Diagnostic Testing HESI prep- Adult Care Latest
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A client is being prepared b) Lying in bed on the unaffected side
for a thoracentesis. The
nurse should assist the Rationale: To facilitate removal of fluid from the chest,
client to which position for the client is positioned sitting at the edge of the bed
the procedure? leaning over the bedside table, with the feet
supported on a stool; or lying in bed on the
a) Lying in bed on the unaffected side with the head of the bed elevated 30
affected side to 45 degrees. The prone and Sims positions are
b) Lying in bed on the inappropriate positions for this procedure.
unaffected side
c) Sims position with the
head of the bed flat
d) Prone with the head
turned to the side and
supported by a pillow
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The nurse is preparing to d) Bed rest with head elevation no greater than 30
care for a client who has degrees
returned to the nursing
unit following cardiac Rationale: After cardiac catheterization, the extremity
catheterization performed into which the catheter was inserted is kept straight
through the femoral for 4 to 6 hours. The client is maintained on bed rest
artery. The nurse checks for 4 to 6 hours (time for bed rest may vary
the health care provider's depending on the HCP's preference and on whether a
(HCP's) prescription and vascular closure device was used) and the client may
plans to allow which client turn from side to side. The head is elevated no more
position or activity than 30 degrees (although some HCPs prefer the flat
following the procedure? position) until hemostasis is adequately achieved.
a) Bed rest in high Fowler's
position
b) Bed rest with bathroom
privileges only
c) Bed rest with head
elevation at 60 degrees
d) Bed rest with head
elevation no greater than
30 degrees
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A client is scheduled for a a) The test is painless.
Papanicolaou (Pap) smear
at the next scheduled
clinic visit. The nurse
provides instructions to
the client regarding
preparation for this test.
Which statement should
the nurse include in the
teaching?
a) The test is painless.
b) Fluids are restricted on
the day of the test.
c) The test can be
performed during
menstruation.
d) Vaginal douching is
required 2 hours before
the test.
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The nurse is caring for a b) Decreased blood pressure
client after pulmonary
angiography with catheter Rationale: Signs of allergic reaction to the contrast
insertion via the left groin. dye include early signs such as localized itching and
Which assessment finding edema, which are followed by more severe symptoms
is related to an allergic such as respiratory distress, stridor, and decreased
reaction to the contrast blood pressure. Hypothermia, discomfort in the left
medium? groin, and hematoma in the left groin are abnormal
assessment findings but are not related to allergic
a) Hypothermia reaction to the contrast medium.
b) Decreased blood
pressure
c) Hematoma in the left
groin
d) Discomfort in the left
groin
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