BSN HESI 266
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BSN HESI 266 BSN 266 HESI V2 CNOR Certification
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Client is recovering from a Drink 3L
transurethral prostatectomy.
Which activity should be limited
until after the first postoperative
visit with the healthcare
provider?
A client with lung cancer who Administer opioid and non-opioid medications simultaneousl
wears a subcutaneous morphine
sulfate patch for pain is short of
breath and is difficult to arouse.
When performing a head to toe
assessment, the nurse discovers
four analgesic patches on the
client's body. Which intervention
should the nurse implement
first?
A.
Measure the client's blood
pressure.
B.
Remove all of the morphine
patches.
C.
Apply oxygen per face mask.
D.
Administer a narcotic antagonist.
,A client experiences an AOB a. low back pain and hypotension
incompatibility reaction after
multiple blood transfusions. ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
Which finding should the nurse
report immediately to the health
care provider?
a. low back pain and
hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with
urticarial
d. arthritic joint changes and
chronic pain
See an expert-written answer!
When conducting discharge c. Eat a high fiber diet and increase fluid intake.
teaching for a client
diagnosed with diverticulosis, ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID
which diet instruction should the INTAKE
nurse include?
a. Have small frequent meals
and sit up for at least two hours
after meals.
b. Eat a bland diet and avoid
spicy foods.
c. Eat a high fiber diet and
increase fluid intake.
d. Eat a soft diet with increased
intake of milk and milk products
, The nurse observes an c. Increase the flow of the bladder
increased number of blood irrigation
clots in the drainage tubing of a
client with continuous bladder
irrigation following a ANSWER (C) Increase the flow of the bladder irrigation
transurethral resection of the
prostate (TURP). What is the best
initial nursing action?
a. Provide additional oral fluid
intake
b. Measure the client's intake
and output.
c. Increase the flow of the
bladder
irrigation
d. Administer a PRN dose of an
antispasmodic agent
See an expert-written answer!
A client with lung cancer who D. Administer a narcotic antagonist
wears a subcutaneous morphine
sulfate patch for pain is short of
breath and is difficult to arouse.
When performing a head to toe
assessment, the nurse discovers
four analgesic patches on the
client's body. Which intervention
should the nurse implement
first?
A.
Measure the client's blood
pressure.
B.
Remove all of the morphine
patches.
C.
Apply oxygen per face mask.
D.
Administer a narcotic antagonist.
Coming down the basement Right foot pale with sluggish capillary refill
steps, a client is brought to the
emergency room X-ray ... cast,
which assessment finding
warrants immediate
Intervention by the nurse?