Science Medicine Nursing
BSN 366: EXIT HESI
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RN Comprehensive Predictor Nursing Process, Communication, C... NSG 3130 exam 2 stu
322 terms Teacher 137 terms 41 terms
mutheewinnie Preview ACER00147 Preview Timo_Nz
, B) Get an eye exam with an opthalmologist annually.
-
Choice B reason: Arranging diet schedule around 3-regular
meals a day is not a sufficient point for disease & symptom
management for a client w/ DM2. Diabetes mellitus is a condition
The nurse is providing teaching that affects the body's ability to produce or use insulin, a
to a client with type 2 DM about hormone that regulates blood glucose levels. Eating 3-regular
important points for disease and meals a day may not be enough to control blood glucose levels
symptom management. Which & prevent complications such as hypoglycemia or
statement by the client indicates hyperglycemia. The nurse should teach the client to follow a
understanding? balanced diet that includes carbohydrates, proteins, fats,
vitamins, minerals, & fiber, & to eat smaller portions more
A) Using salt, herbs, and spices frequently throughout the day.
will improve the flavor of foods
Choice C reason: Using garlic, herbs, & spices will improve the
B) Get an eye exam with an flavor of food is not a specific point for disease & symptom
opthalmologist annually management for a client w/ DM2. Garlic, herbs, & spices are
natural ingredients that can enhance the taste & aroma of food,
C) Arrange diet schedule but they do not have a direct impact on blood glucose levels or
around three regular meals a diabetes complications. The nurse should teach the client to limit
day the intake of salt, sugar, & saturated fats, & to choose foods that
are low in glycemic index & high in antioxidants.
D) Inspect feet every month for
ingrown nails, cuts, and caluses Choice D reason: Inspecting feet every month for ingrown nails,
cuts, & calluses is not a frequent enough point for disease &
symptom management for a client w/ DM2. Diabetes mellitus can
cause damage to the blood vessels & nerves in the feet, leading
to reduced sensation, poor circulation, infection, ulceration, &
amputation. The nurse should teach the client to inspect feet
every day for any signs of injury or infection, & to wash, dry,
moisturize, & protect them properly. The nurse should also
advise the client to wear comfortable shoes & socks, avoid
walking barefoot, & seek medical attention for any foot
problems.
, C) Practice using muscle relaxation techniques.
The nurse is providing education
to a client who experiences
-Choice C: Practicing using muscle relaxation techniques is an
recurrent levels of moderate
appropriate instruction for the nurse to include, as this can help
anxiety to situations and
reduce physical tension and promote calmness and relaxation
perceived stress. In addition to
for this client. Therefore, this is the correct choice.
informations about prescribed
medications and administration,
which instruction should the
Choice A: Centering attention on positive upbeat music is not a
nurse include in the teaching?
specific instruction for the nurse to include, as this is a general
coping strategy that may or may not be helpful for this client. This
A) Center attention on positive
is a distractor choice.
upbeat music.
Choice B: Finding outlets for more social interaction is not a
B) Find outlets for more social
relevant instruction for the nurse to include, as this may not
interaction
address the underlying causes of anxiety or stress for this client.
This is another distractor choice.
C) Practice using muscle
relaxation techniques
Choice D: Thinking about reasons the episodes occur is not a
helpful instruction for the nurse to include, as this can increase
D) Think about reasons the
rumination and anxiety for this client. This is another distractor
episodes occur.
choice.
C) A 30-year old depresses client who ad ideation.
The charge nurse is planning for -Choice C: A 30-year-old depressed client who admits to suicide
the shift and has a RN and a PN ideation is a client that the charge nurse should assign to the RN,
on the team. Which client should as this is an unstable and high-risk client who requires close
the charge nurse assign to the monitoring, assessment, and intervention by the RN. Therefore,
RN? this is the correct choice.
A) A 75-year old client with renal
calculi who requires urine
straining. Choice A: An adolescent with multiple contusions due to a fall
that occurred 2 days ago is not a client that the charge nurse
B) A 64-year old client who had should assign to the RN, as this is a stable and low-acuity client
a total hip replacement the who can be safely cared for by the PN. This is a distractor choice.
preious day.
Choice B: A 75-year-old client with renal calculi who requires
C) A 30-year old depresses urine straining is not a client that the charge nurse should assign
client who admits to suicide to the RN, as this is a routine and non-complex task that can be
ideation. performed by the PN. This is another distractor choice.
D) An adolescent with multiple Choice D: A 64-year-old client who had a total hip replacement
contusions due to a fall that the previous day is not a client that the charge nurse should
occurred 2 days ago. assign to the RN, as this is a postoperative and moderate-acuity
client who can be managed by the PN under the supervision of
the RN. This is another distractor choice.
, NGN: Nurses Notes (For each assessment finding, click to indicate whether the
findings are associated with an infant of a diabetic mother or
1800: The client is a female normal presentation.)
neonate born at 37 weeks of
gestation to a G 2 P 1 mother, -Mongolian spot.
who was diagnosed with
gestational diabetes. Following -Acrocyanosis.
a spontaneous vaginal birth, she
received Apgar scores of seven -Jittery at 30 minutes of age.
at one minute and eight at five
minutes. The client weighs -Blood glucose 35.
4036.97g (8lbs 9oz) and appears
pink with acrocyanosis and a -Billirubin 7.
moderate amount of
subcutaneous fat. She is noted -Respiratory rate 80 breaths per minute.
to be slightly jittery at 30min of
age. Axillary temperature 96F, -Apgar 7 at one minute, 8 at five minutes. -Soft fontanelles
pulse 140, RR 80. Blood glucose
35, Billy Rubin seven, fontanelles -Axillary temp. 96F
soft, mongolian spot noted on
lower back, Ballard maturity -Ballard score maturity rating 37
rating 37 weeks.
NGN: Answers NORMAL PRESENTATION:
DIABETIC FINDINGS: -Mongolian spot.
-Jittery at 30 minutes of age. -Acrocyanosis
(normal findings include acrocyanosis, soft fontanelles,
-Blood glucose 35. mongolian spots, and Apgar scores 7 to 10).
-Respiratory rate 80 breaths per -Billirubin 7.
minute.
-Apgar 7 at one minute, 8 at five minutes.
- Axillary temp 96F
-Soft fontanelles.
-Ballard score maturity rating 37
BSN 366: EXIT HESI
Save
Students also studied
Flashcard sets Study guides
RN Comprehensive Predictor Nursing Process, Communication, C... NSG 3130 exam 2 stu
322 terms Teacher 137 terms 41 terms
mutheewinnie Preview ACER00147 Preview Timo_Nz
, B) Get an eye exam with an opthalmologist annually.
-
Choice B reason: Arranging diet schedule around 3-regular
meals a day is not a sufficient point for disease & symptom
management for a client w/ DM2. Diabetes mellitus is a condition
The nurse is providing teaching that affects the body's ability to produce or use insulin, a
to a client with type 2 DM about hormone that regulates blood glucose levels. Eating 3-regular
important points for disease and meals a day may not be enough to control blood glucose levels
symptom management. Which & prevent complications such as hypoglycemia or
statement by the client indicates hyperglycemia. The nurse should teach the client to follow a
understanding? balanced diet that includes carbohydrates, proteins, fats,
vitamins, minerals, & fiber, & to eat smaller portions more
A) Using salt, herbs, and spices frequently throughout the day.
will improve the flavor of foods
Choice C reason: Using garlic, herbs, & spices will improve the
B) Get an eye exam with an flavor of food is not a specific point for disease & symptom
opthalmologist annually management for a client w/ DM2. Garlic, herbs, & spices are
natural ingredients that can enhance the taste & aroma of food,
C) Arrange diet schedule but they do not have a direct impact on blood glucose levels or
around three regular meals a diabetes complications. The nurse should teach the client to limit
day the intake of salt, sugar, & saturated fats, & to choose foods that
are low in glycemic index & high in antioxidants.
D) Inspect feet every month for
ingrown nails, cuts, and caluses Choice D reason: Inspecting feet every month for ingrown nails,
cuts, & calluses is not a frequent enough point for disease &
symptom management for a client w/ DM2. Diabetes mellitus can
cause damage to the blood vessels & nerves in the feet, leading
to reduced sensation, poor circulation, infection, ulceration, &
amputation. The nurse should teach the client to inspect feet
every day for any signs of injury or infection, & to wash, dry,
moisturize, & protect them properly. The nurse should also
advise the client to wear comfortable shoes & socks, avoid
walking barefoot, & seek medical attention for any foot
problems.
, C) Practice using muscle relaxation techniques.
The nurse is providing education
to a client who experiences
-Choice C: Practicing using muscle relaxation techniques is an
recurrent levels of moderate
appropriate instruction for the nurse to include, as this can help
anxiety to situations and
reduce physical tension and promote calmness and relaxation
perceived stress. In addition to
for this client. Therefore, this is the correct choice.
informations about prescribed
medications and administration,
which instruction should the
Choice A: Centering attention on positive upbeat music is not a
nurse include in the teaching?
specific instruction for the nurse to include, as this is a general
coping strategy that may or may not be helpful for this client. This
A) Center attention on positive
is a distractor choice.
upbeat music.
Choice B: Finding outlets for more social interaction is not a
B) Find outlets for more social
relevant instruction for the nurse to include, as this may not
interaction
address the underlying causes of anxiety or stress for this client.
This is another distractor choice.
C) Practice using muscle
relaxation techniques
Choice D: Thinking about reasons the episodes occur is not a
helpful instruction for the nurse to include, as this can increase
D) Think about reasons the
rumination and anxiety for this client. This is another distractor
episodes occur.
choice.
C) A 30-year old depresses client who ad ideation.
The charge nurse is planning for -Choice C: A 30-year-old depressed client who admits to suicide
the shift and has a RN and a PN ideation is a client that the charge nurse should assign to the RN,
on the team. Which client should as this is an unstable and high-risk client who requires close
the charge nurse assign to the monitoring, assessment, and intervention by the RN. Therefore,
RN? this is the correct choice.
A) A 75-year old client with renal
calculi who requires urine
straining. Choice A: An adolescent with multiple contusions due to a fall
that occurred 2 days ago is not a client that the charge nurse
B) A 64-year old client who had should assign to the RN, as this is a stable and low-acuity client
a total hip replacement the who can be safely cared for by the PN. This is a distractor choice.
preious day.
Choice B: A 75-year-old client with renal calculi who requires
C) A 30-year old depresses urine straining is not a client that the charge nurse should assign
client who admits to suicide to the RN, as this is a routine and non-complex task that can be
ideation. performed by the PN. This is another distractor choice.
D) An adolescent with multiple Choice D: A 64-year-old client who had a total hip replacement
contusions due to a fall that the previous day is not a client that the charge nurse should
occurred 2 days ago. assign to the RN, as this is a postoperative and moderate-acuity
client who can be managed by the PN under the supervision of
the RN. This is another distractor choice.
, NGN: Nurses Notes (For each assessment finding, click to indicate whether the
findings are associated with an infant of a diabetic mother or
1800: The client is a female normal presentation.)
neonate born at 37 weeks of
gestation to a G 2 P 1 mother, -Mongolian spot.
who was diagnosed with
gestational diabetes. Following -Acrocyanosis.
a spontaneous vaginal birth, she
received Apgar scores of seven -Jittery at 30 minutes of age.
at one minute and eight at five
minutes. The client weighs -Blood glucose 35.
4036.97g (8lbs 9oz) and appears
pink with acrocyanosis and a -Billirubin 7.
moderate amount of
subcutaneous fat. She is noted -Respiratory rate 80 breaths per minute.
to be slightly jittery at 30min of
age. Axillary temperature 96F, -Apgar 7 at one minute, 8 at five minutes. -Soft fontanelles
pulse 140, RR 80. Blood glucose
35, Billy Rubin seven, fontanelles -Axillary temp. 96F
soft, mongolian spot noted on
lower back, Ballard maturity -Ballard score maturity rating 37
rating 37 weeks.
NGN: Answers NORMAL PRESENTATION:
DIABETIC FINDINGS: -Mongolian spot.
-Jittery at 30 minutes of age. -Acrocyanosis
(normal findings include acrocyanosis, soft fontanelles,
-Blood glucose 35. mongolian spots, and Apgar scores 7 to 10).
-Respiratory rate 80 breaths per -Billirubin 7.
minute.
-Apgar 7 at one minute, 8 at five minutes.
- Axillary temp 96F
-Soft fontanelles.
-Ballard score maturity rating 37
