2020/2021 HESI HEALTH ASSESSMENT NURSING RN V1 100 Questions With Correct Answers 100% Verified

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• The nurse has completed an assessment on a patient who came to the clinic for a leg injury. As a result of the assessment, the nurse has determined that the patient has at-risk alcohol use. Which ... action by the nurse is most appropriate at this time? State, “You are drinking more than is medically safe. I strongly recommend that you quit drinking, and I’m willing to help you.” • A patient is brought to the emergency department. He is restless, has dilated pupils, is sweating, has a runny nose and tearing eyes, and complains of muscle and joint pains. His girlfriend thinks he has influenza, but she became concerned when his temperature went up to 39.4° C. She admits that he has been a heavy drug user, but he has been trying to stop on his own. The nurse suspects that the patient is experiencing withdrawal symptoms from which substance? Heroin • Patient taking ipratropium reports nausea, blurred vision, has, insomnia after using the inhaler. RN action to implement - withhold med and report symptoms • A patient has suddenly developed shortness of breath and appears to be in significant respiratory distress. After calling the physician and placing the patient on oxygen, which of these actions is the best for the nurse to take when further assessing the patient? Bilaterally percuss the thorax, noting any differences in percussion tones. • The nurse is teaching a class on basic assessment skills. Which of these statements is true regarding the stethoscope and its use? Although the stethoscope does not magnify sound, it does block out extraneous room noise. • The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding the diaphragm of the stethoscope? The diaphragm: Is used to listen for high-pitched sounds. • Before auscultating the abdomen for the presence of bowel sounds on a patient, the nurse should: Check the temperature of the room, and offer blankets to the patient if he or she feels cold. • While measuring a patient’s blood pressure, the nurse recalls that certain factors, such as , help determine blood pressure. Peripheral vascular resistance • [Show More]

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