HESI EXIT RN EXAM 2022 V5 - REAL [160 Questions and answers] After placing a 36- week- gestation newborn in an isolette and drying the infant withseveral blankets, what should the nurse implemen... t next? - ANS Remove the wet blankets and linen from the isolette A client in the third trimester of pregnancy complains of frequent nasal stiffness and occasional nosebleeds. Her chest circumference has increased by 5 cm during the pregnancy, and she uses thoracic breathing. Her diaphragm is elevated and she has anincreased costal angle. Which intervention should the nurse implement? - ANS Record the respiratory finding in the clients chart as normal A terminally ill male hospice client who is at home is showing decreased awareness of his surroundings. His appetite is poor and he often refuses oral intake of solids and liquids. For the past several days he has been unable to get out of bed. Which action should the hospice nurse implement? - ANS Instruct family to offer client only soft blandfoods A woman was admitted yesterday afternoon with severe abdominal pain. Her pregnancytest and ultrasound were negative, so an exploratory laparotomy was completed during the night. When coffee ground materials is observed in the drainage from the nasogastric tube (NGT), which intervention should the nurse implement? - ANS Verify correct placement of the nasogastric tube The nurse is reviewing the laboratory values for a client with acute pancreatitis who reports of the abdominal pain is not as severe as it was on admission. Which laboratorytest should the nurse review to evaluate the clients clinical recovery? - ANS Lipase While assessing a client who had a laparotomy the previous day, the nurse notices that300 mL of dark red fluid has drained from the nasogastric tube in the last hour. Which action should the nurse take first? - ANS take vital signs The nurse is reviewing the recommended preventative care for clients with asthma, chronic bronchitis, and emphysema. Which health care measure is most important for the nurse to recommend to these clients? - ANS Avoid large crowded areas during thecolder months of the year The mother of a one-moth-old infant calls the clinic to report that the back of her infant'shead is flat. How should the nurse respond? - ANS Position the infant on the stomach occasionally when awake and active [Show More]
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