Science Medicine Nursing
Hesi BSN 266
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BSN HESI 266 HESI REVIEW #1 BSN 266 Head-to-Toe Exam
79 terms 100 terms 59 terms
EEEYAHHHH Preview fireman121 Preview awsobol3
A client with acute C
osteomyelitis has undergone Treatment of acute osteomyelitis requires the administration of
surgical debridement of the high doses of parenteral antibiotics for 4 to 8 weeks, followed
diseased bone and asks the by oral antibiotics for another 4 to 8 weeks
nurse how long will antibiotics
have to be administered. Which
information should the nurse
communicate?
A. Oral antibiotics for 2 to 4
months, then for dental
procedure prophylaxis.
B. Parenteral antibiotics for 4 to
6 weeks, then oral antibiotics for
up to 1 year.
C. Parenteral antibiotics for 4 to
8 weeks, then oral antibiotics for
4 to 8 weeks.
Parenteral antibiotics for 2 to 3
weeks, then oral antibiotics for 4
weeks
See an expert-written answer!
,In planning care for a client D
with an acute stroke resulting in Rationale
right-sided hemiplegia, which After an acute stroke, a positioning and turning schedule that
positioning should the nurse minimizes lying on the affected side, which can impair
should use to maintain optimal circulation and cause pain, and includes the prone position to
functioning? help prevent flexion contractures of the hips, prepares the
A. Mid-Fowlers with knees client for optimal functioning and ambulation.
supported.
B. Supine with trochanter rolls to
the hips.
C. Sim's position alternated with
right lateral position q2 hours.
Left lateral, supine, brief periods
on the right side, and prone
Which preexisting diagnosis C
places a client at the greatest Rationale
risk of developing superior Superior vena cava syndrome occurs when the superior vena
vena cava syndrome? cava (SVC) is compressed by outside structures, such as a
A. Carotid stenosis. growing tumor that impedes the return blood flow to the heart.
B. Steatosis hepatitis. Superior vena cava syndrome is likely to occur with metastatic
C. Metastatic cancer. cancer from a primary tumor in the upper lobe of the right lung
D. Clavicular fracture. that compresses the superior vena cava.
See an expert-written answer!
The nurse is giving discharge D
instructions to a client with Rationale
chronic prostatitis. What The prostate is not easily penetrated by antibiotics and can
instruction should the nurse serve as a reservoir for microorganisms, which can infect other
provide the client to reduce the areas of the genitourinary tract. Draining the prostate regularly
risk of spreading the infection through intercourse or masturbation decreases the number of
to other areas of the client's microorganisms present and reduces the risk for further
urinary tract? infection from stored contaminated seminal fluids
A. Wear a condom when having
sexual intercourse.
B. Avoid consuming alcohol and
caffeinated beverages.
C. Empty the bladder
completely with each voiding.
D. Have intercourse or
masturbate at least twice a
week.
See an expert-written answer!
,During the initial outbreak of A
genital herpes simplex for a Rationale
female client, what should be The initial outbreak of genital herpes simplex in a woman
the nurse's primary focus in causes severe discomfort. Promotion of comfort is the first
planning care? priority
A. Promotion of comfort.
B. Prevention of pregnancy.
C. Instruction in condom use.
Information about transmission
See an expert-written answer!
A client who has a chronic C
cough with blood-tinged Rationale
sputum returns to the unit after The nasal pharynx and oral pharynx are anesthetized with
a bronchoscopy. What nursing local anesthetic spray prior to bronchoscopy, and the
interventions should be bronchoscope is coated with lidocaine (Xylocaine) gel to
implemented in the immediate inhibit the gag reflex and prevent laryngeal spasm during
post-procedural period? insertion. The client should be NPO until the client's gag reflex
A. Keep the client on bed rest returns to prevent aspiration from any oral intake or secretions.
for eight hours.
B. Check vital signs every 15
minutes for two hours.
C. Allow the client nothing by
mouth until the gag reflex
returns.
D. Encourage fluid intake to
promote elimination of the
contrast media.
See an expert-written answer!
The nurse is assessing a client D,E
admitted from the emergency Rationale
room with gastrointestinal Hypersecretion of gastric juices and an increased number of
bleeding related to peptic ulcer parietal cells that stimulate secretion are most often the causes
disease (PUD). Which of ulceration. Vagal stimulation and decreased duodenal
physiological factors can inhibition also increase the secretion of caustic fluids.
produce ulceration? (Select all
that apply.)
Select all that apply
A. Vagal stimulation.
B. An increased level of stress.
C. Decreased duodenal
inhibition.
D. Hypersecretion of
hydrochloric acid.
An increased number of parietal
cells
See an expert-written answer!
, The nurse is caring for a client B
with non-Hodgkin’s lymphoma Rationale
who is receiving chemotherapy. Platelet counts less than 100,000/mm3 are indicative of
Laboratory results reveal a thrombocytopenia, a common side effect of chemotherapy. A
platelet count of 10,000/ml. client with thrombocytopenia should be assessed frequently
What action should the nurse for occult bleeding in the emesis, sputum, feces, urine,
implement? nasogastric secretions, or wounds.
A. Encourage fluids to 3000
ml/day.
B. Check stools for occult blood.
C. Provide oral hygiene every 2
hours.
Check for fever every 4 hours
Which action should the nurse A
implement on the scheduled Rationale
day of surgery for a client with Stressors, such as surgery, increase serum glucose levels. A
type 1 diabetes mellitus (DM)? client with type 1 DM who is NPO for scheduled surgery should
A. Obtain a prescription for an receive a prescribed adjusted dose of insulin.
adjusted dose of insulin.
B. Administer an oral anti-
diabetic agent.
C. Give an insulin dose using
parameters of a sliding scale.
Withhold insulin while the client
is NPO
See an expert-written answer!
The nurse should explain to a A
client with lung cancer that Rationale
pleurodesis is performed to Instillation of a sclerosing agent to create pleurodesis is aimed
achieve which expected at preventing the formation of a pleural effusion by causing
outcome? the pleural spaces sealed together, thereby preventing the
A. Prevent the formation of accumulation of pleural fluid.
effusion fluid.
B. Remove fluid from the
intrapleural space.
C. Debulk tumor to maintain
patency of air passages.
Relieve empyema after
pneumonectomy
Hesi BSN 266
Save
Students also studied
Flashcard sets Study guides
BSN HESI 266 HESI REVIEW #1 BSN 266 Head-to-Toe Exam
79 terms 100 terms 59 terms
EEEYAHHHH Preview fireman121 Preview awsobol3
A client with acute C
osteomyelitis has undergone Treatment of acute osteomyelitis requires the administration of
surgical debridement of the high doses of parenteral antibiotics for 4 to 8 weeks, followed
diseased bone and asks the by oral antibiotics for another 4 to 8 weeks
nurse how long will antibiotics
have to be administered. Which
information should the nurse
communicate?
A. Oral antibiotics for 2 to 4
months, then for dental
procedure prophylaxis.
B. Parenteral antibiotics for 4 to
6 weeks, then oral antibiotics for
up to 1 year.
C. Parenteral antibiotics for 4 to
8 weeks, then oral antibiotics for
4 to 8 weeks.
Parenteral antibiotics for 2 to 3
weeks, then oral antibiotics for 4
weeks
See an expert-written answer!
,In planning care for a client D
with an acute stroke resulting in Rationale
right-sided hemiplegia, which After an acute stroke, a positioning and turning schedule that
positioning should the nurse minimizes lying on the affected side, which can impair
should use to maintain optimal circulation and cause pain, and includes the prone position to
functioning? help prevent flexion contractures of the hips, prepares the
A. Mid-Fowlers with knees client for optimal functioning and ambulation.
supported.
B. Supine with trochanter rolls to
the hips.
C. Sim's position alternated with
right lateral position q2 hours.
Left lateral, supine, brief periods
on the right side, and prone
Which preexisting diagnosis C
places a client at the greatest Rationale
risk of developing superior Superior vena cava syndrome occurs when the superior vena
vena cava syndrome? cava (SVC) is compressed by outside structures, such as a
A. Carotid stenosis. growing tumor that impedes the return blood flow to the heart.
B. Steatosis hepatitis. Superior vena cava syndrome is likely to occur with metastatic
C. Metastatic cancer. cancer from a primary tumor in the upper lobe of the right lung
D. Clavicular fracture. that compresses the superior vena cava.
See an expert-written answer!
The nurse is giving discharge D
instructions to a client with Rationale
chronic prostatitis. What The prostate is not easily penetrated by antibiotics and can
instruction should the nurse serve as a reservoir for microorganisms, which can infect other
provide the client to reduce the areas of the genitourinary tract. Draining the prostate regularly
risk of spreading the infection through intercourse or masturbation decreases the number of
to other areas of the client's microorganisms present and reduces the risk for further
urinary tract? infection from stored contaminated seminal fluids
A. Wear a condom when having
sexual intercourse.
B. Avoid consuming alcohol and
caffeinated beverages.
C. Empty the bladder
completely with each voiding.
D. Have intercourse or
masturbate at least twice a
week.
See an expert-written answer!
,During the initial outbreak of A
genital herpes simplex for a Rationale
female client, what should be The initial outbreak of genital herpes simplex in a woman
the nurse's primary focus in causes severe discomfort. Promotion of comfort is the first
planning care? priority
A. Promotion of comfort.
B. Prevention of pregnancy.
C. Instruction in condom use.
Information about transmission
See an expert-written answer!
A client who has a chronic C
cough with blood-tinged Rationale
sputum returns to the unit after The nasal pharynx and oral pharynx are anesthetized with
a bronchoscopy. What nursing local anesthetic spray prior to bronchoscopy, and the
interventions should be bronchoscope is coated with lidocaine (Xylocaine) gel to
implemented in the immediate inhibit the gag reflex and prevent laryngeal spasm during
post-procedural period? insertion. The client should be NPO until the client's gag reflex
A. Keep the client on bed rest returns to prevent aspiration from any oral intake or secretions.
for eight hours.
B. Check vital signs every 15
minutes for two hours.
C. Allow the client nothing by
mouth until the gag reflex
returns.
D. Encourage fluid intake to
promote elimination of the
contrast media.
See an expert-written answer!
The nurse is assessing a client D,E
admitted from the emergency Rationale
room with gastrointestinal Hypersecretion of gastric juices and an increased number of
bleeding related to peptic ulcer parietal cells that stimulate secretion are most often the causes
disease (PUD). Which of ulceration. Vagal stimulation and decreased duodenal
physiological factors can inhibition also increase the secretion of caustic fluids.
produce ulceration? (Select all
that apply.)
Select all that apply
A. Vagal stimulation.
B. An increased level of stress.
C. Decreased duodenal
inhibition.
D. Hypersecretion of
hydrochloric acid.
An increased number of parietal
cells
See an expert-written answer!
, The nurse is caring for a client B
with non-Hodgkin’s lymphoma Rationale
who is receiving chemotherapy. Platelet counts less than 100,000/mm3 are indicative of
Laboratory results reveal a thrombocytopenia, a common side effect of chemotherapy. A
platelet count of 10,000/ml. client with thrombocytopenia should be assessed frequently
What action should the nurse for occult bleeding in the emesis, sputum, feces, urine,
implement? nasogastric secretions, or wounds.
A. Encourage fluids to 3000
ml/day.
B. Check stools for occult blood.
C. Provide oral hygiene every 2
hours.
Check for fever every 4 hours
Which action should the nurse A
implement on the scheduled Rationale
day of surgery for a client with Stressors, such as surgery, increase serum glucose levels. A
type 1 diabetes mellitus (DM)? client with type 1 DM who is NPO for scheduled surgery should
A. Obtain a prescription for an receive a prescribed adjusted dose of insulin.
adjusted dose of insulin.
B. Administer an oral anti-
diabetic agent.
C. Give an insulin dose using
parameters of a sliding scale.
Withhold insulin while the client
is NPO
See an expert-written answer!
The nurse should explain to a A
client with lung cancer that Rationale
pleurodesis is performed to Instillation of a sclerosing agent to create pleurodesis is aimed
achieve which expected at preventing the formation of a pleural effusion by causing
outcome? the pleural spaces sealed together, thereby preventing the
A. Prevent the formation of accumulation of pleural fluid.
effusion fluid.
B. Remove fluid from the
intrapleural space.
C. Debulk tumor to maintain
patency of air passages.
Relieve empyema after
pneumonectomy
