HESI Health Assessment Nightingale College Fall 2023/24 ANSWERED
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HESI Health Assessment
HESI Health Assessment Nightingale College Fall 2023 Questions With Complete Solutions
A 29 year old male client informs the nurse that he came
to the clinic to see if, "Maybe Ihave lung cancer or
something," and wantsto get checked out since, "I can't
seem to get rid of this body-wracking dry ...
HESI Health Assessment Nightingale College Fall 2023/24 ANSWERED 1 1. A 29 year old male client informs the nurse that he came to the clinic to see if, "Maybe I have lung cancer or something," and wants to get checked out since, "I can't seem to get rid of this body -wracking dry cough that has been hanging around for the last six weeks." Which computer documentation of this client's concerns should the nurse en - ter? 2. A 75-year -old client with a recent history of a cerebrovascular accident (CVA) presents with right hemiparesis. The nurse tes ts the deep tendon reflexes on the right side and elicits a brisk 4+ response. Which interpre - tation of this finding is accurate? 3. The nurse examines a client's abdomen. Which finding indicates an abnormal re - sponse when palpating the spleen? 4. In auscultating for the presence of a carotid artery bruit, the nurse places the bell of the stethoscope at which location? Describe having a "body -wracking dry cough" of 6 weeks duration. Hyperactive response con - sistent with an upper motor neuron disorder. Firm mass palpated at bot - tom of left rib cage. Place bell of stethoscope over carotid artery 5. A male client arrives at the clinic for fol - low-up health assessment after recent an - tibiotic treatment for pneumonia without hospitalization. Which technique should the nurse implement to assess for adventitious lung sounds? 6. A client with streptococcus pharyngitis re- ports high fever, difficulty swallowing and Press the stethoscope's di - aphragm firmly on the skin over each lung field. Peritonsillar abscess. HESI Health Assessment Nightingale College Fall 2023/24 ANSWERED 2 a muffled voice. Which complication should the nurse suspect? 7. The nurse is obtaining a health history for a Ask specifically about al - client prior to a scheduled cholecystectomy. cohol, marijuana, cocaine, While interviewing the client, which assess - ment technique should the nurse use when asking about the client's use of illegal drugs and alcohol? 8. The nurse applies pressure over an area of the lower abdomen where the client reports pain. The client denies pain upon palpation, but reports pain when the pressure is re - leased. What action should the nurse imple - ment? 9. The nurse is assessing an ulcer on a client's lower extremity, which is lik ely the result of either venous or arterial insufficiency. Which assessment technique should the nurse use to differentiate the pathophysiology causing the ulcer? 10. A. What type of ulcer is this? Which patho - physiology? venous or arterial? 11. B. What type of ulcer is this? Which patho - physiology? venous or arterial? heroin, and amounts. Notify the healthcare provider of the rebound ten- derness. Observe the specific location and appearance of the ulcer - ation. Venous leg ulcers usually de- velop on the inner lower leg, above the medial malleolus. Arterial wounds occur most often on the foot, in be - tween or at the tips of the toes, at pressure points from foot wear, on the heels and around the lateral malleolus
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