Exam (elaborations)
BSN 246 HESI Health Assessment V1&v2 fully solved 2024.
- Course
- BSN 246
- Institution
- Nightingale College
BSN 246 HESI Health Assessment V1&v2 fully solved 2024.
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BSN 246 HESI Health Assessment V1&v2 fully solved 2024The jnurse jis jperforming ja jthoracic jassessment jon ja jclient jwith jchronic jasthma jand jhyperinflation jof jthe jlungs. jWhich jfinding jshould jbe jexpected jfor jthis jclient? j- j(CORRECT jANSWER)-Barrel jchest
The jnurse jis jassessing jbowel jsounds jfor ja jhospitalized jclient. jThe jnurse jhas jheard jbowel jsounds jin jthe jright jupper jquadrant. jWhat jaction jshould jthe jnurse jtake jnext? j- j(CORRECT jANSWER)-Note jthe jcharacter jand jfrequency jof jbowel jsounds
During jinspection jof ja jclient's jmouth jand jpharynx, jthe jnurse jplaces ja jtongue jblade jon jthe jback jof jthe jtongue jwhich jcauses jthe jclient jto jgag. jAfter jremoving jthe jtongue jblade, jwhat jaction jshould jthe jnurse jtake? j- j(CORRECT jANSWER)-Document jan jintact jgag jreflex.
When jteaching ja jclient jhow jto jperform ja jmonthly jbreast jself-assessment, jthe jnurse jshould jtell jthe jclient jthat jit jis jmost jimportant jto jassess jwhich jpart jof jthe jbreast jmore jclosely jfor jchanges? j- j(CORRECT jANSWER)-Upper jouter jquadrant. The jnurse jis jassessing ja jpostmenopausal jclient jwho jhas ja jBMI jof j32. jThe jclient jhas ja jchest jmeasurement jof j42 jinches, jwaist jmeasurement jof j45 jinches, jand jhip jmeasurement jof j50 jinches. jWhat jimportant jmessage jshould jthe jnurse jexplain jto jthe jclient jto jpromote jhealth jpromotion? j- j(CORRECT jANSWER)-A jwaist jcircumference jis jgreater jthan j35 jinches jin jwomen jputs jyou jat jhigher jrisk jfor jtype j2 jdiabetes jand jheart jdisease."
The jnurse jperforms ja jphysical jassessment jon jan jolder jfemale jclient. jWhich jchange jfrom jthe jprior jexam jmay jbe jan jindication jof josteoporosis? j- j(CORRECT jANSWER)-Height jreduction jof j1.5 jinches.
While jconducting jan jinterview jto jobtain ja jhealth jhistory, jthe jnurse jnotices jthat jthe jclient jpauses jfrequently jand jlooks jat jthe jnurse jexpectantly. jWhich jresponse jis jbest jfor jthe jnurse jto jprovide? j- j(CORRECT jANSWER)-Sit jquietly jto jallow jthe jclient jto jrespond jcomfortably.
A jclient jis jin jthe jclinical jfor ja jyearly jphysical jexamination. jWhich jaction jshould jthe jnurse jtake jwhen jpreparing jto jexamine jthe jclient's jabdomen? j- j(CORRECT jANSWER)-Ask jthe jclient jto jurinate jbefore jbeginning jthe jexamination.
Which jrespiratory jcondition jshould jthe jnurse jdocument jafter jmeasuring ja jrespiratory jrate jof j8 jbreaths/minute? j- j(CORRECT jANSWER)-Bradypnea.
Which jprocedure jshould jthe jnurse juse jto jassessfor ja jpulse jdeficit? j- j(CORRECT jANSWER)-
Measure jthe japical jpulse jand jcompare jit jto jthe jperipheral jpulse.
*A jpulse jdeficit jis ja jpalpable jdifference jbetween jthe japical jpulse jat jthe jpoint jof jmaximal jimpulse jand jthe jradial jpulse jpalpated jat jthe jwrist.
A jclient jhas jbeen jdiagnosed jwith jbilateral jlower jlobe jatelectasis. jWhat jpercussion jsound jshould jthe jnurse jexpect jto jhear jwhen jpercussing jover jthe jclient's jlower jlobes? j- j(CORRECT jANSWER)-Dull, jthud-like.
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