Hesi 3 Questions and Answers Rated A
In assessing a pressure ulcer on a client's hip, which action should the nurse include?
ADetermine the degree of elasticity surrounding the lesion
B.) Photograph the lesion with a
...
Hesi 3 Questions and Answers Rated A
In assessing a pressure ulcer on a client's hip, which action should the nurse include?
ADetermine the degree of elasticity surrounding the lesion
B.) Photograph the lesion with a ruler placed next to the lesion
C.)Stage the depth of the ulcer using the Braden numeric scale
D.)Use a gloved finger to palpate for tunneling around the lesion ✔✔B
A nurse is planning discharge care for a male client with metastatic cancer. The client tells the
nurse that he plans to return to work despite pain, fatigue, and impending death. Which goals is
most important to include in this client's plan of care?
A.)Implements decisions about future hospices services within the next 3 months.
B.)Marinating pain level below 4 when implementing outpatient pain clinic strategies.
C.)Request home health care if independence become compromised for 5 days.
D.)Arranges for short term counseling stressors impact work schedule for 2 weeks. ✔✔B
A client who had an open cholecystectomy two weeks ago comes to the emergency department
with complaints of nausea, abdominal distention, and pain. Which assessment should the nurse
implement?
A.)Auscultate all quadrant of the abdomen.
B.)Perform a digital rectal exam
C.)Palpate the liver and spleen
D.)Obtain a hemoccult of the client's stool ✔✔A
The nurse is caring for several clients on a telemetry unit. Which client should the nurse assess
first? The client who is demonstrating
A.)A paced rhythm with 100% capture after pacemaker replacement
B.)Normal sinus rhythm and complaining of chest pain
C.)Atrial fibrillation with congestive heart failure and complaining of fatigue
D.)Sinus tachycardia 3 days after a myocardial infarction ✔✔B
The nurse is evaluating the health teaching of a female client with condyloma acuminate. Which
statement by the client indicates that teaching has been effective?
A.)Early treatment is very effective
B.)I will clean my hot tub better
C.)These warts are caused by a fungus
D.)I need to have regular pap smears ✔✔D
A female client with severe renal impairment is receiving enoxaparin (lovenox) 30 mg SUBQ BID.
Which laboratory value due to enoxaparin should the nurse report to the healthcare provider?
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