HESI HEALTH

The nurse is assessing a newborn infant. How should the nurse measure the heart rate (HR)? Palpate the radial pulse for 15 seconds and multiply by four. Palpate the brachial pulse for 30 seconds and multiply by two. Auscultate the apical site for 60 seconds. Apply a pulse oximeter to obtain both the HR and SpO2. (Ans- C A 28-year-old is brought to the emergency department. He is disoriented and hallucinating, and vital signs are elevated. The nurse suspects that the patient is experienc...

The RN is caring for a client with acute pancreatitis and assesses the admission laboratory results. What laboratory value should the RN anticipate being elevated with this diagnosis? (Ans- Amylase Question: A client who uses ipratropium reports having nausea, blurred vision, headaches, and insomnia after using the inhaler. Which action should the RN implement first? (AnsWithhold medication and report symptoms and vital signs to healthcare provider - these are symptoms of excessive use...

A client is being assessed upon admission to the medical-surgical unit. The nurse is preparing to complete a head-to-toe assessment and will begin at the head of the client. Which technique should the nurse use to begin the assessment? A. Inspect the hair and skin. B. Palpate the temperature of the skin. C. Percuss for tenderness. D. Auscultate the temporal arteries. (Ans- A. Inspect the hair and skin. The nurse observes peristaltic movement in the left lower quadrant of a client's ...

The RN is caring for a client who has a closed head injury from a motor vehicle collision. Which finding should the RN assess the client for the risk of diabetes insipidus? (Ans- Polydipsia A male client is admitted after falling from his bed. The HCP tells the family that he has an incomplete fracture of the humerus. The family ask the RN what this means. Which type of fracture should the RN explain from these findings? (Ans- A fracture that bends or splinters part of the bone The RN i...