HESI quiz week six

The nurse is teaching first aid to a group of community members. A participant asks what first aid should be administered, after calling 911, to a person who suffers extensive burns. Which response by the nurse is best?

"Cover the burned areas with a bed sheet; this provides protection." A bed sheet is not fuzzy and is nonadhering and will provide protection. Ice can cause additional tissue damage. Cream is difficult to remove and may result in additional damage. Doing nothing does not meet the individual's immediate needs.

WHAT IS THE CAUSE OF CHERRY ANGINOMA?

BENIGN PROLIFERATION OF CAPILLARIES

A client with burns tells the nurse that the primary healthcare provider stated that skin grafts would be required. The client asks when the procedure will be performed. Which response by the nurse is most appropriate initially?

"Tell me what your primary healthcare provider said about the graft procedure."

A client with minor facial deformities who is undergoing plastic surgery tells the nurse "I need this surgery so my partner will find me attractive." What would be the most appropriate response given by the nurse?

"The surgery may include complications."

A client diagnosed with Paget's disease is prescribed zoledronic acid. Which assessments should be performed before initiating therapy? Select all that apply.

(2) SERUM CREATININE, DENTAL EXAMINATION

A client reports nasal discharge, sneezing, lacrimation, and itching all over the body. During an assessment, the client reports that he or she was exposed to dust and molds. The nurse observes swelling and a pink color at the itching site. Which class of drugs is best used to treat this condition in the client?

ANTIHISTAMINES

A nurse is reviewing the treatment charts of four clients. Which treatment chart needs revision?

An anterior cruciate ligament (ACL) tear is a traumatic tearing of a ligament by deceleration forces to the legs and knees. Client D, who has an ACL tear, is treated with physical therapy, rehabilitation, and a knee brace. Ice compresses may not completely relieve the client's pain, and the pain may be elevated upon performing balancing exercises. Inflammation along the anterior aspect of the calf from periostitis due to improper shoes is known as shin splints. Client A, who has shin splints, can be treated with rest, cool ice compresses, proper shoes, and a gradual increase in activity. A tear within a muscle or in the tendinoligamentous structures around the shoulder is known as a rotator cuff tear. Client B, who has a rotator cuff tear, should be treated with gradual mobilization with a range-of-motion (ROM) and strengthening exercises. A ligament injury indicates tearing and stretching of a ligament. Client C, who has a ligament injury, must rest adequately and protect the affected extremity by using a brace.

The registered nurse is evaluating the actions of a nursing student who is providing care to a client with compartment syndrome. Which action of the nursing student does the registered nurse think needs correction? Select all that apply.

Applying cold compress, evaluating the extremity above heart level.

An adolescent child who has sustained full-thickness burns is to undergo skin grafting. The nurse explains to the child's parents that the child will need what for permanent grafts?

Autografts

The registered nurse is supervising a student nurse while palpating the skin of a client. Which action made by the student nurse indicates the need for further teaching?

CORRECT 2 1 Using gloves to examine non-intact skin Correct2 Assessing the temperature of the client with cold hands 3 Washing hands thoroughly before and after palpating the skin 4 Rubbing the finger against the skin surface to determine scaling

The nurse is caring for four clients who are prescribed to undergo tests for reproductive system assessment. Which client's prescribed test needs revision?

Client B

A client is admitted to the emergency unit after a fire. The nurse initiates continuous cardiac monitoring and maintains oxygen saturation and end-tidal carbon dioxide. Which type of emergency assessment is being performed?

FOCUSED ADJUNCTS

Which sexually transmitted disease is associated with the image illustrated below? (RED BLISTER ON TOE)

Gonorrhea

An 18-year-old client with stage I seminoma underwent chemotherapy. What adverse effects of chemotherapy should the nurse inform the client about? Select all that apply.

Metabolic syndrome Cardiovascular disease

Which clinical manifestation is associated with the skin disorder present in the client?

Nodular lesion topped with a crust or central area of ulceration

A client is suspected of having rabies after being bitten by a raccoon. Which clinical indicators should the nurse assess in the client? Select all that apply.

Nuchal rigidity, pharyngeal spasm

A client is admitted to the hospital with numbness of the hands and feet, which has progressed upward and now involves the arms, legs, and lower trunk. The client tells the nurse that approximately two weeks ago, the client experienced 48 hours of chills, fever, and upper respiratory congestion. A tentative diagnosis of Guillain-Barré syndrome is made. The nurse assesses for what major clinical manifestations of the syndrome?

Paresthesias and paralysis

A nurse is assessing a client with a diagnosis of psoriasis. Which clinical findings should the nurse expect to observe? Select all that apply.

Reddened papules, scaly lesions

A primary healthcare provider tells a client that vitamin E is important for healthier skin. Which foods should the nurse recommend?

Seeds and peanut butter

The nurse reviews the data of four clients. Which client is at a high risk of Stevens-Johnson syndrome?

Client C 100 mg/day lamotrigine initial dose With an initial dose of 100 mg/day lamotrigine, client C is at a high risk for developing Stevens-Johnson syndrome, which an integumentary side effect of the drug lamotrigine. To minimize the risk of a serious rash, the dosage should be low (roughly 25 to 50 mg/day). Lithium is not associated with any side effects related to Stevens-Johnson syndrome.

The nurse is assessing four clients with syphilis. Which client is suspected to be in the last stage of syphilis?

Client D, Gummas on the skin

A client has undergone hypophysectomy. Which action would the nurse consider to be most appropriate during postoperative care to prevent a cerebrospinal fluid (CSF) leak?

Correct1 Prohibiting coughing or sneezing