Science Medicine Nursing
BSN 266 HESI practice
Save
Students also studied
Flashcard sets Study guides
sem. three week one study Quiz Two procedures IGGY Ch. 49 Osteop
39 terms 17 terms Teacher 39 terms
rosee559 Preview elysiaauckerman Preview halewick94
-Do not leave the diaphragm in place longer than 8 hours after
The nurse is teaching a female intercourse
client who uses a contraceptive - Replace the old diaphragm every 3 months
diaphragm about reducing the
risk for toxic shock syndrome
(TSS). Which information should Rationale: The diaphragm needs to remain against the cervix
the nurse include? (Select all for 6 to 8 hours to prevent pregnancy but should not remain
that apply.) for longer than 8 hours to avoid the risk of TSS. The diaphragm
should be replaced every 3 months to maintain integrity.
See an expert-written answer!
Which postmenopausal client's Episodes of vaginal bleeding
complaint should the nurse
refer to the healthcare Rationale: Postmenopausal vaginal bleeding may be an
provider? indication of endometrial cancer, which should be reported
The tumor estrogen receptor guides treatment options
Rationale
A client with early breast
cancer receives the results of a
Treatment decisions and prediction of prognosis are related to
breast biopsy and asks the
the tumor's receptor status, such as estrogen and
nurse to explain the meaning of
progesterone receptor status which commonly are well-
staging and the type of
differentiated, have a lower chance of recurrence, and are
receptors found on the cancer
receptive to hormonal therapy. Tumor staging designates
cells. Which explanation should
tumor size and spread of breast cancer cells into axillary
the nurse provide?
lymph nodes, which is one of the most important prognostic
factors in early-stage breast cancer.
, Adequate cellular nourishment
Rationale
Diabetes mellitus Type 1 is characterized by hyperglycemia
that precipitates glucosuria and polyuria (frequent urination),
A client with diabetes mellitus
polydipsia (excessive thirst), and polyphagia (excessive
is experiencing polyphagia.
hunger). Polyphagia is a consequence of cellular
Which outcome statement is
malnourishment when insulin deficiency prevents utilization of
the priority for this client?
glucose into the cell for energy, so the outcome statement
should include stabilization of adequate cellular nutrition
which is done by providing the insulin supplement the client
needs.
Temp
A client has taken steroids for
12 years to help manage Rationale
chronic obstructive pulmonary
disease (COPD). When making It is very important to check the client's temperature. Long term
a home visit, which nursing use of steroids use COPD clients is effective in suppressing
function is of greatest inflammation in their airways making it easier for them to
importance to this client? breath, but at the same time suppresses the immune system,
Assess the client's placing the client at risk for infection.
Tell the client to carry a medic alert card stating that he is a total
neck breather
When preparing a client who
has had a total laryngectomy
Rationale
for discharge, what instruction
is most important for the nurse
It is imperative that total neck breathers carry a medic alert
to include in the discharge
notice so, that if they have a cardiac arrest, mouth-to-neck
teaching?
breathing can be done
Cyanosis of the fingertips
The nurse is assessing a client
Rationale
with bacterial meningitis. Which
assessment finding indicates
Septic emboli secondary to meningitis commonly lodge in the
the client may have developed
small arterioles of the extremities, causing a decrease in
septic emboli?
circulation to the hands which may lead to gangrene.
Potassium
In assessing a client diagnosed Rationale
with primary
hyperaldosteronism, the nurse Clients with primary hyperaldosteronism exhibit a profound
expects the laboratory test decline in the serum levels of potassium (hypokalemia).
results to indicate a decreased Hypertension, along with the hypokalemia are the most
serum level of which prominent and universal signs for this condition. If both of
substance? these findings are present, there is 50% likelihood the client to
be diagnosed with hyperaldosteronism.
, Calcium loss from bones can be slowed by increasing calcium
intake and exercise
A 58-year-old client who has
been post-menopausal for five
Rationale
years is concerned about the
risk for osteoporosis because
Post-menopausal females are at risk for osteoporosis due to
her mother has the condition.
the cessation of estrogen secretion, but a regimen including
Which information should the
calcium, vitamin D, and weight-bearing exercise can help
nurse offer?
prevent further bone loss.
A male client who smokes two -alcohol consumption can cause erectile dysfunction
packs of cigarettes a day states -low testosterone levels affects sperm production
he understands that smoking -cessation of smoking improved general health and fertility
cigarettes is contributing to the
difficulty that he and his wife Rationale
are having in getting pregnant
and wants to know if other Use of tobacco, alcohol, and marijuana may affect sperm
factors could be contributing to counts. Sperm count is also negatively affected by low
their difficulty. What testerone levels and obesity
information is best for the
nurse to provide? (Select all
that apply.)
Estrogen deficiency causes the vaginal tissue to become dry and
thinner
A postmenopausal client asks
Rationale
the nurse why she is
Estrogen deprivation decreases the moisture-secreting
experiencing discomfort during
capacity of vaginal cells, so vaginal tissues tend to become
intercourse. What response is
thinner, drier, and the rugae become smoother which reduces
best for the nurse to provide?
vaginal stretching that contributes to dyspareunia. The
discomfort during intercourse, primary cause can be
contributed to the decrease in estrogen hormone levels
A client is admitted to the Gram negative organisms are more resistant to antibiotic therapy
hospital with a medical
diagnosis of pneumococcal Rationale
pneumonia. The nurse knows
that the prognosis for gram- The gram-negative organisms are very resistant to drug
negative pneumonias (such as therapy which makes recovery very difficult and has become a
E. coli, Klebsiella, world-wide concern in which the World Health Organization is
Pseudomonas, and Proteus) is keeping a very close surveillance on these occurrences
very poor because
BSN 266 HESI practice
Save
Students also studied
Flashcard sets Study guides
sem. three week one study Quiz Two procedures IGGY Ch. 49 Osteop
39 terms 17 terms Teacher 39 terms
rosee559 Preview elysiaauckerman Preview halewick94
-Do not leave the diaphragm in place longer than 8 hours after
The nurse is teaching a female intercourse
client who uses a contraceptive - Replace the old diaphragm every 3 months
diaphragm about reducing the
risk for toxic shock syndrome
(TSS). Which information should Rationale: The diaphragm needs to remain against the cervix
the nurse include? (Select all for 6 to 8 hours to prevent pregnancy but should not remain
that apply.) for longer than 8 hours to avoid the risk of TSS. The diaphragm
should be replaced every 3 months to maintain integrity.
See an expert-written answer!
Which postmenopausal client's Episodes of vaginal bleeding
complaint should the nurse
refer to the healthcare Rationale: Postmenopausal vaginal bleeding may be an
provider? indication of endometrial cancer, which should be reported
The tumor estrogen receptor guides treatment options
Rationale
A client with early breast
cancer receives the results of a
Treatment decisions and prediction of prognosis are related to
breast biopsy and asks the
the tumor's receptor status, such as estrogen and
nurse to explain the meaning of
progesterone receptor status which commonly are well-
staging and the type of
differentiated, have a lower chance of recurrence, and are
receptors found on the cancer
receptive to hormonal therapy. Tumor staging designates
cells. Which explanation should
tumor size and spread of breast cancer cells into axillary
the nurse provide?
lymph nodes, which is one of the most important prognostic
factors in early-stage breast cancer.
, Adequate cellular nourishment
Rationale
Diabetes mellitus Type 1 is characterized by hyperglycemia
that precipitates glucosuria and polyuria (frequent urination),
A client with diabetes mellitus
polydipsia (excessive thirst), and polyphagia (excessive
is experiencing polyphagia.
hunger). Polyphagia is a consequence of cellular
Which outcome statement is
malnourishment when insulin deficiency prevents utilization of
the priority for this client?
glucose into the cell for energy, so the outcome statement
should include stabilization of adequate cellular nutrition
which is done by providing the insulin supplement the client
needs.
Temp
A client has taken steroids for
12 years to help manage Rationale
chronic obstructive pulmonary
disease (COPD). When making It is very important to check the client's temperature. Long term
a home visit, which nursing use of steroids use COPD clients is effective in suppressing
function is of greatest inflammation in their airways making it easier for them to
importance to this client? breath, but at the same time suppresses the immune system,
Assess the client's placing the client at risk for infection.
Tell the client to carry a medic alert card stating that he is a total
neck breather
When preparing a client who
has had a total laryngectomy
Rationale
for discharge, what instruction
is most important for the nurse
It is imperative that total neck breathers carry a medic alert
to include in the discharge
notice so, that if they have a cardiac arrest, mouth-to-neck
teaching?
breathing can be done
Cyanosis of the fingertips
The nurse is assessing a client
Rationale
with bacterial meningitis. Which
assessment finding indicates
Septic emboli secondary to meningitis commonly lodge in the
the client may have developed
small arterioles of the extremities, causing a decrease in
septic emboli?
circulation to the hands which may lead to gangrene.
Potassium
In assessing a client diagnosed Rationale
with primary
hyperaldosteronism, the nurse Clients with primary hyperaldosteronism exhibit a profound
expects the laboratory test decline in the serum levels of potassium (hypokalemia).
results to indicate a decreased Hypertension, along with the hypokalemia are the most
serum level of which prominent and universal signs for this condition. If both of
substance? these findings are present, there is 50% likelihood the client to
be diagnosed with hyperaldosteronism.
, Calcium loss from bones can be slowed by increasing calcium
intake and exercise
A 58-year-old client who has
been post-menopausal for five
Rationale
years is concerned about the
risk for osteoporosis because
Post-menopausal females are at risk for osteoporosis due to
her mother has the condition.
the cessation of estrogen secretion, but a regimen including
Which information should the
calcium, vitamin D, and weight-bearing exercise can help
nurse offer?
prevent further bone loss.
A male client who smokes two -alcohol consumption can cause erectile dysfunction
packs of cigarettes a day states -low testosterone levels affects sperm production
he understands that smoking -cessation of smoking improved general health and fertility
cigarettes is contributing to the
difficulty that he and his wife Rationale
are having in getting pregnant
and wants to know if other Use of tobacco, alcohol, and marijuana may affect sperm
factors could be contributing to counts. Sperm count is also negatively affected by low
their difficulty. What testerone levels and obesity
information is best for the
nurse to provide? (Select all
that apply.)
Estrogen deficiency causes the vaginal tissue to become dry and
thinner
A postmenopausal client asks
Rationale
the nurse why she is
Estrogen deprivation decreases the moisture-secreting
experiencing discomfort during
capacity of vaginal cells, so vaginal tissues tend to become
intercourse. What response is
thinner, drier, and the rugae become smoother which reduces
best for the nurse to provide?
vaginal stretching that contributes to dyspareunia. The
discomfort during intercourse, primary cause can be
contributed to the decrease in estrogen hormone levels
A client is admitted to the Gram negative organisms are more resistant to antibiotic therapy
hospital with a medical
diagnosis of pneumococcal Rationale
pneumonia. The nurse knows
that the prognosis for gram- The gram-negative organisms are very resistant to drug
negative pneumonias (such as therapy which makes recovery very difficult and has become a
E. coli, Klebsiella, world-wide concern in which the World Health Organization is
Pseudomonas, and Proteus) is keeping a very close surveillance on these occurrences
very poor because
