10/28/24, 5:45 AM 2024 Newest|HESI Health Assessment| COMPREHENSIVE MOST TESTED QUESTIONS AND VERIFIED SOLUTIONS|GE…
2024 Newest|HESI Health Assessment|
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Terms in this set (112)
Gamma globulin, which is an immune globulin,
contains most of the antibodies circulating in the
blood. When injected into an individual, it prevents a
What is gamma globulin
specific antigen from entering a host cell. So the
and when is it used?
antigen is neutralized by the antibodies gamma
globulin supplies. Used when a pt is exposed to
Hep A
,10/28/24, 5:45 AM 2024 Newest|HESI Health Assessment| COMPREHENSIVE MOST TESTED QUESTIONS AND VERIFIED SOLUTIONS|GE…
A nurse is obtaining a 1&3
health history from the
newly admitted client Why not others?? Physiological responses such as
who has chronic pain in elevated blood pressure and heart rate are most
the knee. What should likely to be absent in the client with chronic pain.
the nurse include in the Pain is a subjective experience, and therefore the
pain assessment? Select nurse has to ask the client directly instead of
all that apply. accepting the statement of the family members.
1
Pain history, including
location, intensity, and
quality of pain
2
Client's purposeful body
movement in arranging
the papers on the
bedside table
3
Pain pattern, including
precipitating and
alleviating factors
4
Vital signs, such as
increased blood pressure
and heart rate
5
The client's family
statement about
increases in pain with
ambulation
,10/28/24, 5:45 AM 2024 Newest|HESI Health Assessment| COMPREHENSIVE MOST TESTED QUESTIONS AND VERIFIED SOLUTIONS|GE…
stage I pressure ulcer- an area of persistent redness
with no break in skin integrity.
stage II pressure ulcer-partial-thickness wound with
skin loss involving the epidermis, dermis, or both;
the ulcer is superficial and may present as an
abrasion, blister, or shallow crater
stage III pressure ulcer- full-thickness tissue loss
Pressure Ulcers and
with visible subcutaneous fat. Bone, tendon, and
stages
muscle are not exposed.
stage IV- full thickness tissue loss with exposed
bone, tendon, muscle, bone (slough or eschar may
be present within wound bed)
unstageable- contains necrotic tissue, necrotic
tissue must be removed before the wound can be
staged.
While assessing a client's The use of hard soap and frequent bathing may
skin, a nurse notices that result in dry skin. A skin allergy may result in skin
the skin is dry. What is the rashes, but not dry skin. Using tanning pills and
probable etiology of the petroleum products may result in skin cancer.
condition? Select all that
apply.
The community nurse is Encourage the client to wear nonskid shoes.
assessing an elderly Suggest that the client use an assistive device.
client who lives alone at Help the client rearrange furniture in the house.
home. the client refrains
from physical activity for
fear of falling when
walking. Which
interventions by the
nurse are most beneficial
to promote a healthy
lifestyle?
, 10/28/24, 5:45 AM 2024 Newest|HESI Health Assessment| COMPREHENSIVE MOST TESTED QUESTIONS AND VERIFIED SOLUTIONS|GE…
Which features Nursing diagnoses involve (client participation) the
distinguish nursing client when possible.
diagnoses from medical Nursing diagnoses involve the sorting of health
diagnoses? Select all that problems within the nursing domain.
apply. Nursing diagnoses involve clinical judgment about
1 the client's response to health problems.
Nursing diagnoses WRONG ANSWER:
involve the client when Nursing diagnoses are based on results of
possible. diagnostic tests and procedures.
2 WRONG ANSWER:
Nursing diagnoses are Nursing diagnoses are the identification of a disease
based on results of condition in the client.
diagnostic tests and
procedures.
3
Nursing diagnoses are
the identification of a
disease condition in the
client.
4
Nursing diagnoses
involve the sorting of
health problems within
the nursing domain.
5
Nursing diagnoses
involve clinical judgment
about the client's
response to health
problems.
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