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Exam (elaborations)

HESI Questions with Complete Solutions 2023/2024

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HESI Questions with Complete Solutions 2023/2024 1. Following the meeting with the HCP, what priority intervention should the nurse implement to ensure that Anthony and his family understand the information? - correct answersProvide a review for clarification of the information provided 2. Anthony is having diagnostic tests to confirm the diagnosis of scoliosis. *Which test is the most conclusive of the diagnosis?* - correct answersan X-ray 3. The nurse performs an assessment on Anthony. What objective data is consistent with the diagnosis of scoliosis? - correct answersRib hump when bending over 4. To assist the nurse in learning more about the family members, *what action should the nurse implement?* - correct answersPrepare a genogram and ecomap of the family 5. After a thorough examination, it is determined that Anthony has a spine curvature of 48 degrees. Based on this finding, *what does the nurse anticipate the HCP will recommend for Anthony?* - correct answersHave surgery for realignment with internal fixation and instrumentation 6. Anthony is an adolescent and according to Piaget, he is in the stage of formal operational thought. *What is the best way for the nurse to teach Anthony about his surgery?* - correct answersProvide verbal and written information about the surgical treatment 7. Anthony appears upset by the diagnosis and states that he does not want to have the surgery. *What action should the nurse take?* - correct answersAsk Anthony to discuss his concerns and fears 8. Anthony is admitted to the surgery unit. In anticipation of blood loss during surgery, *which intervention is most important?* - correct answersCollect blood for an autologous blood transfusion 9. In developing the nursing plan of care, *what is the most important action to promote Anthony's participation?* - correct answersDemonstrate use of the PCA pump 10. The nurse is aware of common post-op complications. After setting priorities, *what action should the nurse implement* for early detection of hypOventilation in the post-op period? - correct answersPlace on a pulse oximeter to monitor blood oxygen 11. Which assessment finding alerts the nurse to a possible neurovascular problem? - correct answersTingling in the feet 12. While implementing the post-op care plan, the nurse checks sensation and mobility of Anthony's legs every 2 hours. *Which nursing diagnosis does this intervention best fit?* - correct answersPotential for injury, related to the presence of instrumentation system 13. Anthony has a PCA pump for pain control; however, his mother tells the nurse that she doesn't want Anthony to become addicted to the pain meds. *What is the best response by the nurse?* - correct answers"The pump has a set amount of medication to be delivered at a set time. there is no danger in over-medicating and the pain relief will be more immediate"

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Institution
Hesi
Course
Hesi

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Uploaded on
January 18, 2024
Number of pages
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Written in
2023/2024
Type
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Subjects

  • hesi

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