HESI HEALTH ASSESSMENT NURSING RN V1 (100 Questions With Answers) Latest Update 2023/2024 Graded A+

HESI HEALTH ASSESSMENT NURSING RN V1 (100 Questions With Answers) Latest Update 2023/2024 Graded A+. Patient taking ipratropium reports nausea, blurred vision, has, insomnia after using the inhaler. RN action to implement - withhold med and report symptoms 12. A patient has suddenly developed shortness of breath and appears to be in significant respiratory distress. After calling the physician and placing the patient on oxygen, which of these actions is the best for the nurse to take when further assessing the patient? Bilaterally percuss the thorax, noting any differences in percussion tones. 13. The nurse is teaching a class on basic assessment skills. Which of these statements is true regarding the stethoscope and its use? Although the stethoscope does not magnify sound, it does block out extraneous room noise. 14. The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding the diaphragm of the stethoscope? The diaphragm: Is used to listen for high-pitched sounds. 15. Before auscultating the abdomen for the presence of bowel sounds on a patient, the nurse should: Check the temperature of the room, and offer blankets to the patient if he or she feels cold. 16. While measuring a patient’s blood pressure, the nurse recalls that certain factors, such as , help determine blood pressure. Peripheral vascular resistance 17. A nurse is helping at a health fair at a local mall. When taking blood pressures on a variety of people, the nurse keeps in mind that: The blood pressure of a Black adult is usually higher than that of a White adult of the same age. 8. The nurse notices a colleague is preparing to check the blood pressure of a patient who is obese by using a standard-sized blood pressure cuff. The nurse should expect the reading to: Yield a falsely high blood pressure.  A student is late for his appointment and has rushed across campus to the health clinic. The nurse should: Allow 5 minutes for him to relax and rest before checking his vital signs.  Hypoptysis (new cough) or changes in persistent cough tuberculosis s/sx  A patient has come in for an examination and states, “I have this spot in front of my ear lobe on my cheek that seems to be getting bigger and is tender. What do you think it is?” The nurse notes swelling below the angle of the jaw and suspects that it could be an inflammation of his: Parotid gland.  A male patient with a history of acquired immunodeficiency syndrome (AIDS) has come in for an examination and he states, “I think that I have the mumps.” The nurse would begin by examining the: Parotid gland.  In performing an examination of a 3-year-old child with a suspected ear infection, the nurse would: Perform the otoscopic examination at the end of the assessment.  The nurse is preparing to perform an otoscopic examination of a newborn infant. Which statement is true regarding this examination? The normal membrane may appear thick and opaque.  The nurse assesses the hearing of a 7-month-old by clapping hands. What is the expected response? The infant: Turns his or her head to localize the sound.  The nurse is performing an ear examination of an 80-year-old patient. Which of these findings would be considered normal? High-tone frequency loss  An assessment of a 23-year-old patient reveals the following: an auricle that is tender and reddish- blue in color with small vesicles. The nurse would need to know additional information that includes which of these? Any prolonged exposure to extreme cold  A pregnant woman states that she is concerned about her gums because she has noticed they are swollen and have started bleeding. What would be an appropriate response by the nurse? “Swollen and bleeding gums can be caused by the change in hormonal balance in your system during pregnancy.”  A 40-year-old patient who has just finished chemotherapy for breast cancer tells the nurse that she is concerned about her mouth. During the assessment the nurse finds areas of buccal mucosa that are raw and red with some bleeding, as well as other areas that have a white, cheesy coating. The nurse