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BSN 266 HESI Med Surg Practice V2 (New Update) Questions and Verified Answers with Rationales-100% Correct- Grade A- Nightingale

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BSN 266 HESI Med Surg Practice V2 (New Update) Questions and Verified Answers with Rationales-100% Correct- Grade A- Nightingale

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266- Hesi Final Study Guide
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Terms in this set (44)

,The nurse is caring for a client diagnosed with B. Tenderness upon palpation and generalized erythema
psoriasis Vulgaris who is receiving psoralen and
ultraviolet light. Which finding indicates that the
client has been overexposed to the treatment?


A. Thick skin plaques topped by silvery white
scales
B. Tenderness upon palpation and generalized
erythema
C. Brown, rough, greasy, wart-like papules on
the face
D. Requires sunglasses because sunlight hurts
eyes

,The nurse is preparing a client for surgery who C. Notify the healthcare provider of the client's medication history
was admitted to the emergency center
following a motor vehicle collision. The client
has an open fracture of the femur and is
bleeding moderately from the bone protrusion
site. During the preoperative assessment, the
nurse determines that the client currently
receives heparin sodium 5,000 units
subcutaneously daily. What is the priority
nursing action?


A. Observe the heparin injection sites for signs
of bruising
B. Ensure that the potential for bleeding is
explained to the client
C. Notify the healthcare provider of the client's
medication history
D. Have the client sign the surgical and
transfusion permits

, The nurse is preparing to obtain a rapid COVID- D. Move the client to a private room, keep the door closed, and
19 test for a client who was exposed to the virus initiate droplet precautions.
eight days ago. The client is experiencing fever,
cough, and shortness of breath. Which action is
the most important for the nurse to take?


A. Counsel family members to monitor for
illness symptoms for 2 weeks after last contact
with patient
B. Assist the client to recall everyone possibly
exposed since onset of symptoms
C. Start an intravenous infusion for antiviral drug
to be administered for positive COVID-19 test
results.
D. Move the client to a private room, keep the
door closed, and initiate droplet precautions.

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