While caring for a client with full thickness burns covering 40% of the body, the nurse
observes purulent drainage from the wounds. Before reporting the finding, what is the
best lab value to evaluate? - CORRECT ANSWER Neutrophil count- The patient is
experiencing infection, so a nurse should...
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BSN 266 HESI V2 2024 QUESTIONS WITH CORRECT
ANSWERS ALREADY PASSED AND VERIFIED
While caring for a client with full thickness burns covering 40% of the body, the nurse
observes purulent drainage from the wounds. Before reporting the finding, what is the
best lab value to evaluate? - CORRECT ANSWER Neutrophil count- The patient is
experiencing infection, so a nurse should review the neutrophil count before contacting
the HCP.
An older woman who experienced a cerebrovascular accident (CVA) has difficulty with
visual perception and she only eats half of the food on her meal tray. Her family
expresses concern about her nutritional status. How should the nurse respond to the
family's concern? - CORRECT ANSWER Demonstrate the use of visual scanning
during meals to the client and family.
Best position for respiratory distress? - CORRECT ANSWER High Fowler's
Position- High fowlers helps to decrease venous return, which decreases fluid volume in
the heart that results in decreased cardiac workload.
A patient with peripheral artery disease has marked peripheral neuropath. An appropriate
nursing diagnosis for the patient is - CORRECT ANSWER High risk for injury
Type 2 diabetes patient discharge teaching patient and family - CORRECT ANSWER
Check feet every day for cuts or injuries.
Plan of care for patient with skin lesions of lower extremities with possible MRSA.
SATA - CORRECT ANSWER Institute Contact precautions for staff and visitors
Send wound drainage for culture and sensitivity
, BSN 266 HESI V2 2024 QUESTIONS WITH CORRECT
ANSWERS ALREADY PASSED AND VERIFIED
Monitor the clients WBC count
A patient with acute anterior wall MI 1 week ago is given low-dose aspirin. The
medication is related to which problem and HCP should be notified? - CORRECT
ANSWER Hematemesis- - Contact HCP if blood is visible in body fluids such as
hematemesis.
For a patient with SLE exacerbation what is the most important to report which
Before selecting a medication to administer, which action should the nurse implement in
the post-op patient who reports incisional pain and has 2 PRN analgesia available in
MAR? - CORRECT ANSWER Rate of pain on a scale from 0-10.
Patient had bariatric surgery 2 months ago who developed post-op strictures who is
experiencing nausea and vomiting and anorexia who is admitted for fluid resuscitation.
Which intervention should the nurse implement? - CORRECT ANSWER Keep
patient NPO- Patient should be kept NPO until procedure is successfully completed. The
patient should not take anything by mouth.
Acute Kidney Injury due to aminoglycoside antibiotic moved from oliguric phase to the
diuretic phase. Which parameters are most important to monitor? - CORRECT
ANSWER Vital sign changes and ECGs- Priority parameters are vital sign changes
related to hypovolemia and ECG changes due to serum electrolyte loss, which can be life
threatening.
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