HESI PN EXIT EXAM V3 NGN QUESTIONS AND ANSWERS BEST EXAM SOLUTION GUARANTEED SUCCESS LATEST UPDATE 2023/2024 RATED A+
An adult client
... [Show More] experiences a gasoline tank fire when riding a motorcycle and is admitted to the emergency department (ED) with full thickness burns to all surfaces of both lower extremities. What percentage of body surface area should the nurse document in the electronic medical record (EMR)?
•9 %
•18 %
•36 %
•45 %
•Rational: according to the rule of nines, the anterior and posterior surfaces of one lower extremity is designated as 18 %of total body surface area (TBSA), so both extremities equals 36% TBSA, other options are incorrect.
The nurse is preparing a 4-day-old I infant with a serum bilirubin level of 19 mg/dl (325 micromol/L) for discharge from the hospital. When teaching the parents about home phototherapy, which instruction should the nurse include in the discharge teaching plan?
•Reposition the infant every 2 hours.
•Perform diaper changes under the light.
•Feed the infant every 4 hours.
•Cover with a receiving blanket.
•Rational: An infant, who is receiving phototherapy for hyperbilirubinemia, should be repositioned every two hours. The position changes ensure that the phototherapy lights reach all of the body surface areas. Bathing, feedings, and diaper changes are ways for the parents to bond with the infant, and can occur away from the treatment. Feedings need to occur more frequently than every 4 hours to prevent dehydration. The infant should wear only a diaper so that the skin is exposed to the phototherapy.
A 13 years-old client with non-union of a comminuted fracture of the tibia is admitted with osteomyelitis. The healthcare provider collects home aspirate specimens for culture and sensitivity and applies a cast to the adolescent’s lower leg. What action should the nurse implement next?
•Administer antiemetic agents
•Bivalve the cast for distal compromise
•Provide high- calorie, high-protein diet
•Begin parenteral antibiotic therapy
•Rationale: The standard of treatment for osteomyelitis is antibiotic therapy and immobilization. After bond and blood aspirate specimens are obtained for culture and sensitivity, the nurse should initiate parenteral antibiotics as prescribed.
The nurse is preparing a community education program on osteoporosis. Which instruction is helpful in preventing bone loss and promoting bone formation?
•Recommend weigh bearing physical activity
A client with a history of chronic pain requests a nonopioid analgesic. The client is alert but has difficulty describing the exact nature and location of the pain to the nurse. What action should the nurse implement next?
•Administer the analgesic as requested
A male client receives a thrombolytic medication following a myocardial infarction. When the client has a bowel movement, what action should the nurse implement?
•Send stool sample to the lab for a guaiac test
•Observe stool for a day-colored appearance.
•Obtain specimen for culture and sensitivity analysis
•Asses for fatty yellow streaks in the client’s stool. [Show Less]