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BSN 246 HESI Health Assessment Exam Practice Questions with Correct Answers and Rationale |Latest 2024/2025- Nightingale. £9.17   Add to cart

Exam (elaborations)

BSN 246 HESI Health Assessment Exam Practice Questions with Correct Answers and Rationale |Latest 2024/2025- Nightingale.

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  • Module
  • BSN 246 HESI
  • Institution
  • BSN 246 HESI

The registered nurse (RN) is assisting the healthcare provider (HCP) with the removal of a chest tube. Which intervention has the highest priority and should be anticipated by the RN after the removal of the chest tube? -Prepare the client for chest x-ray at the bedside. -Review arterial blood ga...

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  • October 30, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • BSN 246 HESI
  • BSN 246 HESI
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BSN 246 HESI Health Assessment i.- i.- i.- i.- i.-




Exam Practice Questions with Correct i.- i.- i.- i.- i.-




Answers and Rationale | Nightingale. i.- i.- i.- i.- i.-




The registered nurse (RN) is assisting the healthcare provider
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(HCP) with the removal of a chest tube. Which intervention has
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the highest priority and should be anticipated by the RN after
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the removal of the chest tube?
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-Prepare the client for chest x-ray at the bedside.
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-Review arterial blood gases after removal.
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-Elevate the head of bed to 45 degrees.i.- i.- i.- i.- i.- i.- i.-




-Assist with disassembling the drainage system.
i.- i.- i.- i.- i.- i.-i.- i.- Prepare i.-



the client for chest x-ray at the bedside.
i.- i.- i.- i.- i.- i.- i.-




Rationale
A chest x-ray should be performed immediately after the
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removal of a chest tube to ensure lung expansion has been
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maintained after its removal. i.- i.- i.-




The registered nurse (RN) is caring for a client who has a closed
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head injury from a motor vehicle collision. Which finding should
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the RN assess the client for the risk of diabetes insipidus (DI)?
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,-High fever. i.-




-Low blood pressure. i.- i.-




-Muscle rigidity. i.-




-Polydipsia. i.-i.- Polydipsia.
i.-




Rationale
A characteristic finding of DI is excretion of large quantities of
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urine (5 to 20L/day), and most clients compensate for fluid loss
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by drinking large amounts of water (polydipsia). DI can occur
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when there has been damage or injury to the pituitary gland or
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hypothalamus as a result of head trauma, tumor or an illness i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-



such as meningitis. This damage interrupts the ADH production,
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storage and release causing the excessive urination and thirst.
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The registered nurse (RN) is caring for a client with acute
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pancreatitis and assesses the admission laboratory results. i.- i.- i.- i.- i.- i.- i.-



What laboratory value should the RN anticipate being elevated
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with this diagnosis?
i.- i.-




-Triglycerides.
-Amylase.
-Creatinine.
-Uric acid. i.- i.-i.- i.- Amylase.
Rationale

, An elevated amylase level is associated with acute pancreatitis.
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The registered nurse (RN) did not note that a prescription dose
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was recently changed and did not note the updated medication
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administration record (MAR). After giving the client the original i.- i.- i.- i.- i.- i.- i.- i.- i.-



dose, the RN reports the medication error to the nurse
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manager. What consequences will the RN experience due toi.- i.- i.- i.- i.- i.- i.- i.- i.-



this error in medication administration?
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-The incident will be reported to the state's Board of Nursing
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(BON).
-A medication error report will be completed and risk
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management will be notified. i.- i.- i.-




-The RN will be suspended from medication administration until
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the error is investigated.
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-The incident will be documented in the RN's personnel file.
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A medication error report will be completed and risk
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management will be notified. i.- i.- i.-




Rationale
By reviewing quality of care internally, steps of care can be
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evaluated and staff can be educated where gaps are identified.i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-



The medication report and notification of management is the
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responsibility of the RN who made the mistake, so an internal i.- i.- i.- i.- i.- i.- i.- i.- i.- i.- i.-



review of the steps of the occurrence can be completed to
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determine further risk potentials. i.- i.- i.-

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