Science Medicine Nursing
BSN 246 HESI
Save
Which action can be Measure the client's urinary output.
assigned to the unlicensed
assistive personnel (UAP)?
What is the best initial Describe the location and type of pain you are having
response by the nurse?
Based on the nurse's Pain rating of 6/10 - Heart rate of 102 beats/minute -
assessment, which Blood pressure of 132/76 mmHg
assessment data supports
the decision to administer
pain medication as the
first intervention? (Select
all that apply. One, some,
or all options may be
correct.)
Which action should the Administer an analgesic.
nurse implement first?
Which interventions are Instruct client to wear a mask when walking in the
important to include in the halls. - Instruct visitors that fresh flowers should not
client's plan of care while be taken into the room. - Monitor immunosuppression
receiving multiple drug levels regularly.
immunosuppressants?
(Select all that apply. One,
some, or all options may
be correct.)
,Which intervention should a
the nurse ensure is
included in the plan of
care during the immediate
postoperative period?
a. Monitor Judy's urinary
output hourly using an
urimeter.
b. Assess Judy's surgical
incision every shift.
c. Monitor Judy's
nasogastric tube every 4
hours.
d. Encourage Judy to use
the incentive spirometer
daily.
Which is the priority Vital signs
nursing assessment during
the first 24-hour
postoperative period?
The nurse is teaching the Limit fluids in between treatments to minimize the
patient about fluid amount of fluid that needs to be removed during
management between dialysis.
dialysis treatments. Which
instruction by the nurse is
the most accurate?
Which expected outcome Client will avoid canned and processed foods.
should be included in the
nurse's teaching plan?
,The nurse assesses the Yellow, purulent drainage from graft incision site. -
dialysis graft. Which Absence of a thrill over the graft site. - Capillary refill
assessment should be >10 seconds in the hand where the graft is placed.
reported to the healthcare
provider (HCP)
immediately? (Select all
that apply. One, some, or
all options may be
correct.)
Which intervention should B. Perform sterile dressing changes at the dual lumen
the nurse ensure has been catheter site - E. Assess the client's distal pulses and
include in the client's plan circulation in the arm with the access.
of care? (Select all that
apply. One, some, or all
options may be correct.)
A. Instruct lab personnel
to obtain blood
specimens from the dual-
lumen catheter.
B. Perform sterile dressing
changes at the dual-lumen
catheter site.
C. Empty and record the
drainage from the graft
tubing regularly.
D. Regularly rotate IV
insertion sites above and
below the graft site.
E. Assess Judy's distal
pulses and circulation in
the arm with the access
, The nurse documents the Thrill present and palpated
assessment of the
arteriovenous (AV) graft.
Which documentation
best describes a properly
functioning AV graft?
The client asks the nurse Palliative care provides relief from symptoms
to clarify what palliative including pain. - Palliative care supports holistic care
care involves. Which and improves quality of life. -
explanation provides the
client the best education
regarding palliative care?
(Select all that apply. One,
some, or all options may
be correct.)
What complication would Abdominal infection/Peritonitis
the client be most
concerned about if
choosing peritoneal
dialysis?
The nurse prepares and Hemodialysis will help restore kidney function back to
instructs the client for a normal level. - Bowel or bladder perforation may
hemodialysis. Which occur with hemodialysis catheter placement.
statements by the client
indicate the need for
further education? (Select
all that apply. One, some,
or all options may be
correct.)
BSN 246 HESI
Save
Which action can be Measure the client's urinary output.
assigned to the unlicensed
assistive personnel (UAP)?
What is the best initial Describe the location and type of pain you are having
response by the nurse?
Based on the nurse's Pain rating of 6/10 - Heart rate of 102 beats/minute -
assessment, which Blood pressure of 132/76 mmHg
assessment data supports
the decision to administer
pain medication as the
first intervention? (Select
all that apply. One, some,
or all options may be
correct.)
Which action should the Administer an analgesic.
nurse implement first?
Which interventions are Instruct client to wear a mask when walking in the
important to include in the halls. - Instruct visitors that fresh flowers should not
client's plan of care while be taken into the room. - Monitor immunosuppression
receiving multiple drug levels regularly.
immunosuppressants?
(Select all that apply. One,
some, or all options may
be correct.)
,Which intervention should a
the nurse ensure is
included in the plan of
care during the immediate
postoperative period?
a. Monitor Judy's urinary
output hourly using an
urimeter.
b. Assess Judy's surgical
incision every shift.
c. Monitor Judy's
nasogastric tube every 4
hours.
d. Encourage Judy to use
the incentive spirometer
daily.
Which is the priority Vital signs
nursing assessment during
the first 24-hour
postoperative period?
The nurse is teaching the Limit fluids in between treatments to minimize the
patient about fluid amount of fluid that needs to be removed during
management between dialysis.
dialysis treatments. Which
instruction by the nurse is
the most accurate?
Which expected outcome Client will avoid canned and processed foods.
should be included in the
nurse's teaching plan?
,The nurse assesses the Yellow, purulent drainage from graft incision site. -
dialysis graft. Which Absence of a thrill over the graft site. - Capillary refill
assessment should be >10 seconds in the hand where the graft is placed.
reported to the healthcare
provider (HCP)
immediately? (Select all
that apply. One, some, or
all options may be
correct.)
Which intervention should B. Perform sterile dressing changes at the dual lumen
the nurse ensure has been catheter site - E. Assess the client's distal pulses and
include in the client's plan circulation in the arm with the access.
of care? (Select all that
apply. One, some, or all
options may be correct.)
A. Instruct lab personnel
to obtain blood
specimens from the dual-
lumen catheter.
B. Perform sterile dressing
changes at the dual-lumen
catheter site.
C. Empty and record the
drainage from the graft
tubing regularly.
D. Regularly rotate IV
insertion sites above and
below the graft site.
E. Assess Judy's distal
pulses and circulation in
the arm with the access
, The nurse documents the Thrill present and palpated
assessment of the
arteriovenous (AV) graft.
Which documentation
best describes a properly
functioning AV graft?
The client asks the nurse Palliative care provides relief from symptoms
to clarify what palliative including pain. - Palliative care supports holistic care
care involves. Which and improves quality of life. -
explanation provides the
client the best education
regarding palliative care?
(Select all that apply. One,
some, or all options may
be correct.)
What complication would Abdominal infection/Peritonitis
the client be most
concerned about if
choosing peritoneal
dialysis?
The nurse prepares and Hemodialysis will help restore kidney function back to
instructs the client for a normal level. - Bowel or bladder perforation may
hemodialysis. Which occur with hemodialysis catheter placement.
statements by the client
indicate the need for
further education? (Select
all that apply. One, some,
or all options may be
correct.)
