2 HESI RN GRADED A+
1. A client is admitted with a medical diagnosis of addisonian crisis. When
completing the admission assessment, the nurse expects
... [Show More] this client to exhibit
which clinical manifestations?
Hypotension, rapid weak pulse, and rapid respiratory rate
2
A primipara with a breech presentation is in the transition phase pf labor. The
nurse visualizes the perineum and sees the umbilical cord extruding from the
introitus. In which position should the nurse place the client?
Supine with the foot of the bed raised
2. The nurse is developing a series of childbirth preparation classes for
primigravida women and their significant others. what is the priority expected
outcome for these classes?
Participants can identify at least three coping strategies to use during labor
3. Clinical portfolios are being introduced into the performance apprasial
process for the nurses employed at the hospital. What should the nurse-
manager request that each staff nurse include in the portfolio?
A self evaluation that identifies how the nurse has met professional objectives
and goals.
4. a work group is to be formed to determine a care map for a new surgical
intervention that is being conducted at the hospital. Which group is likely to
besot effective in developing the new care map? Multisicipilinary group
5. An older client who has been bedridden for a month is admitted with a
pressure ulcer on the left trochanter area. The nurse determines that the
ulcer extends into the subcutaneous tissue. At which stage should the nurse
document this finding?
Stage 3
6. When meeting with the client and the family, which nursing intervention
demonstrates the nurses role as collaborator of care?
Coordinating and educating about multidisciplinary services
7. A low potassium diet is prescribed for a client what foods should
the nurse try to avoid? Dried prunes
8. A client is admitted with a medical diagnosis of addisonian crisis. When
completing the admission assessment, the nurse expects this client to exhibit
which clinical manifestations?
Hypotension, rapid weak pulse, and rapid respiratory rate
9. The nurse plans to suction a male client. Who has just undergone right
pneumonectomy for cancer of the lung. Secretions can be seen around the
endotracheal tube and the nurse osculates rattling in the lungs. What safety
factors should the nurse consider when suctioning this client?
Use a sof t tip rubber suction catheter and avoid deep vigorous suctioning.
10. The nurse is conducting a drug to" w:von class for junior high school
students. Which statement, provided by one of the student participants, best
describes the primary characteristic of addiction? [Show Less]