Hesi Remediation cause i'm a fkin idiot

An older adult client with postherpetic neuralgia reports deep tissue pain. Which skin infection does the nurse expect to observe in the client's electronic medical record?

Herpes zoster

Which factor may contribute to a client developing urinary calculi?

History of hyperparathyroidism

client with chronic venous insufficiency has ankle edema. Which action would the nurse take?

Elevate the legs

The nurse is caring for a client who had a hip replacement 2 days prior. Which nursing intervention would the nurse perform next?

Provide perineal care

Which intervention would the nurse offer the client to help relieve the symptoms of sinusitis?

Saline irrigation

Which information indicates a nursing student's accurate understanding about skeletal muscles?

Skeletal muscle accounts for about half of a human being's body weight

Which type of debridement would the health care provider schedule for a client who requires removal of large amounts nonviable tissue, quickly?

Surgical debridement

A client admitted with severe burns, obesity, and with preexisting respiratory problems is at risk for which complication?

Venous thromboembolism

The nurse provides education to a client with myasthenia gravis about how to prevent myasthenic crisis. Which client statement indicates to the nurse that the teaching was effective?

"I should tell the health care provider if I'm increasing my physical activity."

Which statement best describes the American Nurses Association (ANA) Code of Ethics?

A document that identifies the goals and values and sets forth the philosophy of the nursing profession.

Which emergency response team helps set up shelters for victims who lost their homes due to a disaster?

American Red Cross

Which action would the nurse take when observing that a postsurgical client has a urine output of 800 mL total in the first 24 hours after surgery?

Document the normal finding Normal is 800ml - 1500 ml

A client is scheduled for a kidney ultrasound. Which instructions would be given by the nurse? Select all that apply. One, some, or all responses may be correct.

Drink plenty of fluids. Do not urinate before the examination." "Lie flat and perfectly still during the test.

Which skin color change would the nurse expect to see if a client with dark skin develops cyanosis?

Gray

While assessing a client, the nurse observes solar lentigines on the face and back of the hands. What changes in the skin would the nurse suspect to be the reason for the client's symptoms?

Increased focal melanocytes in the basal layer with pigment accumulation

Which intervention related to post-cerebrovascular accident (CVA, also known as a "brain attack") urinary incontinence would the nurse include in the client's plan of care?

Institute measures to prevent constipation Do not use a catheter, should use least invasive first.

Which groups may be activated by state and federal government authorities to assist during a flooding situation that results from a hurricane? Select all that apply.

National Guard American Red Cross Medical Reserve Corps Public health departments

Which actions would the nurse expect to take for a client who has compartment syndrome? Select all that apply. One, some, or all responses may be correct

Assisting with splitting the cast Monitoring urine output Evaluating pain using a pain scale

Non-weight bearing with crutches has been prescribed for a client with a leg injury. Which activity would the nurse would teach the client to prepare for crutch walking?

Exercise the triceps, finger flexors, and elbow extensors.

A client with an acute exacerbation of rheumatoid arthritis is in severe pain and tells the nurse, "The only time I am pain free is when I lie perfectly still." Which complication would the nurse explain that could be prevented by daily exercise?

Shortening of the muscles

Which clinical indicators would the nurse expect for a client who has end-stage renal disease (ESRD)? Select all that apply. One, some, or all responses may be correct.

Azotemia Hypertension

The nurse is caring for a client with a closed soft tissue injury. How would the nurse describe this injury?

Contusion

Which type of gauze and technique would the nurse use when changing the dressings on a client's hand that has deep partial-thickness burns?

Non-cotton-backed; placing a hand roll with fingers slightly flexed

What signs and symptoms exhibited by a cognitively-impaired client would prompt the nurse to assess the client for pain?

Obvious distractness and restlessness. Change in physical or emotional state. Facial expressions such as a furrowed brow.

Which interventions would the nurse perform while caring for an actively dying client? Select all that apply. One, some, or all responses may be correct.

Provide client and family reassurance Perform symptom management for the client

Which medication requires the nurse to monitor the client for signs of hyperkalemia?

Spironolactone

Which intervention would provide comfort to the client experiencing alcohol toxicity?

Stay with the client.

Which purpose would the nurse explain to a client as the reason for using Buck traction before surgery?

To immobilize the fracture

Which descriptions explain why medications behave differently in toddlers versus adults? Select all that apply. One, some, or all responses may be correct.

Gastric emptying is slowed in children. Medications are more likely to enter the brains of children Glomerular filtration rate is lower in younger clients.

A client with cellulitis of the leg asks why bed rest has been prescribed to prevent sepsis. Which response by the nurse would be the best explanation to give to the client?

"Bed rest limits muscle contractions that may force bacteria into the bloodstream."

Which statements made by the nurse indicate accurate awareness about the conditions associated with hypothermia? Select all that apply. One, some, or all responses may be correct.

"Hypothermia can often be misdiagnosed because it mimics other disorders." "Near-drowning increases evaporative heat loss to 25 times greater than normal."

A client scheduled for a hemicolectomy because of a small lesion in the colon asks if having the procedure means that "I have to deal with one of those pouches and have bowel movements into the pouch." How would the nurse respond?

"No, only part of the colon is removed and the rest is reattached."

A client on hospice care is receiving palliative treatment. Which is the goal of palliative care for this client?

Relieve the client's discomfort.

Which clinical manifestation is indicative of the fluid and electrolyte imbalance associated with a parathyroidectomy?

Muscle spasms

The nurse is assessing a client for risk of falls. Which client behavior would be the most informative to the nurse?

The client is able to rise from a chair without using arms for support and walk 10 feet and turn around. Rationale: A client's ability to get up from a sitting position without using their arms for support and walk 10 feet and turn around would give the nurse an assessment of the client's balance, coordination and gait as they walked.

Which actions demonstrate the "analyticity" concept of a critical thinker? Select all that apply. One, some, or all responses may be correct.

The nurse uses evidence-based knowledge for clinical decision-making. Correct5 The nurse anticipates possible results or consequences in a given situation.

Which instruction would the nurse include in a teaching plan for a client who has a new colostomy and is learning how to care for the skin around the stoma?

Empty the pouch before it is one-third full.

Which disease increases the risk of hyperkalemia?

End-stage renal disease

The nurse is teaching a breast-feeding client about medications that are safe and unsafe for her to take. Which medication is contraindicated?

Antineoplastic medications like PTU

A client with a recent colostomy expresses concern about the inability to control the passage of gas. Which recommendation would the nurse make? 1

Avoid foods that in the past caused flatus.

hich physiological activity is associated with the "proliferative phase" of normal wound healing?

Epithelial cells grow over the granulation tissue

Which nursing actions are required when performing a transcutaneous electrical nerve stimulation (TENS) procedure with a client?

Instruct the client to adjust the intensity of TENS stimulation for pain relief. Ensure and review there is a healthcare provider's prescription for the TENS. Remove any hair or lotions from the skin where the electrodes are to be placed.

Which instruction would the nurse include in a teaching plan for a client with scleroderma skin care?

Keep the hands warm

Which action would the nurse take to prevent complications when caring for a client with a chest tube to water seal drainage system for a pneumothorax? Select all that apply. One, some, or all responses may be correct.

Marking the time on the drainage unit every shift

Which methods qualify as alternative therapies for pain? Select all that apply. One, some, or all responses may be c

Prayer Hypnosis Aromatherapy Guided imagery

After a transurethral resection of the prostate, the retention catheter is pulled taut and secured to the client's leg. The client reports a feeling of pressure and asks why this is necessary. Which rationale would the nurse include in a response to this question?

Prevents bleeding

Which element would the nurse teach the client with chronic kidney disease to limit as an intervention to control uremia associated with end-stage renal disease?

Protein

Which action would the nurse take when caring for a severely depressed client?

Sit down next to the client at frequent intervals

A client has terminal cancer after 7 years of chemotherapy and surgeries. The nurse enters the client's room and finds the client crying. Which is the correct intervention by the nurse?

Sit down quietly next to the bed and allow her or him to cry

Which action would the nurse take to increase countertraction for a client in Buck traction?

Use a slight Trendelenburg position.

Which recommendation is important for the nurse to include in a teaching program for a client who has been placed on a 2-gram sodium diet?

Use lemon juice to season meat

Which effect would the nurse monitor to evaluate the effectiveness of carbamazepine in the management of a client's trigeminal neuralgia?

pain intensity

Which personal protective equipment will the nurse plan to wear when providing central venous access device site care?

Mask and sterile gloves

A client who has smoked tobacco for many years has noticed lesions on the mouth and lips. Which condition would the nurse suspect?

Squamous cell carcinoma

A client who sustained burn injuries due to a fire and an explosion has a carbon monoxide level of 14%. Which pathophysiological risk is increased in the client?

Slight breathlessness

Which clinical findings indicate compromised circulation for a client with a long leg cast? Select all that apply. One, some, or all responses may be correct.

Swelling of the toes Prolonged capillary refill

Which condition would be associated with nonpitting edema over the tibia?

Endocrine imbalance Nonpitting edema occurs due to endocrine imbalance. Inflammatory response causes localized edema. Pitting edema occurs due to fluid and electrolyte imbalance and venous and cardiac insufficiency.

When auscultating a client's chest, the nurse hears swishing sounds of normal breathing. How would the nurse document this finding?

Vesicular breath sounds

Which action would the nurse implement when performing peritoneal dialysis for a client?

Warm the dialysate solution slightly before instillation

Which clinical finding would the nurse expect during the physical assessment of an infant with developmental dysplasia of the hip (DDH)?

Limited abduction of the affected hip

A client is admitted to the hospital after a motor vehicle accident with multiple abrasions and lacerations to the chest and all four extremities. Which food items would the nurse recommend the client to select for the upcoming meals?

Meatloaf and strawberries

The nurse should be familiar with which federal legislation that mandates the protection of client's personal health information?

The Health Insurance Portability and Accountability Act of 1996.

Which findings are consistent with hypercalcemia after prolonged immobility? Select all that apply. One, some, or all responses may be correct.

Bone pain Depressed deep tendon reflexes

1.

1. Assess: Has the skin recently been washed? Intervention: Wait 15 minutes after bathing before assessing axillary temperature to allow time for the skin temperature to normalize, or use a different method. 2. Assess: Is the axilla moist or diaphoretic? Intervention: Use the other arm; use a different method; or dry the axillary region with a towel, using a patting motion because perspiration causes inaccurate results. 3. Assess: Are lesions, wounds, skin irritations, or sores present? Intervention: Use the other axilla or use a different method because skin problems may raise temperature.

Which disorder would the nurse suspect in the client who has blue nail beds?

Cardiopulmonary disease

Which medications are useful to relieve pain associated with muscle spasms? Select all that apply. One, some, or all responses may be correct.

Carisoprodol Methocarbamol Cyclobenzaprine

A client reports disturbed sleep due to allergic pruritus. Which medication would help the client sleep and treat the allergic symptoms?

Chlorpheniramine is an antihistamine that helps manage allergic symptoms by preventing vasodilation and decreasing allergic symptoms. Sedation is a side effect of chlorpheniramine; therefore this medication is prescribed to clients experiencing sleep issues due to allergic symptoms. Cetirizine effectively blocks histamine from binding to receptors and has less sedating potential. Fexofenadine and desloratadine are also less sedating antihistamine medications.

A client who has renal failure asks the nurse why anemia keeps recurring. Which reason would the nurse explain to the client?

Decrease in erythropoietin

Twelve hours after sustaining full-thickness burns to the chest and thighs, a client who is on nothing-by-mouth status (NPO) is reporting severe thirst. The client's urinary output has been 60 mL/h for the past 10 hours. No bowel sounds are heard. Which action would the nurse take?

Moisten the client's lips with a wet 4 × 4 gauze

Which action is appropriate to include in the plan of care for a client who just had a subtotal thyroidectomy?

Observe for signs of tetany.

Which physiological responses would be present if a client suddenly experiences pain?

Tachycardia. Pupil dilation. Hypertension.

On the second day after surgery, a client reports pain in the right calf. Which action would the nurse take first?

Notify the primary health care provider

Which skin infection is treated with an intralesional injection?

Alopecia areata

Why would the nurse encourage continued health care supervision for a pregnant woman with pyelonephritis?

Antibiotic therapy should be administered until the urine is negative

Which instructions would be taught to a client who is diagnosed with psoriasis and is prescribed corticosteroids? Select all that apply. One, some, or all responses may be correct.

Apply the medication directly to the skin." "Apply the medication using warm or moist dressings."

When applying restraints, which action is most important for the nurse to take to prevent contractures?

Correct anatomical positioning where restraint is applied and is restricting movement.

Thick mucous gland secretions, elevated sweat electrolytes, meconium ileus, and difficulty maintaining and gaining weight are associated with which autosomal recessive disorder?

Cystic fibrosis

The laboratory results of a client with a pulmonary hemorrhage and glomerulonephritis reveal the presence of IgG antibodies. The nurse would be concerned about which type of hypersensitivity reaction?

Cytotoxic reaction

The nurse would assess a client with melanoma for which clinical finding?

Irregularly shaped, pigmented papule

A client receiving a hemodialysis treatment asks the nurse which substances are being removed. Which substance can the nurse report is being removed during hemodialysis?

Sodium

A client with severe hyperkalemia develops acidosis. Immediate administration of which medication can help prevent a life-threatening crisis?

Sodium bicarbonate

Which pressure change does the nurse determine to be the cause of edema for a client with albuminuria?

Decrease in plasma colloid oncotic pressure

A client has corrective surgery for a bladder laceration. Which nursing intervention takes priority during this client's postoperative period?

Turning frequently