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HESI 100% Answered correctly 2023
Within liver cells, glycogen can be decomposed to yield glucose. For this process to occur, which substance must also be present? glucagon and epinephrine... [Show More] At which phase of meiosis does crossing over occur? Prophase 1 Which cellular process results in the formation of sugar from carbon dioxide? Calvin cycle What is the name for the small, tail-like projection from the cellular membrane that is used for locomotion? Flagella Which word refers to the lowest region of the spinal cord? Lumbar The Phalynx is a(n) bone The dermis is classified s a(n) organ Upper motor neurons originate in which area of the body? Motor area of the cerebral hemispheres Where are the pressoreceptors and chemoreceptors (specialized sensory nerves that assist with the regulation of circulation and respiration) located? Carotid Body Where are the baroreceptors located? Aorta Which sturcture is an example of a long bone? metatarsal Which structure is divided into four lobes? liver Eye movement and papillary reflexes originate in which part of the central nervous system? Midbrain Which vessel transports blood from the lung to the heart? Pulmonary vein What does the word 'pulmonary' mean? lungs Venous refers to which part of the body system? Circulation What is the primary sympathetic neurohormone? norepinephrine An improper balance between calcium and which substance can adversely affect the growth of healthy bone tissue? phosphorus The function of the pulmonary veins is to carry ________________? oxygenated blood to the left atrium What substance causes extreme dilation of arterioles and capillaries, stagnating blood flow within the tissues and leading to profound shock? Histamine What is the expected pH of the stomach? 0.90 to 1.50 What mineral is responsible for muscle contraction? Calcium Bile is secreted into which organ? Small intestines What is the function of glucocorticoids that are secreted from the adrenal cortex? carbohydrate, protein, and fat metabolism What does parathyroid hormone regulate? Calcium What is the function of aldosterone? Conserves sodium in the body What is the function of the baroreceptors? Decrease heart rate Which nerve is responsible for regulating the amount of light entering the eye? oculomotor nerve What components of the blood helps maintain glomerular oncotic pressure at a normal level of 33mm Hg, which in turn keeps a large amount of water from escaping the capillary? Protein Segments of a polypeptide chain can coil or fold as a result of hydrogen bonds, adding to a protein's structural conformation. What is this structure called? Secondary structure What is the concentration of 58.5g of a NaCl in 2L of solution (atomic weights of each element are as follows: Na=23g/mol, CL=35/5 g/mol0? 0.5 mol NaCl What is the correct electron configuration for neon? Is22s22p6 What is the ground state electron configuration for zinc? Is22s22s63s23p64s23d10 What is a benefit of water's ability to make hydrogen bonds? High specific heat What is the weakest of all the intermolecular forces? Dispersion What is the correct name of MgSo4? Magnesium sulfate What is the correct formula for magnesium chloride? MgCl2 Phenolphthalein changes from colorless to pink in basic solutions. At what pH value would the solution remain colorless? 8.4 How could water be boiled at room temperature? Lower the pressure Iodine and carbon dioxide undergo sublimation at room temperature and atmospheric pressure. What is this process? Changing from a solid to a gas A catalyst increases the rate of reaction by ___________. lowering the activation energy Redox reactions are those that occur with a transfer of electrons. What would cause an increase in the oxidation number? Oxidation An experiment is performed to measure the temperature of boiling water at sea level. The actual boiling point in 100C. The data taken during the experiment show values of 104.6C, 104.5C, and 104C. What term best describes these data? Precise Chemical reactions in living systems preceed along catabolic pathways, and there tends to be an increase in _______/ entropy A diploid germ cell containing 72 chromosomes undergoes meiosis. How many chromosomes will be in each gamete? 36 What is the primary purpose of the flagella on the surface of cells? Movement of the cell What process is responsible for actively transporting small particles across the cell membrane? Pinocytosis What is the primary cause of water molecules moving into or out of the cell? Water molecule pressure gradient along the cell membrane Why is DNA important for metabolic activities of the cell? Controls synthesis of enzymes Which outcome measure would most likely indicate that a sample of water contains acid? pH Which structure is the primary "control center" for cellular activities? Nucleus. [Show Less]
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Hesi Entrance Exam Question and Answers 2023
What mineral is responsible for muscle contractions? Calcium Which of the the following locations would the urinary bladder and internal reproducti... [Show More] ve organs be found? Pelvic cavity What separates the thoracic cavity from the abdominal cavity? Diaphragm A tissue examined under the microscope exhibits the following characteristics: cells found on internal surface of stomach, no extracellular matrix, cells tall and thin, no blood vessels in the tissue. What type of tissue is this? Epithelial Nerve tissue is composed of neuron and connective tissue cells that are referred to as which of the following? Neuroglia Which tissue serves as the framework of the body by providing support and structure for the organs? Connective What is the basic unit of life and the building block of tissues and organs? Cell Which type of cell division takes place in the gonads? Meiosis In what area of the body would you expect to find and especially thick stratum corneum? Heel of the foot What are the glands of the skin that produce a thin, watery secretion? Eccrine glands Skin aids in maintaining the calcium and phosphate levels of the body by participating in the production of which of the following? Vitamin D Which of the following are functions of the skeletal system? Support the body, hemopoiesis, provide protection The orthopedic surgeon informs you that you have broken the middle region of the humerus. What is he describing? Diaphysis You have been given a sample of tissue that has open spaces partially filled by an assemblage of needlelike structures. What is the tissue? Spongy bone The only moveable bone in the skull is? Mandible Which mineral is responsible for regulating fluid in the body? Magnesium Why are the skeletal muscles also called voluntary muscles? They are under conscious control. All actions of the nervous system depend on the transmission of nerve impulses over ______. Neurons Motor or _____ neurons transmit nerve impulses away from the CNS. Efferent Jeffery has contracted bulbar poliomyelitis, and it has affected the medulla oblongata. The doctors warned the family that his condition is grave and death may be imminent. What functions of the medulla oblongata have warranted such a dire prognosis? The medulla oblongata contains vital centers that control heart action, blood vessel diameter, and respiration. What are chemical messengers that control growth, differentiation,and the metabolism of specific target cells called? Hormones Which of the following are tropic hormones? Somatotropin, follicle-stimulating hormone, thyroid-stimulating hormone. Which leukocytes are correctly matched with their function or description? Monocytes - become macrophages, lymphocytes - important in immune response, neurophils - phagocytize micro organisms. The heart has an intrinsic beat that is initiated by which of the following? Sinoatrial node Vasodilation and vasoconstriction result from which of the following ? Relaxation and contraction of the smooth muscle in the arterial wall. Which of the following is the blood vessels where exchanges take place between blood and the cells of the body Capillary What is the exchange of gases between the atmosphere and the blood through the alveoli called? External respiration In order for inhalation to occur, what must happen? Contraction of the diaphragm, which enlarges the chest cavity and draws air into the lungs. Most of the carbon dioxide in the blood does what? It is converted to bicarbonate ions. How does the trachea remain open like a hollow tube? Supporting cartilaginous rings keep it open. The stomach muscle churns and mixes the food, turning the mass into soupy substance called? Chyme What is the function of aldosterone? It conserves sodium in the body. All the nutrients that enter the hepatic portal vein are routed where for decontamination? Liver Which are the functional units of the kidney? Nephrons What are the two functions of the male and female sex organs? Production of gametes and production of hormones. In men, spermatozoa develop within the ________ of the testis Seminiferous tubules Testicular activity is under the control of which hormones? Both FSH and LH Which hormone initiates the preparation of the endometrium of the uterus for pregnancy? Estrogen During pregnancy, what organ produces the hormones that maintain the endometrium and prepare the breasts for milk production? Placenta What is the role of progesterone in the female reproductive system? Stimulates the development of the endometrium. What does the parathyroid hormone regulate? Calcium Where are the pressoreceptors and chemoreceptors (specialized sensory nerves that assist with the regulation of circulation and respiration) located? Carotid body You have been given a sample of tissue that has pillar shaped cells arranged tightly together. The tissue you have is: Columnar epithelium [Show Less]
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Evolve HESI Updated Correct Questions and Answer 2023
The healthcare provider prescribes morphine sulfate 4mg IM STAT. Morphine comes in 8 mg per ml. How many ml should the nurse administer? 0.5 ml. A ... [Show More] hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but feels fine now. What action is best for the nurse to take? After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube. (Coughing, vomiting, and suctioning can precipitate displacement of the small bore upward into the esophagus. This will help check tube placement.) A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to the unit at 1300. What is the best intervention for the nurse to implement? Give the missed dose at 1300 and change the schedule to administer daily at 1300. A client who is in hospice care complains of increasing amounts of pain. The healthcare provider prescribes an analgesic every four hours as needed. Which action should the nurse implement? Give an around-the-clock schedule for administration of analgesics. After completing an assessment and determining that a client has a problem, which action should the nurse perform next? determine the etiology of the problem What is the most important reason for starting intravenous infusions in the upper extremities rather than the lower extremities of adults? A decreased flow rate could result in the formation of a thrombosis. The nurse notices that the mother of a 9-year-old Vietnamese child always looks at the floor when she talks to the nurse. What action should the nurse take? Continue asking the mother questions about the child. Which intervention is most important for the nurse to implement for a male client who is experiencing urinary retention? Assess for bladder distention. A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the nurse have for planning care in terms of the client's beliefs? Blood transfusions are forbidden. While instructing a male client's wife in the performance of passive range-of-motion exercises to his contracted shoulder, the nurse observes that she is holding his arm above and below the elbow. What nursing action should the nurse implement? Acknowledge that she is supporting the arm correctly. An elderly male client who is unresponsive following a cerebral vascular accident (CVA) is receiving bolus enteral feedings though a gastrostomy tube. What is the best client position for administration of the bolus tube feedings? Fowler's. An adult male client with a history of hypertension tells the nurse that he is tired of taking antihypertensive medications and is going to try spiritual meditation instead. What should be the nurse's first response? It is important that you continue your medication while learning to meditate. A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives from the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the IVPB dose over 20 minutes. For how many ml/hr should the infusion pump be set to deliver the secondary infusion? 150 The nurse is completing a mental assessment for a client who is demonstrating slow thought processes, personality changes, and emotional lability. Which area of the brain controls these neuro-cognitive functions? Frontal lobe A client is receiving a cephalosporin antibiotic IV and complains of pain and irritation at the infusion site. The nurse observes erythema, swelling, and a red streak along the vessel above the IV access site. Which action should the nurse take at this time? Initiate an alternate site for the IV infusion of the medication. A female client asks the nurse to find someone who can translate into her native language her concerns about a treatment. Which action should the nurse take? Request and document the name of the certified translator. A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a fracture resulting from a fall. In reviewing hip precautions with the client, which instruction should the nurse include in this client's teaching plan? Place a pillow between your knees while lying in bed to prevent hip dislocation. An elderly resident of a long-term care facility is no longer able to perform self-care and is becoming progressively weaker. The resident previously requested that no resuscitative efforts be performed, and the family requests hospice care. What action should the nurse implement first? Notify the healthcare provider of the family's request. A young mother of three children complains of increased anxiety during her annual physical exam. What information should the nurse obtain first? Nutritional history. The nurse prepares a 1,000 ml IV of 5% dextrose and water to be infused over 8 hours. The infusion set delivers 10 drops per milliliter. The nurse should regulate the IV to administer approximately how many drops per minute? 21 Three days following surgery, a male client observes his colostomy for the first time. He becomes quite upset and tells the nurse that it is much bigger than he expected. What is the best response by the nurse? Instruct the client that the stoma will become smaller when the initial swelling diminishes. (Postoperative swelling causes enlargement of the stoma. The nurse can teach the client that the stoma will become smaller when the swelling is diminished. This will help reduce the anxiety and promote colostomy acceptance.) The healthcare provider prescribes furosemide (Lasix) 15 mg IV stat. On hand is Lasix 20 mg/2 ml. How many milliliters should the nurse administer? 1.5ml Which assessment data would provide the most accurate determination of proper placement of a nasogastric tube? Examining a chest x-ray obtained after the tubing was inserted. The nurse mixes 50 mg of Nipride in 250 ml of D5W and plans to administer the solution at a rate of 5 mcg/kg/min to a client weighing 182 pounds. Using a drip factor of 60 gtt/ml, how many drops per minute should the client receive? 124 gtt/min. At the time of the first dressing change, the client refuses to look at her mastectomy incision. The nurse tells the client that the incision is healing well, but the client refuses to talk about it. What would be an appropriate response to this client's silence? It is OK if you don't want to talk about your surgery. I will be available when you are ready. (It displays sensitivity and understanding without judging the patient) Examination of a client complaining of itching on his right arm reveals a rash made up of multiple flat areas of redness ranging from pinpoint to 0.5 cm in diameter. How should the nurse record this finding? Localized red rash comprised of flat areas, pinpoint to 0.5 cm in diameter. The nurse is teaching a client with numerous allergies how to avoid allergens. Which instruction should be included in this teaching plan? Avoid any types of sprays, powders, and perfumes. A client with pneumonia has a decrease in oxygen saturation from 94% to 88% while ambulating. Based on these findings, which intervention should the nurse implement first? Assist the ambulating client back to the bed. The nurse is teaching a client proper use of an inhaler. When should the client administer the inhaler-delivered medication to demonstrate correct use of the inhaler? During the inhalation The nurse is instructing a client with high cholesterol about diet and life style modification. What comment from the client indicates that the teaching has been effective? I will limit my intake of beef to 4 ounces per week. When assessing a client with wrist restraints, the nurse observes that the fingers on the right hand are blue. What action should the nurse implement first? Loosen the right wrist restraint. A male client being discharged with a prescription for the bronchodilator theophylline tells the nurse that he understands he is to take three doses of the medication each day. Since, at the time of discharge, timed-release capsules are not available, which dosing schedule should the nurse advise the client to follow? 8 a.m., 4 p.m., and midnight. (Theophylline should be administered on a regular around-the-clock schedule. 8,4 and midnight provide the best bronchodilating effect and reduce the potential for adverse effects.) An IV infusion terbutaline sulfate 5 mg in 500 ml of D5W, is infusing at a rate of 30 mcg/min prescribed for a client in premature labor. How many ml/hr should the nurse set the infusion pump? 180 180ml/hr = 500 ml/5mg x 1mg/1000mcg x 30 mcg/min x 60min/hr An elderly client who requires frequent monitoring fell and fractured a hip. Which nurse is at greatest risk for a malpractice judgment? The nurse who transferred the client to the chair when the fall occurred. The nurse witnesses the signature of a client who has signed an informed consent. Which statement best explains this nursing responsibility? The client voluntarily signed the form. The nurse is administering medications through a nasogastric tube (NGT) which is connected to suction. After ensuring correct tube placement, what action should the nurse take next? Flush the tube with water. An obese male client discusses with the nurse his plans to begin a long-term weight loss regimen. In addition to dietary changes, he plans to begin an intensive aerobic exercise program 3 to 4 times a week and to take stress management classes. After praising the client for his decision, which instruction is most important for the nurse to provide? Be sure to have a complete physical examination before beginning your planned exercise program. (The most important teaching is that the client will not begin a dangerous level of exercise when he is not sufficiently fit. This might result in chest pain, an MI, or stroke.) When assisting an 82-year-old client to ambulate, it is important for the nurse to realize that the center of gravity for an elderly person is the upper torso (Stooped posture results in the upper torso becoming center of gravity.) Which nutritional assessment data should the nurse collect to best reflect total muscle mass in an adolescent? upper arm circumference During a visit to the outpatient clinic, the nurse assesses a client with severe osteoarthritis using a goniometer. Which finding should the nurse expect to measure? Degree of flexion and extension of the client's knee joint. A client who is 5' 5" tall and weighs 200 pounds is scheduled for surgery the next day. What question is most important for the nurse to include during the preoperative assessment? What vitamin and mineral supplements do you take? (Vitamin and mineral supplements may impact medications used during the procedure.) An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the client's nursing care? Gently lift the client when moving into a desired position. During a physical assessment, a female client begins to cry. Which action is best for the nurse to take? Acknowledge the client's distress and tell her it is all right to cry. Which action is most important for the nurse to implement when donning sterile gloves? Keep gloved hands above the elbows. The nurse is evaluating client learning about a low-sodium diet. Selection of which meal would indicate to the nurse that this client understands the dietary restrictions? Skim milk, turkey salad, roll, and vanilla ice cream. (considered low sodium foods.) An unlicensed assistive personnel (UAP) places a client in a left lateral position prior to administering a soap suds enema. Which instruction should the nurse provide the UAP? Reposition in a Sim's position with the client's weight on the anterior ilium. An African-American grandmother tells the nurse that her 4-year-old grandson is suffering with "miseries." Based on this statement, which focused assessment should the nurse conduct? Inquire about the source and type of pain A postoperative client will need to perform daily dressing changes after discharge. Which outcome statement best demonstrates the client's readiness to manage his wound care after discharge? The client demonstrates the wound care procedure correctly. The nurse assigns a UAP to obtain vital signs from a very anxious client. What instructions should the nurse give the UAP? Report the results of the vital signs to the nurse. The nurse observes an unlicensed assistive personnel (UAP) taking a client's blood pressure with a cuff that is too small, but the blood pressure reading obtained is within the client's usual range. What action is most important for the nurse to implement? Reassess the client's blood pressure using a larger cuff. The healthcare provider prescribes the diuretic metolazone (Zaroxolyn) 7.5 mg PO. Zaroxolyn is available in 5 mg tablets. How much should the nurse plan to 1½ tablets A client with acute hemorrhagic anemia is to receive four units of packed RBCs (red blood cells) as rapidly as possible. Which intervention is most important for the nurse to implement? Ensure the accuracy of the blood type match. The nurse notices that the Hispanic parents of a toddler who returns from surgery offer the child only the broth that comes on the clear liquid tray. Other liquids, including gelatin, popsicles, and juices, remain untouched. What explanation is most appropriate for this behavior? Hot remedies restore balance after surgery, which is considered a "cold" condition. A client's infusion of normal saline infiltrated earlier today, and approximately 500 ml of saline infused into the subcutaneous tissue. The client is now complaining of excruciating arm pain and demanding "stronger pain medications." What initial action is most important for the nurse to take? Measure the pulse volume and capillary refill distal to the infiltration. (Pain and diminished pulse volume are signs of compartment syndrome, which can progress to complete loss of the peripheral pulse in the extremity.) A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse assesses that there has been no drainage through the nasogastric tube in the last two hours. What action should the nurse take first? Reposition the client on her side (The immediate priority is to determine if the tube is functioning correctly, which would then relieve the nausea. Repositioning is the least invasive.) The nurse is assessing the nutritional status of several clients. Which client has the greatest nutritional need for additional intake of protein? A lactating woman nursing her 3-day-old infant. In developing a plan of care for a client with dementia, the nurse should remember that confusion in the elderly often follows relocation to new surroundings. The nurse observes that a male client has removed the covering from an ice pack applied to his knee. What action should the nurse take first? Observe the appearance of the skin under the ice pack. (The first action taken by the nurse should be to assess the skin for any possible thermal injury) A client with chronic renal failure selects a scrambled egg for his breakfast. What action should the nurse take? Commend the client for selecting a high biologic value protein. (Foods such as eggs and milk are high in biologic proteins which are allowed because they are complete proteins and supply the essential amino acids necessary growth and cellular repair.) When conducting an admission assessment, the nurse should ask the client about the use of complimentary healing practices. Which statement is accurate regarding the use of these practices? Many complimentary healing practices can be used in conjunction with conventional practices. An elderly male client who suffered a cerebral vascular accident is receiving tube feedings via a gastrostomy tube. The nurse knows that the best position for this client during administration of the feedings is Fowler's. Heparin 20,000 units in 500 ml D5W at 50 ml/hour has been infusing for 5½ hours. How much heparin has the client received? 11,000 units Which snack food is best for the nurse to provide a client with myasthenia gravis who is at risk for altered nutritional status? Chocolate pudding. (A patient with MG is at high risk for altered nutrition because of fatigue and muscle weakness resulting in dysphagia. Snacks that are semisolid are easy to swallow and require minimal chewing and provide calories and protein.) The nurse is performing nasotracheal suctioning. After suctioning the client's trachea for fifteen seconds, large amounts of thick yellow secretions return. What action should the nurse implement next? Re-oxygenate the client before attempting to suction again. (Suctioning should not be done for longer than 10 to 15 sec., since patient's oxygenation is compromised during this time.) When evaluating a client's plan of care, the nurse determines that a desired outcome was not achieved. Which action will the nurse implement first? Note which actions were not implemented. (First the nurse should review which actions in the original plan were not implemented in order to determine why the original plan did not produce the desired outcome.) Twenty minutes after beginning a heat application, the client states that the heating pad no longer feels warm enough. What is the best response by the nurse? The body's receptors adapt over time as they are exposed to heat. (describes thermal adaptation) A male client tells the nurse that he does not know where he is or what year it is. What data should the nurse document that is most accurate? is disoriented to place and time. Seconal 0.1 gram PRN at bedtime is prescribed to a client for rest. The scored tablets are labeled grain 1.5 per tablet. How many tablets should the nurse plan to administer? 1 tab The healthcare provider prescribes 1,000 ml of Ringer's Lactate with 30 Units of Pitocin to run in over 4 hours for a client who has just delivered a 10 pound infant by cesarean section. The tubing has been changed to a 20 gtt/ml administration set. The nurse plans to set the flow rate at how many gtt/min? 83 gtt/min. During the initial morning assessment, a male client denies dysuria but reports that his urine appears dark amber. Which intervention should the nurse implement? Encourage additional oral intake of juices and water The nurse is caring for a client who is receiving 24-hour total parenteral nutrition (TPN) via a central line at 54 ml/hr. When initially assessing the client, the nurse notes that the TPN solution has run out and the next TPN solution is not available. What immediate action should the nurse take? Infuse 10 percent dextrose and water at 54 ml/hr. (TPN is discontinued gradually to allow patient to adjust to decreased levels of glucose. Administering 10% dextrose in water at the prescribed rate, it will keep the patient from experiencing hypoglycemia until the next TPN is available.) A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over 4 hours. At what rate should the nurse set the client's intravenous infusion pump? 63 ml/hour. The UAPs working on a chronic neuro unit ask the nurse to help them determine the safest way to transfer an elderly client with left-sided weakness from the bed to the chair. What method describes the correct transfer procedure for this client? Move the chair parallel to the right side of the bed, and stand the client on the right foot. On admission, a client presents a signed living will that includes a Do Not Resuscitate (DNR) prescription. When the client stops breathing, the nurse performs cardiopulmonary resuscitation (CPR) and successfully revives the client. What legal issues could be brought against the nurse? ) Battery Civil laws protect individual rights and include intentional torts, such as assault (an intentional threat to engage in harmful contact with another) or battery (unwanted touching). Performing any procedure against the client's wishes can potentially poise a legal issue, such as battery (B), even if the procedure is of questionable benefit to the client. (A, C, and D) are not examples against the client's request A resident in a skilled nursing facility for short-term rehabilitation after a hip replacement tells the nurse, "I don't want any more blood taken for those useless tests." Which narrative documentation should the nurse enter in the client's medical record? Healthcare provider notified of client's refusal to have blood specimens collected for testing. At the beginning of the shift, the nurse assesses a client who is admitted from the post-anesthesia care unit (PACU). When should the nurse document the client's findings? Immediately after the assessments are completed. An Arab-American woman, who is a devout traditional Muslim, lives with her married son's family, which includes several adult children and their children. What is the best plan to obtain consent for surgery for this client? D) Tell the surgeon that the son will decide after explanation of the proposed surgery is provided. Traditional Muslim women live in a patriarchal family where decisions are made by men. Most likely, the son will make the decision for his mother, so Which response by a client with a nursing diagnosis of Spiritual distress, indicates to the nurse that a desired outcome measure has been met? Accepts that punishment from God is not related to illness Acceptance that she is not being punished by God indicates a desired outcome During shift change report, the nurse receives report that a client has abnormal heart sounds. Which placement of the stethoscope should the nurse use to hear the client's heart sounds? Use the stethoscope bell over the valvular areas of the anterior chest Abnormal heart sounds are best heard with the bell of the stethoscope, which picks up lower-pitched sounds, that is placed at points on the anterior chest A nurse is preparing to give medications through a nasogastric feeding tube. Which nursing action should prevent complications during administration? A) Mix each medication individually Medications should be mixed separately (A) to prevent clumping. During the admission interview, which technique is most efficient for the nurse to use when obtaining information about signs and symptoms of a client's primary health problem? Closed-ended questions Lay descriptors of health problems can be vague and nonspecific. To efficiently obtain specific information, the nurse should use closed-ended questions (C) that focus on common signs and symptoms about a client's health problem An older client who is a resident in a long term care facility has been bedridden for a week. Which finding should the nurse identify as a client risk factor for pressure ulcers? Rashes in the axillary, groin, and skin fold regions Immobility, constant contact with bed clothing, and excessive heat and moisture in areas where air flow is limited contributes to bacterial and fungal growth, which increases the risk for rashes A client who has been NPO for 3 days is receiving an infusion of D5W 0.45 normal saline (NS) with potassium chloride (KCl) 20 mEq at 83 ml/hour. The client's eight-hour urine output is 400 ml, blood urea nitrogen (BUN) is 15 mg/dl, lungs are clear bilaterally, serum glucose is 120 mg/dl, and the serum potassium is 3.7 mEq/L. Which action is most important for the nurse to implement? Document in the medical record that these normal findings are expected outcomes The results are all within normal range.(C) No changes are needed. What action should the nurse implement when accessing an implanted infusion port for a client who receives long term IV medications? Insert a Huber-point needle into the port An implanted infusion port needs to be accessed using a Huber-point needle (B) (non-coring) to be prevent damage to the self-sealing septum of the port. During the daily nursing assessment, a client begins to cry and states that the majority of family and friends have stopped calling and visiting. What action should the nurse take? Listen and show interest as the client expresses these feelings When a client begins to cry and express feelings, a therapeutic nursing intervention is to listen and show interest as the client expresses feelings The nurse plans to obtain health assessment information from a primary source. Which option is a primary source for the completion of the health assessment? Client A primary source of information for a health assessment is the client (A). (B, C, and D) are considered secondary sources about the client's health history, but other details, such as subjective data, can only be provided directly from the client. The nurse is using a genogram while conducting a client's health assessment and past medical history. What information should the genogram provide? Genetic and familial health disorders A genogram that is used during the health assessment process identifies genetic and familial health disorders (A). It may not identify the client's chronic health problems A Sub-Saharan African widowed immigrant woman lives with her deceased husband's brother and his family, which includes the brother-in-law's children and the widow's adult children. Each family member speaks fluent English. Surgery was recommended for the client. What is the best plan to obtain consent for surgery for this client? Tell the surgeon that the brother-in-law will decide after explanation of the proposed surgery is provided to him and the widow. The healthcare provider prescribes an IV infusion of 1,000 ml of Ringer's lactate with 30 Units of Pitocin to run in over 4 hours for a client who has just delivered a 10 lb infant by cesarian section. The tubing has been changed to a 20 gtt/ml administration set. The nurse plans to set the flow rate at how many gtt/min? 83 gtt/min gtt/min = 20 gtt/ml x 1000ml/4hrs x 1hr/60 min = 83gtt/min Which assessment data provides the most accurate determination of proper placement of a nasogastric tube? Examining a chest x-ray obtained after the tubing was inserted. (This is THE BEST indicator that the tubing is properly placed. aspirating gastric contents and hearing air pass in the stomach after injecting air into tubing are both ways to check but not the best.) During a shift change report, the nurse receives report that a client has abnormal heart sounds. Which placement of the stethoscope should the nurse use to hear the patient's heart sound? Use the stethoscope bell over the valvular areas of the anterior chest. (Abnormal heart sounds are best heard with the bell of the stethoscope, which picks up lower-pitched sounds, that is placed at points on the anterior chest.) Secobarbital 150 mg is prescribed at bedtime for a male client who is schedule for surgery in the morning. The scored tablets are labeled 0.1 gram/tablet. How many tablets should the nurse administer? 1.5 [Show Less]
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