Science Medicine Nursing
HESI BSN 225
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HESI* CASAL 1 Hesi B Review Chapter 08: Recogn
86 terms 33 terms 17 terms
whitneysawyer87 Preview camrynfaiola Preview prof-main33
A client with chronic renal c. Serum albumin
disease is admitted to the Rationale: Serum albumin has a long half-life and is the best
hospital for evaluation prior to a long-term indicator of the body's entry into a catabolic state
surgical procedure. Which following protein depletion from malnutrition or stress of chronic
laboratory test indicates the illness (C).
client's protein status for the
longest length of time?
a. Transferrin
b. Prealbumin
c. Serum albumin
d. Urine urea nitrogen
See an expert-written answer!
The nurse is digitally removing a b. Pulse rate decreases from 78 to 52 beats/min.
fecal impaction for a client. The Rationale: Parasympathetic reaction can occur as a result of
nurse should stop the digital stimulation of the anal sphincter, which should be stopped
procedure and take corrective if the client experiences a vagal response, such as bradycardia
action if which client reaction is (B).
noted?
a. Temperature increases from
98.8 to 99.0 F.
b. Pulse rate decreases from 78
to 52 beats/min.
c. Respiratory rate increases
from 16 to 24 breaths/min.
d. Blood pressure increases
from 110/84 to 118/88 mm/Hg.
See an expert-written answer!
, Which statement is an example d. Ineffective coping related to response to positive biopsy test
of a correctly written nursing results.
diagnosis statement? Rationale: The first part of the nursing diagnosis statement is the
a. Altered tissue perfusion "diagnostic label" and is followed by "related to" the cause, which
related to congestive heart should direct the nurse to the appropriate interventions.
failure.
b. Altered urinary elimination
related to urinary tract infection.
c. Risk for impaired tissue
integrity related to client's
refusal to turn.
d. Ineffective coping related to
response to positive biopsy test
results.
The daughter of an older b. "It's highly likely that she will recover and return to her pre-
woman who became depressed illness state."
following the death of her Rationale:
husband asks, "My mother was Analysis of behavior patterns using Erikson's framework can
always well-adjusted until my identify age-appropriate or arrested development of normal
father died. Will she tend to be interpersonal skills. Erikson describes the successful resolution of
sick from now on?" Which a developmental crisis in the later years (older than 65-years) to
response is best for the nurse to include the achievement of a sense of integrity and fulfillment,
provide? wisdom, and a willingness to face one's own mortality and accept
a. "She is almost sure to be less the death of others (B).
able to adapt than before."
b. "It's highly likely that she will
recover and return to her pre-
illness state."
c. "If you can interest her in
something besides religion, it
will help her stay well."
d. "Cultural strains contribute to
each woman's tendencies for
recurrences of depression."
A client is demonstrating a b. Ask the client about numbness or tingling in the hands.
positive Chvostek's sign. What Rationale: A positive Chvostek's sign is an indication of
action should the nurse take? hypocalcemia, so the client should be assessed for the
a. Observe the client's pupil size subjective symptoms of hypocalcemia, such as numbness or
and response to light. tingling of the hands (B) or feet.
b. Ask the client about
numbness or tingling in the
hands.
c. Assess the client's serum
potassium level.
d. Restrict dietary intake of
calcium-rich foods.
HESI BSN 225
Save
Students also studied
Flashcard sets Study guides
HESI* CASAL 1 Hesi B Review Chapter 08: Recogn
86 terms 33 terms 17 terms
whitneysawyer87 Preview camrynfaiola Preview prof-main33
A client with chronic renal c. Serum albumin
disease is admitted to the Rationale: Serum albumin has a long half-life and is the best
hospital for evaluation prior to a long-term indicator of the body's entry into a catabolic state
surgical procedure. Which following protein depletion from malnutrition or stress of chronic
laboratory test indicates the illness (C).
client's protein status for the
longest length of time?
a. Transferrin
b. Prealbumin
c. Serum albumin
d. Urine urea nitrogen
See an expert-written answer!
The nurse is digitally removing a b. Pulse rate decreases from 78 to 52 beats/min.
fecal impaction for a client. The Rationale: Parasympathetic reaction can occur as a result of
nurse should stop the digital stimulation of the anal sphincter, which should be stopped
procedure and take corrective if the client experiences a vagal response, such as bradycardia
action if which client reaction is (B).
noted?
a. Temperature increases from
98.8 to 99.0 F.
b. Pulse rate decreases from 78
to 52 beats/min.
c. Respiratory rate increases
from 16 to 24 breaths/min.
d. Blood pressure increases
from 110/84 to 118/88 mm/Hg.
See an expert-written answer!
, Which statement is an example d. Ineffective coping related to response to positive biopsy test
of a correctly written nursing results.
diagnosis statement? Rationale: The first part of the nursing diagnosis statement is the
a. Altered tissue perfusion "diagnostic label" and is followed by "related to" the cause, which
related to congestive heart should direct the nurse to the appropriate interventions.
failure.
b. Altered urinary elimination
related to urinary tract infection.
c. Risk for impaired tissue
integrity related to client's
refusal to turn.
d. Ineffective coping related to
response to positive biopsy test
results.
The daughter of an older b. "It's highly likely that she will recover and return to her pre-
woman who became depressed illness state."
following the death of her Rationale:
husband asks, "My mother was Analysis of behavior patterns using Erikson's framework can
always well-adjusted until my identify age-appropriate or arrested development of normal
father died. Will she tend to be interpersonal skills. Erikson describes the successful resolution of
sick from now on?" Which a developmental crisis in the later years (older than 65-years) to
response is best for the nurse to include the achievement of a sense of integrity and fulfillment,
provide? wisdom, and a willingness to face one's own mortality and accept
a. "She is almost sure to be less the death of others (B).
able to adapt than before."
b. "It's highly likely that she will
recover and return to her pre-
illness state."
c. "If you can interest her in
something besides religion, it
will help her stay well."
d. "Cultural strains contribute to
each woman's tendencies for
recurrences of depression."
A client is demonstrating a b. Ask the client about numbness or tingling in the hands.
positive Chvostek's sign. What Rationale: A positive Chvostek's sign is an indication of
action should the nurse take? hypocalcemia, so the client should be assessed for the
a. Observe the client's pupil size subjective symptoms of hypocalcemia, such as numbness or
and response to light. tingling of the hands (B) or feet.
b. Ask the client about
numbness or tingling in the
hands.
c. Assess the client's serum
potassium level.
d. Restrict dietary intake of
calcium-rich foods.
