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CASAL 1 Davis/HESI – Questions & Complete Answers
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CASAL 1 Davis/HESI – Questions & Complete Answers
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CASAL 1 Davis/HESI – Questions & Complete AnswersThe nurse is preparing to perform a physical assessment. What should be
included in the preparation of the client? Right Ans - -Select a time when
the client is relaxed and receptive.
-Establish rapport with the client
-Alert the client before touching him or her
-Consider developmental and cultural differences
The nurse is teaching a group of students the components of a physical
examination. What should be included in the discussion? Select all that apply.
Right Ans - -auscultation
-percussion
-inspection
-palpation
As the nurse prepares for a physical assessment, what should be considered?
Select all that apply. Right Ans - preparing the client, the environment and
equipment, infection control
The nurse hears some adventitious heart sounds when auscultating the
anterior chest. What could the nurse be hearing? Select all that apply. Right
Ans - Third sound, fourth sound, murmur
The nurse is assessing the abdomen for a client returning from an abdominal
surgery. Which assessment technique should the nurse perform first? Right
Ans - inspection
The nurse is caring for a client with postsurgical pain. At what point is it
important to assess the pain level? Select all that apply. Right Ans - after
physical activity, before physical activity, at the beginning of the shift, and
when there are non-verbal cues of pain
Which pain scales are used to determine a client's level of pain? Select all that
apply Right Ans - FACES, visual analog scale, numeric
Elenore is an older adult who lives alone and has fallen and fractured her hip.
She cannot get to the phone to call for help. Her pain worsens as time passes
and she becomes confused as she waits for someone to find her. What factors
, are exacerbating the situation? Select all that apply. Right Ans - Fear and
helplessness and cognitive impairment
The nurse is caring for a client with untreated prolonged pain sustained in an
automobile accident. Which assessment findings could result from the pain?
Select all that apply. Right Ans - Hypertension, fever, nausea and vomiting,
atelectasis
The nurse is assessing a client after an abdominal surgery who speaks a
different language. Which nonverbal assessment changes could indicate pain
is present? Select all that apply. Right Ans - Confusion, restlessness,
moaning, irritability
The nurse is caring for a client after a large abdominal surgery. He is restless
and uncomfortable. Which positioning change could be most beneficial? Select
all that apply. Right Ans - Head elevation and side lying
The nurse is speaking with a group of nursing students about the use of heat
and ice for pain control. Which situations are best for this modality? Select all
that apply. Right Ans - Low back pain with spasticity, activity induced
muscle pain, pain from obstetric procedures
The nurse is providing comfort to a person who has fallen on the hiking trail
and broken his ankle. Which techniques can be used until medical help
arrives? Select all that apply. Right Ans - Massage, relaxation, meditation,
controlled breathing, imagery
The nurse is preparing for heat and cold application. Which of the following
statements are true? Select all that apply. Right Ans - Heat/cold devices can
cause superficial tissue damage
Heat/cold devices should never come in direct contact with the skin
Heat/cold devices should be used intermittently
The nurse is teaching a family about phantom pain. Which statement is
correct? Right Ans - Phantom pain is real and should be treated as such
The nurse is preparing medications in solid form. How should the nurse
anticipate they are measured? Select all that apply. Right Ans - Grams or
milligrams
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