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Y GUIDE RATIONALE BEST EXAM SOLUTION LATEST
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UPDATE 2021/2022 GRADED /RATED A+ q q q q
HESI EXIT COMPREHENSIVE REVIEW B
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• Which information is most concerning to the nurse when caring for an oldercl
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ient with bilateral cataracts?
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A. States having difficulty with color perception
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B. Presents with opacity of the lens upon assessmentq q q q q q q
C. Complains of seeing a cobweb- q q q q
type structure inthe visual field
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D. Reports the need to use a magnifying glass to sees
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mall print q
Rationale:
Visualization of a cobweb- or hairnet- q q q q q
type structure is a sign of a retinal detachment, which constitutes a medical emergenc
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y. Clients with cataracts are atincreased risk for retinal detachment. Distorted color p
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erception, opacity of the lens, and gradual vision loss are expected signs and sympto
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m of cataracts but donot need immediate attention.
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• When caring for a client hospitalized with Guillain-
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Barré syndrome, which information is most important for the nurse to report to t
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he primary health careprovider?
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A. Ascending numbness from the feet to the knees q q q q q q q
B. Decrease in cognitive status of the client q q q q q q
HESI 101HESI EXIT COMPREHENSIVE REVIEW B STUD
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Y GUIDE RATIONALE BEST EXAM SOLUTION LATEST
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UPDATE 2021/2022 GRADED /RATED A+ q q q q
,HESI 101HESI EXIT COMPREHENSIVE REVIEW B STUD
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Y GUIDE RATIONALE BEST EXAM SOLUTION LATEST
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UPDATE 2021/2022 GRADED /RATED A+ q q q q
C. Blurred vision and sensation changes
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D. Persistent unilateral headache q q
Rationale:
A decline in cognitive status in a client is indicative of symptoms of hypoxia and aposs
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ible need to assist the client with mechanical ventilation. A primary health careprovide
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r will need to be contacted immediately. Options A, C, and D are findings associated w
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ith Guillain-
q
Barré syndrome that should also be reported but are not ascritical as the client's hypoxi
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c status.
q
HESI 101HESI EXIT COMPREHENSIVE REVIEW B STUD
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Y GUIDE RATIONALE BEST EXAM SOLUTION LATEST
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UPDATE 2021/2022 GRADED /RATED A+ q q q q
,HESI 101HESI EXIT COMPREHENSIVE REVIEW B STUD
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Y GUIDE RATIONALE BEST EXAM SOLUTION LATEST
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UPDATE 2021/2022 GRADED /RATED A+ q q q q
• A client is admitted with a diagnosis of leukemia. This condition is manifestedb
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y which of the following?
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A. Fever, elevated white blood count, elevated
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platelets
B. Fatigue, weight loss and anorexia, elevated red
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blood cells q
C. Hyperplasia of the gums, elevated white bloodc q q q q q q q
ount, weakness q
D. Hypocellular bone marrow aspirate, fever, q q q q q
decreased hemoglobin level q q
Rationale:
Hyperplastic gums, weakness, and elevated white blood count are classic signs ofleuke
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mia. Options A, B, and D state incorrect information for symptoms of leukemia.
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• The nurse is caring for a client on the medical unit. Which task can bede
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legated to unlicensed assistive personnel (UAP)?
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A. Assess the need to change a central line dressing.
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B. Obtain a fingerstick blood glucose level.
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HESI 101HESI EXIT COMPREHENSIVE REVIEW B STUD
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Y GUIDE RATIONALE BEST EXAM SOLUTION LATEST
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UPDATE 2021/2022 GRADED /RATED A+ q q q q
, HESI 101HESI EXIT COMPREHENSIVE REVIEW B STUD
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Y GUIDE RATIONALE BEST EXAM SOLUTION LATEST
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UPDATE 2021/2022 GRADED /RATED A+ q q q q
C. Answer a family member's questions about thec q q q q q q q
lient's plan of care. q q q
D. Teach the client side effects to report related tot
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he current medication regimen.
q q q
Rationale:
Obtaining a fingerstick blood glucose level is a simple treatment and is an appropriate
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skill for UAP to perform. Options A, C, and D are skills that cannot bedelegated to UA
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P.
• Which disaster management intervention by the nurse is an example of primarypr
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evention?
A. Emergency department triage q q
B. Follow-up care for psychological problems q q q q
C. Education of rescue workers in first aid q q q q q q
D. Treatment of clients who are injured q q q q q
Rationale:
Primary prevention is aimed at preventing disease or injury. Training rescuew
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orkers prior to a disaster is an example of minimizing or preventing injury.Opt
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ion A is an example of secondary prevention. Option B is an example oftertiar
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y prevention. Option D is an example of secondary prevention.
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• The nurse teaches a class on bioterrorism. Which methods of transmission arep
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ossible with the biologic agent Bacillus anthracis(Anthrax)? (Select all that apply.)
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HESI 101HESI EXIT COMPREHENSIVE REVIEW B STUD
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Y GUIDE RATIONALE BEST EXAM SOLUTION LATEST
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UPDATE 2021/2022 GRADED /RATED A+ q q q q