answer: -foot of an adult -site distal to a previous venipuncture site -ventral surface of wrist (inner wrist) -areas of venous bifurcation An adult patient developed a complication with his IV and it had to be removed, yet continued IV fluids were needed. Which site would be most appropriate for the nurse to choose? correct answer: proximal to the previous IV site Whic...

The nurse is caring for a patient with increased intracranial pressure (ICP). Which action would be considered to be a collaborative intervention? a. Decreasing perfusion b. Administering an osmotic diuretic c. Assessing orientation d. Assessing for edema correct answer: ANS: B Which assessment finding would be the earliest and most sensitive indicator that there is an alteration in intracranial regulation? a. Change in level of consciousness b. Inability to focus visually c. Loss o...

246 HESI Study GuideA 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...

BSN 246 HESI REVIEW The nurse is preparing to perform a Weber test on a patient. What tool is needed to perform this test? - correct answer Turning fork what are the steps on performing a confrontation test for vision? - correct answer 1: stand 2 to 3 ft in front of client and face the client 2: ask the client to cover one eye 3:examiner covers opposite eye covered by the client 4: the examiner brings in an object gradually from periphery. 5: ask the client to report when object is first...

BSN 246 HESI Review (Part 1) Twenty four hours after a client returns from surgical gastric bypass, the registered nurse (RN) observes large amounts of blood in the nasogastric tube (NGT) cannister. Which assessment finding should the RN report as early signs of hypovolemic shock? Faint pedal pulses. Decrease in blood pressure. Lethargy. Slow breathing. - correct answer Lethargy. One of the early signs of hypovolemic shock is changes in the client's level of consciousness due to the d...

HESI BSN 246 Part IIThe nurse reviews the health record of a client with melasma. The nurse would anticipate that this client will exhibit: - correct answer Blotchy brown macules across the cheeks and forehead The client with cellulitis of the lower leg has had cultures done on the affected area. The nurse reviewing the results of the culture report interprets that which of the following organisms is not part of the normal flora of the skin? - correct answer Escherichia coli The client com...

BSN246 HESI StudyThe registered nurse (RN) reviews the new prescription, phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI), for a client on the psychiatric unit with depression. Which information is most important for the RN to assess? A. Consumption of any alcohol or tyramine-rich foods. B. Complaints of nausea or vomiting. C. Therapeutic serum drug levels. D. Blood pressure and pulse prior to taking each dose. - correct answer A. Consumption of any alcohol or tyramine-rich foods. ...

BSN 246 HESI Health Assessment V1The nurse is performing a thoracic assessment on a client with chronic asthma and hyperinflation of the lungs. Which finding should be expected for this client? - correct answer Barrel chest The nurse is assessing bowel sounds for a hospitalized client. The nurse has heard bowel sounds in the right upper quadrant. What action should the nurse take next? - correct answer Note the character and frequency of bowel sounds During inspection of a client's mouth ...

246 HESI Practice TestThe registered nurse (RN) recognizes which client group is at the greatest risk for developing a urinary tract infection (UTI)? (Rank from highest risk to lowest risk.) 1. Older females. 2. School-age female. 3. Older males. 4. Adolescent males. Rationale: Hypoestrogenism and alkalotic urine are other age-related factors put older women at the highest risk for UTIs. School age girls (6 to 12 years) are at risk for UTIs due to a higher prevalence to taking ...

246 HESI Practice TestThe registered nurse (RN) recognizes which client group is at the greatest risk for developing a urinary tract infection (UTI)? (Rank from highest risk to lowest risk.) 1. Older females. 2. School-age female. 3. Older males. 4. Adolescent males. Rationale: Hypoestrogenism and alkalotic urine are other age-related factors put older women at the highest risk for UTIs. School age girls (6 to 12 years) are at risk for UTIs due to a higher prevalence to taking ...

BSN 246 Week 4 HESI Prep The nurse is caring for a client admitted for a fractured hip that was sustained from a fall at home. On assessment of the client's affected lower extremity, which signs/symptoms would most likely be noted? A.Shortening and abduction B.Abduction and internal rotation C.Shortening and internal rotation D.Shortening and external rotation ● Shortening and external rotation The nurse is caring for a client with osteoarthritis. The nurse performs an...

BSN 246 HESI ReviewHypokalemia appearance on EKG - correct answer - U waves - inverted T waves - depressed ST segment Potassium chloride intravenously is prescribed for a client with heart failure experiencing hypokalemia. Which actions should the nurse take to plan for preparation and administration of the potassium? Select all that apply. 1. Obtain an intravenous (IV) infusion pump. 2. Monitor urine output during administration. 3. Prepare the medication for bolus administration....