Cephalgia (Headache) is one of the most common symptoms of a neurologic disorder. The nurse is caring for a client with herpes zoster. A client undergoes extracorporeal shock wave lithotripsy. A nurse is administering moderate sedation to a client with chronic obstructive pulmonary disease (COPD). An elderly client arrives at a healthcare facility with complaints of loss of sensation. The Glasgow coma scale (GCS) is commonly used as a broad indicator of the severity of brain injury. Which measures should the nurse employ when caring for this client? Hand hygiene is needed after contact with objects near the client. After teaching a patient scheduled for ambulatory surgery using moderate sedation, the nurse determines that the patient has understood the teaching based on which of the following statements? A nurse is caring for a child who has pertussis. the client returns to the icu after surgery intubated and mechanically ventilated with a salem sump nasogastric tube, a foley catheter, and a picc line in place. What is the priority action by the scrub nurse when the surgeon begins to close the surgical wound? The nurse reviews principles of infection prevention during yearly safety training. Get the client out of bed and ambulate to a bedside chair. Meningitis is diagnosed based on a general neurologic examination that includes two special neurologic signs: Electroencephalography records the brain's electrical impulses as a graph. Nursing> HESI > 2022 HESI EXIT EXAM V2 160 Questions And Correct Answers. The client is approximately 24hr postoperative and describes the pain as "severe". The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. A nurse is caring for a 55-year-old client with a left-sided stroke. Which action by the nurse is appropriate? Select all that apply. $$ Huntington's disease is a chronic, progressive, hereditary condition in which brain cells in the basal ganglia prematurely die. The compressed air enters this $2.5-\mathrm{cm}$ diameter fitting at $1.6 \mathrm{~MPa}$ and $40^{\circ} \mathrm{C}$ with a velocity of $50 \mathrm{~m} / \mathrm{s}$. How should the nurse respond? AKA Spinal tap, involves the insertion of a hollow needle with a stylet (guide) into the subarachnoid space of the lumbar region of the spinal canal. a. The nurse advises the patient with chronic pyelonephritis that he should: A woman comes to her health care provider's office with signs and symptoms of kidney stones. The potential effects of prior medication therapy must be evaluated before surgery. Apply a topical corticosteroid ointment to the affected area. In gathering information for the client, which urinary diversion would the nurse select? When collecting the client's vital signs, the nurse notes her rectal temperature to be 103.1F (39.5C). A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and palate. Which would be considered significant blood exposures by occupational health? a nurse is caring for a 55-year-old postoperative client. (Assume that neither the passenger nor the cab rebounds.) Assume the variables x = 5, y = 6, and z = 8. This nurse also has another client today who has an upper respiratory infection. A nurse is caring for an infant who has a tracheoesophageal fistula. The client is receiving 0.9% normal saline at 75 mL/h, has a nasogastric tube to low wall suction with 200 mL every 8 hours of light yellow fluid, and a wound drain with 50 mL of dark red drainage every 8 hours. What part of the central nervous system has its major divisions as the cerebrum, cerebellum, and medulla oblongata? The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. The nurse working with a patient after an ileal conduit notices that the pouching system is leaking small amounts of urine. Which of the following statements by the parent indicates an understanding of the teaching? 2. Review the scenario and respond to the following. (B) Small, stagnant pools do not provide enough water to dilute ammonia, which is toxic. A nurse is caring for a child who has suspected appendicitis. Cause is unknown. What action does the nurse take to ensure that the saline used is sterile? The cerebral cortex is divided into four lobes,with the same names as the overlying cranial bones: frontal,parietal, temporal, and occipital. The nurse is providing care to a client with Lyme disease. $$ Which would be the nurses' best action? Which nursing intervention is the most important? After reviewing the image, what is the most important step for the nurse to take? A. What measures would the nurse take to protect against spreading infection while overseeing the transport of this client? Which measure should the nurse use to prevent foot drop in this client? The primary reason for this vaccine is: it is a vaccine given to booster antibodies towards the tetanus pathogen. Which of the following should be the primary medical management goal? 1. The nurse is caring for a client who is scheduled for the creation of an ileal conduit. A mental health practitioner should be involved in the client's care to: a) assess whether the client is a good candidate for surgery. D. It is not necessary to worry about complications of immobility on the first postoperative day. Which of the following is the most common symptom of bladder cancer? A nurse is caring for a school-aged child who has a systemic disorder and is receiving antibiotics, immunosuppresants, and corticosteroids. Air flowing at 40 kPa, 210 K, and a Mach number of 3.4 impinges on a two-dimensional wedge of half-angle $8^{\circ}.$ Determine the two possible oblique shock angles, $\beta_{\text {weak}}$ and $\beta_{\text {wrong}}$ that could be formed by this wedge. The nurse should suspect which of the following conditions? The nurse should anticipate providing which of the following types of fluid? What is the best response by the nurse? Following a splenectomy, a client has a hemoglobin (Hb) level of 7.5 g/dl and has vertigo when getting out of bed. Julie S Snyder, Linda Lilley, Shelly Collins. The nurse understands that which part of the brain is responsible for the client's condition? The health care provider is concerned with the symptom he finds because it is considered diagnostic for bladder cancer. A major goal when caring for a catheterized patient is to prevent infection. The nurse states that she was exposed to a client's blood and that she was not wearing any PPE. What related complication should the nurse be aware of? Apply a nonparticulate (N-95) respirator when entering the room. The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. A new scrub technician is being oriented to the operating room. A nurse is caring for a client who is diagnosed with increased intracranial pressure (ICP). A 17-year-old client is having same-day surgery. "As we age, our immune system does not function as well.". use of antibiotics in clients with viral infection. Which finding requires priority action? A healthcare provider performs the LP under strict sterile procedure. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. B. A client for whom transmission-based precautions are required is experiencing sensory deprivation. A client in the emergency department waiting room is showing signs of respiratory symptoms. Which statement about neonatal development is accurate? How should a nurse teach a patient to perform deep breathing and coughing to use postoperatively? Select all that apply. The friend of a long-term care client comes to visit despite having an upper respiratory infection. A client has been admitted to the hospital with signs and symptoms that are characteristic of pulmonary tuberculosis and a STAT chest x-ray has been ordered. A nurse is working with a client with an infectious disease that requires the nurse to wear a particulate air filter respirator. The patient is scheduled to receive epidural anesthesia. Which of the following clients should the nurse place in the same room with this child? The nurse is caring for a client who became very ill after ingesting seafood. Before providing preoperative and postoperative instructions to the client, nurse Gail asks the surgeon which prostatectomy procedure will be done. Another objective of postoperative care is to assist patients in taking responsibility for regaining optimum health. Which technique is recommended by infection control practice standards for hand hygiene? d) The magma had abundant dissolved gas. C restriction enzymes. What type of problems can this client have because of their anxiety and fear? A 12-year-old is being hospitalized for pneumonia. The nurse is caring for a postoperative client who develops evisceration of the abdominal incision. The nurse observes clear fluid leaking from the nose. The nurse should be. Facilitate a portable x-ray in the client's room rather than transporting the client. The nurse witnesses a client having a tonic-clonic seizure in the bed. The client's mother insists that the client receive treatment. Which of the following responses should the nurse make? The vagus nerve a much larger portion of the body than the others. During routine assessment, the nurse notes the previously stable client now appears anxious, apprehensive, and has a blood pressure of 90/56. This action supports, among other things, infection prevention. The appropriate nursing intervention is to do which of the following? The nurse overhears the physician instructing the client on the presence of a stoma with temporary pouch. While assessing the client, the nurse notes that the bag attached to the mask is deflated. For each case, calculate the pressure and Mach number downstream of the oblique shock. A nurse is caring for a client with a neurologic problem who has been advised to have an electroencephalogram (EEG). During the collision at the bottom of the elevator shaft, a 90 kilogram passenger is stopped in $5.0\text{~ ms}$. A patient is in the operating room for surgery. A young adult client arrives at the community clinic with reports of changes in eating habits. Adult Health - Gastrointestinal. The mother states her older child has just been diagnosed with chickenpox. A nurse is providing health promotion teaching to the parents of an infant. What does the nurse consider is the most likely cause of the client's change in condition? She reports the need to urinate and cannot do so. What is the priority action by the nurse? The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. Which of the following clinical manifestations exhibited by the client would indicate the goal was met of avoiding injury? Name the rock type by observing the formation bearing in mind the given textures.\ 55. The nurse is caring for a postoperative client who has a Kock pouch. Which surgical team member would be most helpful in addressing the client's concern? What is this special bed mostly used for? What is the nurse's best response? A nurse is caring for a child who is admitted with suspected acute appendicitis. What area does the nurse know needs to be addressed before the client is taken to the operating room? The students demonstrate understanding of the information when they identify which cell as important in synthesizing immunoglobulins? In which case is this practice contraindicated? Which of the following actions should the nurse take? A client is undergoing thoracic surgery. The nurse knows what to be true of fever in young children? Which of the following instructions should the nurse give to the parent? The nurse is caring for a client during an intra operative procedure. The nurses are collecting the contaminated material as per the double-bagging method. Which of the following would be appropriate for the nurse to include in the teaching plan? A nurse is assisting a neurosurgeon in performing positron emission tomography. A. A client with cancer has been receiving chemotherapy for the past few weeks. $$. What is an implication of this assessment finding? The nurse's postoperative plan of care should include which of the following? Offer the family member a mask, explaining its use. Which of the following is the best response by the nurse? Neurons make up a nerve. Ibuprofen (Advil) is prescribed for a client. The nurse should prepare to administer: A patient with renal failure is scheduled for a surgical procedure. A 7-year old with otitis media is prescribed amoxicillin suspension 80 mg/kg/day divided into two doses. A client is administered succinylcholine and propofol for induction of anesthesia. Which steps must be followed when using the double-bagging method? What action should the nurse take? Which of the following activities are nursing activities in the preoperative phase of care? A 30-year-old man is currently in the preoperative holding area on call for his tympanoplasty (eardrum reconstruction) that will be performed this morning. The nurse cannot auscultate bowel sounds and notes the client's abdomen is rigid. Upon review of a client's microbiology culture results, the nurse recognizes which organism as indicative of normal flora? An 11-year-old client is admitted to the healthcare facility with loss of sensation, generalized weakness of the extremities, and impaired bowel and bladder function. A client with a T6 injury reports a pounding headache, blurred vision, and nasal congestion. A nurse is caring for a client with multiple sclerosis (MS). Select all that apply. The nurse takes the opportunity to teach the family member about preventing the spread of the cold. A nurse has finished providing care for a client who is on contact precautions. B. What is the best action by the nurse? Which of the following actions should the nurse take? A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. Utilize a powered air, purifying respirator (PAPR). What information should the nurse provide the client and family regarding the use of an EEG? The physician tentatively diagnoses right ureterolithiasis (renal calculi). The nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. D. Administer prednisone on an alternate-day schedule. Question: A nurse is caring for a 9-year-old client who is immediately postoperative. The thalamus integrates sensations, thus the person perceives a whole experience, rather than individual impulses. The nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client's nostril. You know that this client's anxiety can cause problems with the surgical experience. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Move the bed to various places in the room or periodically rearrange the furnishings in the room. The nurse notices the client is tearful and constantly wringing their hands. Vanilla pudding = contains milk and should not be . Which of the following findings should the nurse expect the client to manifest with acute lead poisoning? The provider prescribes restraints. A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. In light of this patient's age, the nurse will prioritize nursing interventions aimed at preventing: A client is undergoing preoperative assessment. A child is admitted with a suspected diagnosis of Wilm's tumor. When assessing vital signs, which result indicates a need to alert the anesthesiologist immediately? Con sider a hypot hetic al case in which the charge on a proton is twice that of an electron. \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HIO}_3 The nurse is caring for a client with a colostomy pouch. What statement made by the client demonstrated understanding of the education? The nurse is educating a client with human immunodeficiency virus (HIV) about ways the virus can be transmitted. Which precaution should the nurse follow when administering medication to a client in isolation? Which statement by the client indicates the need for further teaching by the nurse? When the nurse's hands are visibly soiled. What portion of the brain would the student review? (autonomic hyperreflexia) an exaggerated response to stimuli below the level of the lesion in the clients with lesions at or above T6, medical emergency that requires prompt treatment. When is the ideal time to discuss preoperative teaching. Which of the following actions should the nurse take? (A) Urea takes less energy to synthesize than ammonia. A nurse is assessing a toddler who has suspected lead poisoning. Which of the following is a characteristic of a normal stoma? The total distance between stations is $900 \mathrm{~m}$. Select all the nursing actions that apply. Which of the following findings should the nurse expect? Morphine 6 mg IV bolus every 4 hours PRN is prescribed. A nurse is caring for a client who is taking phenytoin (Dilantin) for control of seizures. Select the stage during which the OR nurse knows not to touch the patient (except for safety reasons) because of possible uncontrolled movements. Medulla passes through the foramen magnum (great hole) in the occipital region of the skull; it lies just below the pons and rests on the floor of the skull. Nursing care planning and management for patients who underwent appendectomy includes: preventing complications, promoting comfort, and providing information. An 83-year-old resident of an extended-care home has begun displaying uncharacteristic confusion over the past 48 hours and is suspected to have a new infection. "Alcohol-based hand rub provides the greatest reduction in microbial counts on the skin.". Is an x-ray study of any blood vessel. b. The nurse is caring for the client 36 hours after the client's admission and identifies the client's potassium level of 6.0 mEq/L (6.0 mmol/L). The nurse assesses the incision and notes evisceration. Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first?
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