NURS 302 Hesi – Questions With Fully Solved
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Terms in this set (58)
The nurse is assessing a client with a A. Emphysema indicates air is leaking beneath the
chest tube that is attached to suction skin
and a closed drainage system. Which
finding is most important for the
nurse to further assess?
A. Upper chest subcutaneous
emphysema.
B. Tidaling (fluctuation) of fluid in the
water-seal chamber.
C. Constant air bubbling in the
suction-control chamber.
D. Pain rated "8" (0-10) at the insertion
site.
Normal urine specific gravity 1.001-1.035
ABX treatment after osteomyelitis Parenteral ABX for 4-8 weeks
Oral ABX for 4-8 weeks
,A female client with hyperesthesia D.
on the oncology unit is using a The oncology nurse has the knowledge and
transcutaneous electrical nerve experience with the use of a transcutaneous
stimulation (TENS) unit for chronic electrical nerve stimulation (TENS) unit for chronic
pain. Which nursing activity should pain relief, so the nurse should evaluate the client's
the nurse implement instead of skill in effectively controlling the pain by adjusting
delegating to a practical nurse (PN)? the voltage.
Determine the client's level of
discomfort using a pain rating scale.
Ask the client about her past
experience with chronic pain.
Observe the client's facial expressions
for pain and discomfort.
Evaluate the client's ability to adjust
the voltage to control pain.
he nurse is providing postoperative B, D
instructions for a female client after a
mastectomy. Which information
should the nurse include in the
teaching plan? (Select all that apply.)
Select all that apply
Empty surgical drains once a week
using procedure gloves.
Report inflammation of the incision
site or the affected arm.
Wear clothing with snug sleeves over
the arm on the operative side.
Avoid lifting more than 4.5 kg (10 lb)
or reaching above her head.
, In planning care for a client with an D.
acute stroke resulting in right-sided After an acute stroke, a positioning and turning
hemiplegia, which positioning should schedule that minimizes lying on the affected side,
the nurse should use to maintain which can impair circulation and cause pain, and
optimal functioning? includes the prone position to help prevent flexion
Mid-Fowler's with knees supported. contractures of the hips, prepares the client for
Supine with trochanter rolls to the optimal functioning and ambulating.
hips.
Sim's position alternated with right
lateral position q2 hours.
Left lateral, supine, brief periods on
the right side, and prone.
The nurse is assessing a middle-aged D.
male client for risk factors related to
chronic illness. Which finding should Development of metabolic syndrome!
the nurse assess further?
Thinning hair and dry scalp.
Increase in appetite and taste-bud
acuity.
Increase in muscle tone but
decreased muscle strength.
Increase in abdominal fat deposits.
What is the priority nursing action C.
while caring for a client on a
ventilator when an electrical fire A client on a ventilator should have respirations
occurs in the intensive care unit? maintained with a manual bag-valve-mask
Tell another staff member to bring resuscitator while being moved away from the
extinguishing equipment to the oxygen wall outlet and fire source.
bedside.
Close the doors to the client's area
when attempting to extinguish the fire.
Use a bag-valve-mask resuscitator
while removing the client from the
area.
Implement an emergency protocol to
remove the client from the ventilator.
Solutions
Save
Terms in this set (58)
The nurse is assessing a client with a A. Emphysema indicates air is leaking beneath the
chest tube that is attached to suction skin
and a closed drainage system. Which
finding is most important for the
nurse to further assess?
A. Upper chest subcutaneous
emphysema.
B. Tidaling (fluctuation) of fluid in the
water-seal chamber.
C. Constant air bubbling in the
suction-control chamber.
D. Pain rated "8" (0-10) at the insertion
site.
Normal urine specific gravity 1.001-1.035
ABX treatment after osteomyelitis Parenteral ABX for 4-8 weeks
Oral ABX for 4-8 weeks
,A female client with hyperesthesia D.
on the oncology unit is using a The oncology nurse has the knowledge and
transcutaneous electrical nerve experience with the use of a transcutaneous
stimulation (TENS) unit for chronic electrical nerve stimulation (TENS) unit for chronic
pain. Which nursing activity should pain relief, so the nurse should evaluate the client's
the nurse implement instead of skill in effectively controlling the pain by adjusting
delegating to a practical nurse (PN)? the voltage.
Determine the client's level of
discomfort using a pain rating scale.
Ask the client about her past
experience with chronic pain.
Observe the client's facial expressions
for pain and discomfort.
Evaluate the client's ability to adjust
the voltage to control pain.
he nurse is providing postoperative B, D
instructions for a female client after a
mastectomy. Which information
should the nurse include in the
teaching plan? (Select all that apply.)
Select all that apply
Empty surgical drains once a week
using procedure gloves.
Report inflammation of the incision
site or the affected arm.
Wear clothing with snug sleeves over
the arm on the operative side.
Avoid lifting more than 4.5 kg (10 lb)
or reaching above her head.
, In planning care for a client with an D.
acute stroke resulting in right-sided After an acute stroke, a positioning and turning
hemiplegia, which positioning should schedule that minimizes lying on the affected side,
the nurse should use to maintain which can impair circulation and cause pain, and
optimal functioning? includes the prone position to help prevent flexion
Mid-Fowler's with knees supported. contractures of the hips, prepares the client for
Supine with trochanter rolls to the optimal functioning and ambulating.
hips.
Sim's position alternated with right
lateral position q2 hours.
Left lateral, supine, brief periods on
the right side, and prone.
The nurse is assessing a middle-aged D.
male client for risk factors related to
chronic illness. Which finding should Development of metabolic syndrome!
the nurse assess further?
Thinning hair and dry scalp.
Increase in appetite and taste-bud
acuity.
Increase in muscle tone but
decreased muscle strength.
Increase in abdominal fat deposits.
What is the priority nursing action C.
while caring for a client on a
ventilator when an electrical fire A client on a ventilator should have respirations
occurs in the intensive care unit? maintained with a manual bag-valve-mask
Tell another staff member to bring resuscitator while being moved away from the
extinguishing equipment to the oxygen wall outlet and fire source.
bedside.
Close the doors to the client's area
when attempting to extinguish the fire.
Use a bag-valve-mask resuscitator
while removing the client from the
area.
Implement an emergency protocol to
remove the client from the ventilator.
