HESI Diagnostic 2024 Exam- Integration (100% Verified Solutions)

During a one-to-one session with the nurse, a female admitted for chronic depression and attempted suicide discloses experiences of sexual promiscuity and prostitution. When the nurse asks the client if she was ever sexually abused as a child, the client says, "I don't remember, but my mother ran my father off when I was five." The nurse should recognize that the client may be using which defense mechanism? A. Denial B. Repression C. Regression D. Projection correct answers A. Denial Two days after an abscess of the chin was drained, the client returns to the clinic with fever, chills, and a maculopapular rash with pruritus. The client has taken an oral antibiotic and cleaned wound today with providone-iodine solution. Which intervention should the nurse implement first? A. Review recent mediation history and allergies B. Assess airway latency and oxygen saturation C. Obtain samples for complete blood count and cultures. D. Determine if the client has a history of diabetes correct answers B. Assess airway latency and oxygen saturation The nurse is evaluating a young child with atopic dermatitis. Which question should the nurse ask the parent while obtaining the child's history? A. What time of day does the rash appear on the body? B. Can any particular be associated with onset of the rash? C. Has the child displayed any symptoms of asthma or hay fever? D. Does the child have any nausea or vomiting? correct answers C. Has the child displayed any symptoms of asthma or hay fever? Which client should the charge nurse assign to the care of a practical nurse (PN)? A. An adolescent with a chest tube that drained 500 mL in the past 8 hours. B. An adult who is receiving chemotherapy via an implanted venous access device. C. An older client who is receiving multiple antihypertensive medications. D. An adult type 1 diabetes mellitus who is receiving a titrated insulin infusion. correct answers C. An older client who is receiving multiple antihypertensive medications. 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?