NURSING > EXAM > HESI TEST BANK COMPREHENSIVE EXIT 2020 (1).,WELL EXPLAINED. (All)

HESI TEST BANK COMPREHENSIVE EXIT 2020 (1).,WELL EXPLAINED.

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1. Chinese-American patient going in for emergency surgery within 24 hours - interpreter 2. Infant with normal vitals, axillary temp low - place under warmer 3. Baby - protect the sac and place on abdomen 4. Osteoarthritis - vitamin C? 5. DM pump - pt needs to know how to calibrate and work bolus 6. Mother gives pt iron with 2 oz. orange juice - tell mother she did it correctly 7. Increased BMI - waist circumference 8. PTSD - put pt in a room away from stimulus 9. PTSD - show pt where the quiet room is when they first arrive 10. Antabuse - no alcohol for 12 hours prior to beginning the medication 11. Which wound would nurse assess first - laceration 12. Pt crying about miscarriage - give tissue let her sit quietly 13. Pt in employee health for routine hypertension, states he wants to kill coworker - see if pt has a weapon 14. Women pregnant and smoking - go to help group for emotional support 15. NMS - check vital signs 16. Left heart failure - fatigue 17. To determine if pt is on one-to-one - if they’re going into other pt’s rooms 18. Pt on steroids asks why they need sliding scale - steroids and infection increase sugars 19. Lasix - check electrolytes 20. Glomerulonephritis - reduce sodium intake and no excess water consumption 21. Bulk laxative - drink additional water after taking medication 22. Pt ambulating in hallway - HR stable before and after 23. “Activity intolerance” outcome - pt ambulates without discomfort 24. HR increased 20 at 2 hour checks - look for cause of increased HR 25. Unilateral knee replacement pain - PCA pump 26. SATA iron - spinach option, beans option 27. Pregnancy women priority dx - r/o injury r/t uterine atony 28. Pitocin after delivery - promote uterine contractions 29. Diabetes with shiny legs - check pedal pulse 30. Evisceration - sterile saline and gauze 31. Isotonic solution - clean without tissue damage 32. NG tube with intermittent low suction - damp cotton swab in pt’s mouth 33. Broca’s area - give pt extra time for expression 34. Pt with HIV value indicates likely to develop infection - CD4+ 35. Palpating BP - inflate to 120 (+30 from where pulse stop) 36. RLQ with N/V, what do you do last - palpate 37. Subjective response for pt with orthopnea - sleeps on 3 pillows at night 38. Anorexic pt wants to work in cafeteria - recommend they work as receptionist 39. Math - 1.7 40. Math - 0.5 41. Math - 300 42. Math - 3L for 6.6lbs 43. Enlarged thyroid - request diagnostic tests 44. Shaking hands to grab water - intention tremor 45. Pt with yellow skin on Tylenol - notify provider 46. Woman with facial movements - check AIMS test 47. Pt has tongue protruding - check chart for baseline 48. Tetracycline - stay away from the sun 49. Mucinex (guaifenesin) - COPD with productive cough 50. Guaiac stool - hematocrit decreased 51. Ulcer venous vs. arterial - look at location and characteristics 52. Kick count - count for hour and if you miscount eat a small meal and do it again 53. Cyanosis - take respiratory rate 54. Pneumonia and left upper lobe sound - diminished breath sounds 55. Pt states scared for surgery - what concerns do you have about the operation? 56. Pt with AIDS just delivered baby - make sure baby gets medication within 6 hours 57. Inhaler - breathe in slowly when pressing down 58. Episiotomy - assess perineum and check episiotomy 59. Shingles - ask if pt’s spouse ever had chicken pox 60. Pt with severe anxiety - remove them from group 61. Psych pt with concern of food being poisoned - give meals in unopened containers 62. Pt prescribed medication - assess if he has other health problems that would cause side effects 63. Coping - what has worked previously 64. Worry with NSAID - chronic alcoholism 65. Pt undergoing abdominal surgery, hx of alcohol and substance abuse - concerned for wound healing 66. Normal finding - ribs and sternum 45 degree angle 67. Questions about advance directive-attorney 68. Assess LOC- alertness

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