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NUR 302 HESI Exam 1 Questions With 100% Correct Answers GRADED A+
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NUR 302 HESI Exam 1 Questions With 100% Correct Answers GRADED A+
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NUR 302 HESI Exam 1 Questions With 100% CorrectAnswers GRADED A+
The nurse is assessing a client with a chest tube that is attached to suction and a closed drainage system.
Which finding is most important for the nurse to further assess?
A. Upper chest subcutaneous emphysema.
B. Tidaling (fluctuation) of fluid in the water-seal chamber.
C. Constant air bubbling in the suction-control chamber.
D. Pain rated "8" (0-10) at the insertion site.
A. Emphysema indicates air is leaking beneath the skin
Normal urine specific gravity
1.001-1.035
ABX treatment after osteomyelitis
Parenteral ABX for 4-8 weeks
Oral ABX for 4-8 weeks
A female client with hyperesthesia on the oncology unit is using a transcutaneous electrical nerve
stimulation (TENS) unit for chronic pain. Which nursing activity should the nurse implement instead of
delegating to a practical nurse (PN)?
,Determine the client's level of discomfort using a pain rating scale.
Ask the client about her past experience with chronic pain.
Observe the client's facial expressions for pain and discomfort.
Evaluate the client's ability to adjust the voltage to control pain.
D.
The oncology nurse has the knowledge and experience with the use of a transcutaneous electrical nerve
stimulation (TENS) unit for chronic pain relief, so the nurse should evaluate the client's skill in effectively
controlling the pain by adjusting the voltage.
The nurse is providing postoperative instructions for a female client after a mastectomy. Which
information should the nurse include in the teaching plan? (Select all that apply.)
Select all that apply
Empty surgical drains once a week using procedure gloves.
Report inflammation of the incision site or the affected arm.
Wear clothing with snug sleeves over the arm on the operative side.
Avoid lifting more than 4.5 kg (10 lb) or reaching above her head.
B, D
,In planning care for a client with an acute stroke resulting in right-sided hemiplegia, which positioning
should the nurse should use to maintain optimal functioning?
Mid-Fowler's with knees supported.
Supine with trochanter rolls to the hips.
Sim's position alternated with right lateral position q2 hours.
Left lateral, supine, brief periods on the right side, and prone.
D.
After an acute stroke, a positioning and turning schedule that minimizes lying on the affected side,
which can impair circulation and cause pain, and includes the prone position to help prevent flexion
contractures of the hips, prepares the client for optimal functioning and ambulating.
The nurse is assessing a middle-aged male client for risk factors related to chronic illness. Which finding
should the nurse assess further?
Thinning hair and dry scalp.
Increase in appetite and taste-bud acuity.
Increase in muscle tone but decreased muscle strength.
, Increase in abdominal fat deposits.
D.
Development of metabolic syndrome!
What is the priority nursing action while caring for a client on a ventilator when an electrical fire occurs
in the intensive care unit?
Tell another staff member to bring extinguishing equipment to the bedside.
Close the doors to the client's area when attempting to extinguish the fire.
Use a bag-valve-mask resuscitator while removing the client from the area.
Implement an emergency protocol to remove the client from the ventilator.
C.
A client on a ventilator should have respirations maintained with a manual bag-valve-mask resuscitator
while being moved away from the oxygen wall outlet and fire source.
The nurse is caring for a client with end stage liver disease who is being assessed for the presence of
asterixis. To assess the client for asterixis, what position should the nurse ask the client to demonstrate?
Extend the left arm laterally with the left palm upward.
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