NGN HESI MILESTONE 2 REMEDIATION LATEST VERSION 2024 COMPLETE EXAM WITH 100% QUALIFIED QUESTIONS AND ANSWERS WITH RATIONALES GRADED A+.

NGN HESI MILESTONE 2 REMEDIATION LATEST VERSION 2024 COMPLETE EXAM WITH 100% QUALIFIED QUESTIONS AND ANSWERS WITH RATIONALES GRADED A+. A client with heart failure has been experiencing difficulty with completion of daily activities, as evidenced by exertional fatigue and increased blood pressure. Which observation by the nurse best indicates client progress in meeting goals for this problem? 1. Ambulates 10 feet (3 meters) farther each day 2. Verbalizes the benefits of increasing activity 3. Chooses a healthy diet that meets caloric needs 4. Sleeps without awakening throughout the night - ANSWER- Chooses a healthy diet that meets caloric needs Each of the options indicates a positive outcome on the part of the client. Both option 2 and the correct one relate to the client problem of difficulty with completion of daily activities. However, the question asks about progress. The correct option is more action-oriented and therefore is the better choice. Option 3 would most likely indicate progress if the client had a problem of inadequate nutritional intake. Option 4 would be a satisfactory outcome for a client experiencing difficulty sleeping. A client with coronary artery disease is scheduled to have a diagnostic exercise stress test. Which instruction would the nurse plan to provide to the client about this procedure? 1. Eat breakfast just before the procedure. 2. Wear firm, rigid shoes, such as work boots. 3. Wear loose clothing with a shirt that buttons in front. 4. Avoid cigarettes for 30 minutes before the procedure. - ANSWER- Wear loose clothing with a shirt that buttons in front. The client needs to wear loose, comfortable clothing for the procedure. Electrocardiogram (ECG) lead placement is enhanced if the client wears a shirt that buttons in the front. The client needs to receive nothing by mouth after bedtime or for a minimum of 2 hours before the test. The client would wear rubber-soled, supportive shoes, such as athletic training shoes. The client needs to avoid smoking, alcohol, and caffeine on the day of the test. Inadequate or incorrect preparation can interfere with the test, with the potential for a false-positive result. The nurse is performing an assessment on a client with a diagnosis of left-sided heart failure. Which assessment component would elicit specific information regarding the client's left-sided heart function? 1. Listening to lung sounds 2. Palpating for organomegaly 3. Assessing for jugular vein distention 4. Assessing for peripheral and sacral edema - ANSWER- Listening to lung sounds. The client with heart failure may present with different symptoms, depending on whether the right or the left side of the heart is failing. Peripheral and sacral edema, jugular vein distention, and organomegaly all are manifestations of problems with right-sided heart function. Lung sounds constitute an accurate indicator of left-sided heart function. The registered nurse (RN) is educating a new RN about the use of oxygen for clients with angina pectoris. Which statement by the new nurse indicates that the teaching has been effective? 1. "Oxygen has a calming effect." 2. "Oxygen will prevent the development of any thrombus." 3. "The pain of angina pectoris occurs because of a decreased oxygen supply to heart cells." 4. "Oxygen dilates the blood vessels so that they can supply more nutrients to the heart muscle." - ANSWER- "The pain of angina pectoris occurs because of a decreased oxygen supply to heart cells."