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Exam (elaborations)

BSN 266 HESI Exam| Questions and 100% Complete Solutions

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  • BSN 266 HESI
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  • BSN 266 HESI

he nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving psoralen and ultraviolet A light (PUVA) treatment. Which assessment finding indicates that the client has been overexposed to the treatment? a. Thick skin plaques topped by silvery white scales b. Tenderness upon...

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  • August 24, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • BSN 266 HESI
  • BSN 266 HESI
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BSN 266 HESI Exam| Questions and 100%
Complete Solutions
The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving psoralen
and ultraviolet A light (PUVA) treatment.
Which assessment finding indicates that the client has been overexposed to the treatment?

a. Thick skin plaques topped by silvery white scales

b. Tenderness upon palpation and generalized erythema

c. Brown, rough, greasy, wart-like papules on the face

d. Requires sunglasses because sunlight hurts eyes
b. Tenderness upon palpation and generalized erythema

An adult client who had a gastric bypass surgery 2 weeks ago, is admitted with possible
anastomosis leakage. The client's abdomen is tender to touch, and the vital signs are
temperature 101 F (38 3 C). heart rate 130 beats/minute, Respiratory rate 26
breaths/minute, and blood pressure 100/50 mmHg.

Which intervention is most important for the nurse to include in the client's plan of care?

a. Encourage regular turning.

b. Monitor skin for breakdown.

c. Strict IV fluid replacement

d. Assess wound drainage daily

c. Strict IV fluid replacement

A client who was recently diagnosed with Raynaud's disease is concerned about
pain management.
Which nursing instructions should the nurse provide?

a. Painful areas should be rubbed gently until the pain subsides.

b. Return appointments will be
needed for IV pain medications.

,c. Enrolling in a pain clinic can provide relief alternatives.

d. Wearing gloves when handling cold items guards against painful spasms.
d. Wearing gloves when handling cold items guards against painful spasms.

A client with newly diagnosed Crohn's disease asks the nurse about
dietary restrictions. How should the nurse respond?

a. Explain that the need to restrict fluids is the primary limitation.

b. Advise the client to limit foods that are high in calcium and iron.

c. Instruct the
client to avoid foods with gluten, such as wheat bread.

d. Describe the use of an elimination diet to find trigger foods
d. Describe the use of an elimination diet to find trigger foods

The nurse is obtaining a health history from a new client who has a history of kidney stones.
Which statement by the client indicates an increased risk for renal calculi.?

a. Jogs more frequently than usual daily routine.

b. Eats a vegetarian diet with
cheese 2 to 3 times a day.

c. Experiences additional stress since adopting a child.

d. Drinks several bottles of carbonated water daily
b. Eats a vegetarian diet with
cheese 2 to 3 times a day.

An older male client tells the nurse that he is losing sleep because he has to get up several
times at night to go to the bathroom, that he has trouble starting his urinary system, and that
he does not feel like his bladder is ever completely empty.

Which intervention should the nurse implement?

a. Review the client's fluid intake prior to bedtime.

, b. Obtain a finger stick blood glucose level.

c. Palpate the bladder above the symphysis pubis.

d. Collect a urine specimen for culture analysis
c. Palpate the bladder above the symphysis pubis.
A client is diagnosed with chronic kidney disease and needs to begin dialysis.

Which condition entered on the client's medical record should the nurse recognize as
a contraindication for peritoneal dialysis?

a. Nephrotic syndrome history.

b. Latent hepatitis C.

c. Crohn's disease with colectomy.

d. Type 2 diabetes mellitus
c. Crohn's disease with colectomy.
When providing care for an unconscious client who has seizures.
Which nursing intervention is most essential?

a. Maintain the client in a semi-Fowler's position.

b. Keep the room at a comfortable
temperature.

c. Ensure oral suction is available.

d. Provide frequent mouth care
c. Ensure oral suction is available.

A client presents to the emergency department reporting chest pain that is radiation to the
left arm, shortness of breath, and diaphoresis.
Which medication should the nurse anticipate being prescribed by the healthcare provider?

a. Fentanyl.

b. Hydromorphone.

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