Breathing Patterns-HESI Case Study- NRSG317, HESI Case Study: Mobility, Skin
Integrity Hesi Case Study, HESI: Perioperative Care, HESI Case Study: Pain,
fluid balance- HESI case study, Altered Nutrition - HESI Case Study,
Constipation HESI case study
BREATHING PATTERNS-HESI CASE STUDY- NRSG317, HESI CASE STUDY:
MOBILITY, SKIN INTEGRITY HESI CASE STUDY, HESI: PERIOPERATIVE CARE,
HESI CASE STUDY: PAIN, FLUID BALANCE- HESI CASE STUDY, ALTERED
NUTRITION - HESI CASE STUDY, CONSTIPATION HESI CASE STUDY
The nurse talks to Ms. Jackson what to expect the day of the surgery and during
the immediate postoperative period. The nurse provide instructions regarding
cough and deep breathing exercises. Ms. Jackson performs a return
demonstration by breathing in deeply through her mouth and exhaling forcefully
and rapidly through pursed lips. Which action should the nurse implement?
A. Advise the client to avoid pursing her lips when exhaling.
B. Remind the client to cough after taking 2 to 3 breaths.
C. Demonstrate the deep breathing and cough technique again.
D. Document successful completion of the return demonstration. - ANSWER-C.
Demonstrate the deep breathing and cough technique again.
Rationale: Ms. Jackson has demonstrated incorrect technique. When performing
deep breathing exercises, the client should inhale through the nose and exhale
slowly through the mouth without pursing the lips. The nurse should demonstrate
the entire procedure again for best learning by the client.
When the nurse begins teaching the benefits of early mobilization following
surgery, Ms. Jackson states, "Oh, I know if I stay in bed very long I will get bed
sores." How should the nurse respond?
1|Page
, Breathing Patterns-HESI Case Study- NRSG317, HESI Case Study: Mobility, Skin
Integrity Hesi Case Study, HESI: Perioperative Care, HESI Case Study: Pain,
fluid balance- HESI case study, Altered Nutrition - HESI Case Study,
Constipation HESI case study
A. "Getting a bedsore is very serious. Sometimes people die from infected
bedsores."
B. "The nurses will make sure you do not stay in bed long enough to get
bedsores."
C. "Bedsores are one of the many problems that can occur from prolonged
bedrest."
D. "Those are now called pressure ulcers, because they are caused by pressure." -
ANSWER-C. "Bedsores are one of the many problems that can occur from
prolonged bedrest."
Rationale: This response acknowledges the client's previous learning and
promotes further learning related to other complications of immobility such as
thrombus formation, constipation, and atelectasis.
The nurse dicusses postoperative pain management with Ms. Jackson and explains
the use of a patient-controlled analgesia (PCA) pump. Ms. Jackson expresses fear
that she might accidentally overdose herself, since she will be sleepy after surgery.
How should the nurse respond?
A. "You will only use the PCA pump for the first 24 hours after surgery."
B. "The surgeon will prescribe the dose of medication that is correct for you."
C. "I will tell the surgeon that you prefer the nurses administer your pain
medicine."
2|Page
, Breathing Patterns-HESI Case Study- NRSG317, HESI Case Study: Mobility, Skin
Integrity Hesi Case Study, HESI: Perioperative Care, HESI Case Study: Pain,
fluid balance- HESI case study, Altered Nutrition - HESI Case Study,
Constipation HESI case study
D. "The pump has a controlled device that prevents you from taking too much
medicine." - ANSWER-D. "The pump has a controlled device that prevents you
from taking too much medicine."
While discussing postoperative pain management strategies with Ms. Jackson, the
nurse observes Ms. Jackson begin to cry. What action should the nurse take?
A. Quietly sit with the client.
B. Offer reassurance about the surgery.
C. Calmly continue the preoperative instructions.
D. Leave the room until the client has composed herself. - ANSWER-A. Quietly sit
with the client.
Rationale: Offering one's presence is a caring and therapeutic response.
After Ms. Jackson stops crying, she states, "My father was in so much pain before
he died. Talking about pain brings back so many memories." How should the nurse
respond?
A. "We do not need to talk about pain control today if it makes you sad."
B. Perhaps you need to see a counselor to help you resolve your grief."
C. "It sounds as if you went through a difficult time when your father died."
3|Page
, Breathing Patterns-HESI Case Study- NRSG317, HESI Case Study: Mobility, Skin
Integrity Hesi Case Study, HESI: Perioperative Care, HESI Case Study: Pain,
fluid balance- HESI case study, Altered Nutrition - HESI Case Study,
Constipation HESI case study
D. "You need to focus on your own needs now and not on past memories." -
ANSWER-C. "It sounds as if you went through a difficult time when your father
died."
Ms. Jackson shares her experiences related to her fathers death with the nurse
and expresses appreciation for the nurses caring attitude. Ms. Jackson leaves after
the preooperative teaching is completed, with plans to meet with the surgeon
that afternoon and return to the surgery center the morning of the surgery. The
next week, Ms. Jackson arrives at the surgery center 3 hours before her scheduled
surgery. Which question is most important for the nurse to ask Ms. Jackson during
the admission interview?
A. "Have you had anything to eat or drink since midnight?"
B. "Are any of your friends or family members here with you?"
C. "Do you understand you will be admitted to the hospital following surgery?"
D. "Did you bring any valuables with you that need to be stored during surgery?" -
ANSWER-A. "Have you had anything to eat or drink since midnight?"
Rationale: Ensuring that the client has remained NPO for the prescribed length of
time before surgery is critical to prevent vomiting and aspiration during surgery.
After completing the admission interview, the nurse reviews Ms. Jackson's medical
record and notes that the surgical consent form is filled out but not signed by the
client. What action should the nurse take?
4|Page
Integrity Hesi Case Study, HESI: Perioperative Care, HESI Case Study: Pain,
fluid balance- HESI case study, Altered Nutrition - HESI Case Study,
Constipation HESI case study
BREATHING PATTERNS-HESI CASE STUDY- NRSG317, HESI CASE STUDY:
MOBILITY, SKIN INTEGRITY HESI CASE STUDY, HESI: PERIOPERATIVE CARE,
HESI CASE STUDY: PAIN, FLUID BALANCE- HESI CASE STUDY, ALTERED
NUTRITION - HESI CASE STUDY, CONSTIPATION HESI CASE STUDY
The nurse talks to Ms. Jackson what to expect the day of the surgery and during
the immediate postoperative period. The nurse provide instructions regarding
cough and deep breathing exercises. Ms. Jackson performs a return
demonstration by breathing in deeply through her mouth and exhaling forcefully
and rapidly through pursed lips. Which action should the nurse implement?
A. Advise the client to avoid pursing her lips when exhaling.
B. Remind the client to cough after taking 2 to 3 breaths.
C. Demonstrate the deep breathing and cough technique again.
D. Document successful completion of the return demonstration. - ANSWER-C.
Demonstrate the deep breathing and cough technique again.
Rationale: Ms. Jackson has demonstrated incorrect technique. When performing
deep breathing exercises, the client should inhale through the nose and exhale
slowly through the mouth without pursing the lips. The nurse should demonstrate
the entire procedure again for best learning by the client.
When the nurse begins teaching the benefits of early mobilization following
surgery, Ms. Jackson states, "Oh, I know if I stay in bed very long I will get bed
sores." How should the nurse respond?
1|Page
, Breathing Patterns-HESI Case Study- NRSG317, HESI Case Study: Mobility, Skin
Integrity Hesi Case Study, HESI: Perioperative Care, HESI Case Study: Pain,
fluid balance- HESI case study, Altered Nutrition - HESI Case Study,
Constipation HESI case study
A. "Getting a bedsore is very serious. Sometimes people die from infected
bedsores."
B. "The nurses will make sure you do not stay in bed long enough to get
bedsores."
C. "Bedsores are one of the many problems that can occur from prolonged
bedrest."
D. "Those are now called pressure ulcers, because they are caused by pressure." -
ANSWER-C. "Bedsores are one of the many problems that can occur from
prolonged bedrest."
Rationale: This response acknowledges the client's previous learning and
promotes further learning related to other complications of immobility such as
thrombus formation, constipation, and atelectasis.
The nurse dicusses postoperative pain management with Ms. Jackson and explains
the use of a patient-controlled analgesia (PCA) pump. Ms. Jackson expresses fear
that she might accidentally overdose herself, since she will be sleepy after surgery.
How should the nurse respond?
A. "You will only use the PCA pump for the first 24 hours after surgery."
B. "The surgeon will prescribe the dose of medication that is correct for you."
C. "I will tell the surgeon that you prefer the nurses administer your pain
medicine."
2|Page
, Breathing Patterns-HESI Case Study- NRSG317, HESI Case Study: Mobility, Skin
Integrity Hesi Case Study, HESI: Perioperative Care, HESI Case Study: Pain,
fluid balance- HESI case study, Altered Nutrition - HESI Case Study,
Constipation HESI case study
D. "The pump has a controlled device that prevents you from taking too much
medicine." - ANSWER-D. "The pump has a controlled device that prevents you
from taking too much medicine."
While discussing postoperative pain management strategies with Ms. Jackson, the
nurse observes Ms. Jackson begin to cry. What action should the nurse take?
A. Quietly sit with the client.
B. Offer reassurance about the surgery.
C. Calmly continue the preoperative instructions.
D. Leave the room until the client has composed herself. - ANSWER-A. Quietly sit
with the client.
Rationale: Offering one's presence is a caring and therapeutic response.
After Ms. Jackson stops crying, she states, "My father was in so much pain before
he died. Talking about pain brings back so many memories." How should the nurse
respond?
A. "We do not need to talk about pain control today if it makes you sad."
B. Perhaps you need to see a counselor to help you resolve your grief."
C. "It sounds as if you went through a difficult time when your father died."
3|Page
, Breathing Patterns-HESI Case Study- NRSG317, HESI Case Study: Mobility, Skin
Integrity Hesi Case Study, HESI: Perioperative Care, HESI Case Study: Pain,
fluid balance- HESI case study, Altered Nutrition - HESI Case Study,
Constipation HESI case study
D. "You need to focus on your own needs now and not on past memories." -
ANSWER-C. "It sounds as if you went through a difficult time when your father
died."
Ms. Jackson shares her experiences related to her fathers death with the nurse
and expresses appreciation for the nurses caring attitude. Ms. Jackson leaves after
the preooperative teaching is completed, with plans to meet with the surgeon
that afternoon and return to the surgery center the morning of the surgery. The
next week, Ms. Jackson arrives at the surgery center 3 hours before her scheduled
surgery. Which question is most important for the nurse to ask Ms. Jackson during
the admission interview?
A. "Have you had anything to eat or drink since midnight?"
B. "Are any of your friends or family members here with you?"
C. "Do you understand you will be admitted to the hospital following surgery?"
D. "Did you bring any valuables with you that need to be stored during surgery?" -
ANSWER-A. "Have you had anything to eat or drink since midnight?"
Rationale: Ensuring that the client has remained NPO for the prescribed length of
time before surgery is critical to prevent vomiting and aspiration during surgery.
After completing the admission interview, the nurse reviews Ms. Jackson's medical
record and notes that the surgical consent form is filled out but not signed by the
client. What action should the nurse take?
4|Page
