100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
HESI Diagnostic Exam- Integration (Answered) $13.64
Add to cart
Quickly navigate to
Preview
  2.  
  3. HESI Diagnostic
  4.  
  5. HESI Diagnostic

Exam (elaborations)

HESI Diagnostic Exam- Integration (Answered)

1 review
 2 purchases
  • Course
  • HESI Diagnostic
  • Institution
  • HESI Diagnostic

HESI Diagnostic Exam- Integration (Answered)-During a one-to-one session with the nurse, a female admitted for chronic depression and attempted suicide discloses experiences of sexual promiscuity and prostitution. When the nurse asks the client if she was ever sexually abused as a child, the client...

[Show more]
Last document update: 3 weeks ago

Preview 3 out of 22  pages

Document information

  • November 27, 2023
  • January 21, 2025
  • 22
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

Written for

  • HESI Diagnostic
  • HESI Diagnostic

1  review

review-writer-avatar

By: Ichsstudent1 • 1 year ago

Seller

avatar-seller
ProfMiaKennedy

Reviews received

Content preview

HESI Diagnostic Exam- Integration (Answered)
During a one-to-one session with the nurse, a female admitted for chronic depression and
attempted suicide discloses experiences of sexual promiscuity and prostitution. When the nurse
asks the client if she was ever sexually abused as a child, the client says, "I don't remember, but
my mother ran my father off when I was five." The nurse should recognize that the client may be
using which defense mechanism?

A. Denial
B. Repression
C. Regression
D. Projection - A. Denial

Two days after an abscess of the chin was drained, the client returns to the clinic with fever,
chills, and a maculopapular rash with pruritus. The client has taken an oral antibiotic and cleaned
wound today with providone-iodine solution. Which intervention should the nurse implement
first?

A. Review recent mediation history and allergies
B. Assess airway latency and oxygen saturation
C. Obtain samples for complete blood count and cultures.
D. Determine if the client has a history of diabetes - B. Assess airway latency and oxygen
saturation

The nurse is evaluating a young child with atopic dermatitis. Which question should the nurse
ask the parent while obtaining the child's history?

A. What time of day does the rash appear on the body?
B. Can any particular be associated with onset of the rash?
C. Has the child displayed any symptoms of asthma or hay fever?
D. Does the child have any nausea or vomiting? - C. Has the child displayed any symptoms of
asthma or hay fever?

Which client should the charge nurse assign to the care of a practical nurse (PN)?

A. An adolescent with a chest tube that drained 500 mL in the past 8 hours.
B. An adult who is receiving chemotherapy via an implanted venous access device.
C. An older client who is receiving multiple antihypertensive medications.
D. An adult type 1 diabetes mellitus who is receiving a titrated insulin infusion. - C. An older
client who is receiving multiple antihypertensive medications.

A female college student comes to the school's health clinic complaining of urinary frequency
and burning with right lower back pain. Which intervention should the nurse implement first?

A. Test her urine for the presence of hematuria.
B. Measure her temperature and pulse rate.

,C. Palpate the right flank for tenderness.
D. Evaluate the urine for a strong odor. - A. Test her urine for the presence of hematuria.

Following a disaster, which person should the nurse triage with a red tag, indicating that
immediate attention is required?

A. An older adult with emphysema who has a barrel chest and is coughing.
B. A young adult with a history of asthma who is speaking in short sentences.
C. A middle-aged man with acute coronary syndrome who has superficial facial lacerations.
D. A frail elderly woman with degenerative disk disease who is complaining of back pain. - B. A
young adult with a history of asthma who is speaking in short sentences.

The nurse on the day shift receives report about a client with depression who was in bed most of
the weekend. The nurse walks into the client's room in the morning and finds the client in bed.
What intervention is best for the nurse to implement?

A. Monitor the client's appetite and pattern of sleep
B. Explain that staff will check on the client every 30 minutes
C. Assist the client to get out of bed and involved in an activity
D. Assess the client's feelings about hospital stay - C. Assist the client to get out of bed and
involved in an activity

Which action should the nurse take first when a client with systemic sclerosis (Scleroderma)
exhibits symptoms of Raynaud's phenomenon?

A. Initiate massage and stretching exercises
B. Remove any pressure on the involved extremities
C. Apply cool compresses to the involved area
D. Elevate the involved extremities on pillows - A. Initiate massage and stretching exercises

A client with partial-thickness and full-thickness burns over 50% of the body is admitted to the
Emergency Department. The healthcare provider prescribes hydromorphone 4 mg IM every 4
hours for pain. The client is complaining of "9" on the 1 to 10 pain scale. Which intervention
should the nurse implement first?

A. Contact the healthcare provider and question the prescription
B. Assist the client with relaxation techniques and guided imagery
C. Rule out any complications prior to administering the medication
D. Administer an additional dose of the medication into an unburned area - A. Contact the
healthcare provider and question the prescription

An adult with pneumonia is diaphoretic, tachycardia, and confused. The cardiac monitor
indicates sinus tachycardia with frequent premature multifocal ventricular beats. Arterial blood
gas (ABG) findings are: pH 7.26, PaCO2 66 mmHgl HCO3 23 mEq/L (22 mmol/L). Which
intervention is most important for the nurse to include in this client's plan of care?

, A. Obtain a 12 lead electrocardiogram (ECG) daily
B. Assess for apical-radial pulse deficit with vital signs
C. Monitor the respiratory rate and depth continuously
D. Maintain a patent IV catheter for antibiotic therapy - A. Obtain a 12 lead electrocardiogram
(ECG) daily

A client with psoriasis returns to the clinic reporting the persistence of several silvery, scaly
areas on the elbows and palms that frequently burn and sometimes bleed. Which prescription
would the nurse teach the client to use for the skin condition?

A. Colloidal oatmeal-based lotion
B. Topical corticosteroids
C. Topical analgesics
D. Topical antifungal - B. Topical corticosteroids

A client who recently returned from the Philippines presents to the clinic with high fever, chills,
headache, and muscular aches. The healthcare provider suspects severe acute respiratory
syndrome (SARS). To prevent transmission of the virus to others, which instruction is most
important for the nurse to provide?

A. Wear a N95 respirator mask during direct contact with others
B. Use meticulous hand washing technique
C. Discard all tissues used during coughing in a biohazard bag
D. Cover mouth and turn head when coughing - A. Wear a N95 respirator mask during direct
contact with others

The nurse orients a client with depression to a new room on the mental health unit. The client
states, "It seems strange that I don't have a TV in my room." Which statement is best for the
nurse to provide?

A. It's important to be out of your room and talking to others.
B. You can watch TV as much as you want outside of your room.
C. Watching TV is a passive activity and we want you to be active.
D. Sometimes clients feel like the TV is sending them messages. - A. It's important to be out of
your room and talking to others.

The registered nurse (RN) directs the unlicensed assistive personnel (UAP) to administer PO
fluids int he ambulatory surgical center. Which adult client should the RN assign to the UAP?

A. An obtunded client who requires tactile stimulation to respond.
B. A sedated client asking for ice chips when questioned
C. An awake client with a gag reflex who is asking for water
D. A disoriented client requesting medication upon arrival from PACU - B. A sedated client
asking for ice chips when questioned

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller ProfMiaKennedy. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.64. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69988 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$13.64  2x  sold
  • (1)
Add to cart
Added