A patient had a cholecystectomy 2 days ago, the patient is febrile, abdominal pain
radiating to the back and has had 3 episodes of vomiting in the last 8 hours. The patient
is exhibiting symptoms for which condition? - ️️Pancreatitis- complications include
pancreatitis that may manifest with...
BSN 266 HESI V2
A patient had a cholecystectomy 2 days ago, the patient is febrile, abdominal pain
radiating to the back and has had 3 episodes of vomiting in the last 8 hours. The patient
is exhibiting symptoms for which condition? - ✔️✔️Pancreatitis- complications include
pancreatitis that may manifest with upper left quadrant or mid-epigastric pain which
radiates to the back and accompanied by nausea, vomiting, and fever.
Plan of care for patient with skin lesions of lower extremities with possible MRSA. SATA
- ✔️✔️Institute Contact precautions for staff and visitors
Send wound drainage for culture and sensitivity
Monitor the clients WBC count
Before selecting a medication to administer, which action should the nurse implement in
the post-op patient who reports incisional pain and has 2 PRN analgesia available in
MAR? - ✔️✔️Rate of pain on a scale from 0-10.
An older woman who experienced a cerebrovascular accident (CVA) has difficulty with
visual perception and she only eats half of the food on her meal tray. Her family
expresses concern about her nutritional status. How should the nurse respond to the
family's concern? - ✔️✔️Demonstrate the use of visual scanning during meals to the
client and family.
Best position for respiratory distress? - ✔️✔️High Fowler's Position- High fowlers helps
to decrease venous return, which decreases fluid volume in the heart that results in
decreased cardiac workload.
While caring for a client with full thickness burns covering 40% of the body, the nurse
observes purulent drainage from the wounds. Before reporting the finding, what is the
best lab value to evaluate? - ✔️✔️Neutrophil count- The patient is experiencing
infection, so a nurse should review the neutrophil count before contacting the HCP.
A patient with peripheral artery disease has marked peripheral neuropath. An
appropriate nursing diagnosis for the patient is - ✔️✔️High risk for injury
Type 2 diabetes patient discharge teaching patient and family - ✔️✔️Check feet every
day for cuts or injuries.
, A patient with acute anterior wall MI 1 week ago is given low-dose aspirin. The
medication is related to which problem and HCP should be notified? -
✔️✔️Hematemesis- - Contact HCP if blood is visible in body fluids such as
hematemesis.
For a patient with SLE exacerbation what is the most important to report which
assessment finding? - ✔️✔️Elevated blood urea nitrogen (BUN)
Patient had bariatric surgery 2 months ago who developed post-op strictures who is
experiencing nausea and vomiting and anorexia who is admitted for fluid resuscitation.
Which intervention should the nurse implement? - ✔️✔️Keep patient NPO- Patient
should be kept NPO until procedure is successfully completed. The patient should not
take anything by mouth.
Acute Kidney Injury due to aminoglycoside antibiotic moved from oliguric phase to the
diuretic phase. Which parameters are most important to monitor? - ✔️✔️Vital sign
changes and ECGs- Priority parameters are vital sign changes related to hypovolemia
and ECG changes due to serum electrolyte loss, which can be life threatening.
Patient has a calcium oxalate renal stone. Which food are you going to teach the patient
to avoid? - ✔️✔️Nuts, chocolate, dark greens, and spinach.
Patient has a bowel obstruction and ABGs read ph- 7.50 PaCO2-42 and HCO3-33. How
would you define this acid base balance? - ✔️✔️Uncompensated Metabolic Alkalosis
Psoriasis with silvery, scaly areas on elbows and palms that burn and bleed. Which
prescription should the nurse teach the client to use for skin condition? -
✔️✔️Prescription strength Corticosteroids- decrease inflammation and help manage
psoriasis plaques. Psoriasis is a skin cell proliferation of the surface of the skin causing
thick silvery scales or itchy red patches.
Patient with AIDs and oral candidiasis has several painful mouth ulcers. The nurse
delegates oral care to the UAP and discusses how to assist client. What instructions do
you give to the UAP? - ✔️✔️Provide a soft bristled toothbrush- allows for gentle
cleaning with less risk of trauma than a hard bristled brush. Candidiasis often called oral
thrush which is a fungal infection of the mouth, it is common in babies, people with
immune deficiency, and those who use steroid sprays for asthma.
A young adult with osteoarthritis of both knee's desires to continue daily walks at the
park with friends. how should the nurse respond? - ✔️✔️Continue maintenance
regimen and walks
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