Question

The nurse assesses a client with petechiae and ecchymosis scattered across the arms and legs. Which laboratory result should the nurse review?

Answer 1

Correct Answers:

Platelet count.

Rationale :

💎 Petechiae and ecchymosis are signs of bleeding or bruising, often due to thrombocytopenia (low platelet count).

💎 Platelets are essential for blood clotting, and low levels lead to spontaneous bleeding.

💎 Monitoring platelet levels helps identify risk for hemorrhage or underlying hematologic issues

💎 This assessment supports prompt intervention to prevent complications such as internal bleeding.

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Answer 2

Correct Answers:

Teach the importance of medication regimen and follow-up protocol.

Rationale :

⬖ Gonorrhea requires antibiotic treatment and retesting after therapy to confirm eradication.
⬖ Client education is critical for preventing reinfection and transmission to partners.
⬖ Teaching includes symptoms, follow-up testing, partner notification, and abstinence until cleared.
⬖ Effective communication ensures compliance and reduces STI complications.

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Answer 3

Correct Answers:

Irrigate the catheter manually.

Rationale :

⬗ Blood clots can block the catheter, leading to bladder distention and pain post-TURP.

⬗ Manual irrigation helps remove obstructive clots and restore continuous outflow.

⬗ Timely irrigation prevents complications like spasms or surgical disruption.

⬗ This is a priority nursing intervention in continuous bladder irrigation care.

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Answer 4

Correct Answers:

Topical corticosteroids.

Rationale :

⬘ Psoriasis is an inflammatory autoimmune condition that responds to anti-inflammatory treatment.

⬘ Topical corticosteroids reduce scaling, redness, itching, and plaque formation.

⬘ This is a first-line therapy for localized lesions and symptomatic relief.

⬘ Proper use improves skin condition and reduces symptom recurrence.

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Answer 5

Correct Answers:

Restrict protein intake by limiting meats and other high protein foods.

Rationale :

⬙ In glomerulonephritis, damaged kidneys can’t excrete excess protein waste, worsening renal load.

⬙ Protein restriction helps prevent buildup of urea and nitrogenous waste.

⬙ This dietary modification helps slow disease progression and preserve renal function.

⬙ It's part of the standard therapeutic approach in kidney disorders.

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Answer 6

Correct Answers:

Select another finger.

Rationale :

◈ A reddened and engorged fingertip may produce an inaccurate glucose result.

◈ This may be due to interstitial fluid contamination from excessive pressure.

◈ Choosing another finger ensures capillary blood accuracy for blood glucose monitoring.

◈ Proper technique improves diagnostic reliability and patient safety.

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Answer 7

Correct Answers:

The client's daily blood pressure will be less than 140/80 mm Hg this month

Rationale :

❖ A BP target of <140/80 mm Hg is recommended for individuals with cardiovascular disease.

❖ This goal reduces the risk of stroke, MI, and organ damage.

❖ Setting specific and measurable outcomes helps monitor progress and guide therapy.

❖ This goal supports effective care planning and motivates client adherence.

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Answer 8

Correct Answers:

Apply the client's positive airway pressure device

Rationale :

🔷 The client has obstructive sleep apnea (OSA), a condition that increases the risk of airway collapse during sleep.

🔷 Applying the CPAP or BiPAP device ensures airway patency and prevents hypoxia or apnea episodes.

🔷 This is more critical than simply elevating the bed or adjusting oral appliances.

🔷 Ensuring use of the airway pressure device before leaving the room is a priority safety measure.

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Answer 9

Correct Answers:

Using simulation activities.

Rationale :

🔷 Young adults benefit most from experiential learning, where they can actively engage in problem-solving.

🔷 Simulation promotes critical thinking, decision-making, and real-world application.

🔷 This method is superior to passive techniques like verbal analogies or physical demonstrations alone.

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Answer 10

Correct Answers:

Reassess the client and the level of pain.

Rationale :

🔷 If pain persists one hour after administering an oral analgesic, reassessment is necessary.

🔷 Pain may have worsened, or the medication might not be effective.

🔷 Ongoing pain needs to be reevaluated for safe and effective pain management planning

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RN-Hesi Medical Surgical

No.

1 :
The nurse assesses a client with petechiae and ecchymosis scattered across the arms and legs. Which laboratory result should the nurse review?

2 :
The nurse is caring for a client who tests positive for the sexually transmitted infection (STI) gonorrhea. The client reports having sex with someone who has many partners. Which response should the nurse provide?

4 :
A client with psoriasis returns to the clinic reporting the persistence of several silvery, scaly areas on the elbows and palms that frequently bum and sometimes bleed. Which prescription should the nurse teach the client to use for the skin condition?

5 :
The nurse is teaching a client with glomerulonephritis about self care. Which dietary recommendation should the nurse encourage the client to follow?

6 :
The nurse is obtaining a client's fingerstick glucose level. After gently milking the client's finger, the nurse observes that the distal tip of the finger appears reddened and engorged. Which action should the nurse take?

7 :
The nurse is developing a plan of care for a client who reports blurred vision and who is newly diagnosed with cardiovascular disease. Which outcome should the nurse include in the plan of care for this client?

8 :
The nurse is preparing to administer Tylenol to a client admitted with urination issues who also has difficulty sleeping (OSA). Which interaction is most important for the nurse to implement before leaving the client?

9 :
The nurse plans to encourage a group of young adult clients to engage in problem- solving strategies.
Which of the following is most useful for the nurse to include?

10 :
The nurse is providing postoperative care for a client who complains of severe pain after receiving codeine 30 mg orally one hour ago. Which intervention should the nurse implement next?

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RN-Hesi Medical Surgical

No.

1 : The nurse assesses a client with petechiae and ecchymosis scattered across the arms and legs. Which laboratory result should the nurse review?

2 : The nurse is caring for a client who tests positive for the sexually transmitted infection (STI) gonorrhea. The client reports having sex with someone who has many partners. Which response should the nurse provide?

4 : A client with psoriasis returns to the clinic reporting the persistence of several silvery, scaly areas on the elbows and palms that frequently bum and sometimes bleed. Which prescription should the nurse teach the client to use for the skin condition?

5 : The nurse is teaching a client with glomerulonephritis about self care. Which dietary recommendation should the nurse encourage the client to follow?

6 : The nurse is obtaining a client's fingerstick glucose level. After gently milking the client's finger, the nurse observes that the distal tip of the finger appears reddened and engorged. Which action should the nurse take?

7 : The nurse is developing a plan of care for a client who reports blurred vision and who is newly diagnosed with cardiovascular disease. Which outcome should the nurse include in the plan of care for this client?

8 : The nurse is preparing to administer Tylenol to a client admitted with urination issues who also has difficulty sleeping (OSA). Which interaction is most important for the nurse to implement before leaving the client?

9 : The nurse plans to encourage a group of young adult clients to engage in problem- solving strategies.Which of the following is most useful for the nurse to include?

10 : The nurse is providing postoperative care for a client who complains of severe pain after receiving codeine 30 mg orally one hour ago. Which intervention should the nurse implement next?

1 :
The nurse assesses a client with petechiae and ecchymosis scattered across the arms and legs. Which laboratory result should the nurse review?

2 :
The nurse is caring for a client who tests positive for the sexually transmitted infection (STI) gonorrhea. The client reports having sex with someone who has many partners. Which response should the nurse provide?

4 :
A client with psoriasis returns to the clinic reporting the persistence of several silvery, scaly areas on the elbows and palms that frequently bum and sometimes bleed. Which prescription should the nurse teach the client to use for the skin condition?

5 :
The nurse is teaching a client with glomerulonephritis about self care. Which dietary recommendation should the nurse encourage the client to follow?

6 :
The nurse is obtaining a client's fingerstick glucose level. After gently milking the client's finger, the nurse observes that the distal tip of the finger appears reddened and engorged. Which action should the nurse take?

7 :
The nurse is developing a plan of care for a client who reports blurred vision and who is newly diagnosed with cardiovascular disease. Which outcome should the nurse include in the plan of care for this client?

8 :
The nurse is preparing to administer Tylenol to a client admitted with urination issues who also has difficulty sleeping (OSA). Which interaction is most important for the nurse to implement before leaving the client?

9 :
The nurse plans to encourage a group of young adult clients to engage in problem- solving strategies.
Which of the following is most useful for the nurse to include?

10 :
The nurse is providing postoperative care for a client who complains of severe pain after receiving codeine 30 mg orally one hour ago. Which intervention should the nurse implement next?