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Examen

HESI FUNDAMENTALS PRACTICE EXAM

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The nurse observes that a male client has removed the covering from an ice park applied to his knee. What action should the nurse take first? A. Observe the appearance of the skin under the ice pack. B. Instruct the client regarding the need for the covering. C. Reapply the covering after filling with fresh ice. D. Ask the client how long the ice was applied to the skin. -correct answer_Observe the appearance of the skin under the ice pack (The first action taken by the nurse should be to assess the skin for any possible thermal injury. If no injury to the skin has occurred, the nurse can take the other actions.) The nurse mixes 50 mg of Nipride in 250 mL of D5W and plans to administer the solution at a rate of 5 mcg/kg/min to a client weighting 182 lbs. Using a drip factor of 60 gtt/mL, how many drops per minute should the client receive? -correct answer_124 gtt/min The healthcare provider prescribes an IV infusion of 1000 ml of Ringer's Lactate w/ 30 units of Pitocin to run in over 4 hours for a client who has just delivered a 10 pound infant by cesarean section. The tubing has been changed to a 20 gtt/ml administration set. The nurse plans to set the flow rate at how many gtt/min? -correct answer_83 gtt/min Which assessment data provides the most accurate determination of proper placement of a nasogastric tube? -correct answer_Examining a chest x-ray obtained after the tubing was inserted Three days following a surgery, a male client observes his colosto

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HCA201B Final Exam
nonspecific immunity: mechanical barriers - skin, mucus membranes chemical
barriers - tears, saliva, perspiration reflexes - coughing, sneezing, vomiting, diarrhea
phagocytes - white blood cells inflammation - release of histamine specific immunity:
antibodies antigens lymphocytes B cells T cells -correct answer*/3 identify three
natural body defenses that protect us from invasion of unwanted substances dysuria
oliguria urinary urgency/frequency hematuria backpain fever and chills foul-smelling
urine -correct answer*/3 identify three signs and symptoms of a UTI give them time
give them privacy encourage plenty of fluids encourage acitivity record dietary intake
to determine trigger foods bowel training may be assigned to administer suppository
or enema -correct answer*/3 Mrs. H is a 79 yr old suffering from constipation, how
can hca help? perspiration shortness of breath dizziness indigestion chest pain,
usually on left side pressure, fullness or burning in chest -correct answer*/3 list three
signs and symptoms of a mild cardiac infarction Fowler's position or orthopneic
position because it makes breathing easier, lungs can be expanded more easily.
-correct answer*/2 Mrs. A is suffering from CHF, what position will be most
comfortable and why? Compression stockings to help maintain circulation of blood in
the feet and legs, improving blood flow from legs to heart, helps avoid pitting edema
-correct answer*/2 what type of stocking would Mrs. A benefit from and why?
tiredness/fatigue hunger thirst headache frequent urination flushed face dry, itchy
skin leg cramps -correct answer*/3 list three signs and symptoms of hyperglycemia
right side: receives deoxygenated blood from veins and sends it through the
pulmonary arteries to the lungs where it gets rid of carbon dioxide and picks up
oxygen left side: receives oxygenated blood from lungs to pump out the aorta to the
rest of the body -correct answer*/3 explain what the right and left side of the heart do
empty pouch regularly good hygiene avoid gas-forming foods place deodorants in
pouch (as per care plan) -correct answer*/3 identify three things that prevent odour
with an ostomy pouch rapid weight loss dry cough fever or night sweats fatigue
pneumonia swollen glands in armpits, groin, neck red, brown, pink, purplish blotches
on skin -correct answer*/4 identify four warning signs of AIDS elderly (65+) resident of
LTC facilities people with chronic diseases caregivers and people who live with
high-risk group member -correct answer*identify three "at risk" groups who would
require yearly flu vaccine odour blood (hematuria) colour and clarity particles volume
-correct answer*/3 when draining a catheter collection bag, note three things would
record

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Subido en
30 de abril de 2025
Número de páginas
1
Escrito en
2024/2025
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