Practice Question
While caring for a client with full-thickness burns covering 40% of the body, the nurse observes purulent drainage from the wounds. Before reporting this finding to the health care provider, the nurse should evaluate which laboratory value?
Answer Choices:
Correct Answer:
Neutrophil count.
Rationale:
◈ A client with full-thickness burns is at high risk for infection due to impaired skin integrity.
◈ The presence of purulent drainage suggests a potential wound infection, and evaluating the neutrophil count helps assess for systemic inflammatory response.
◈ Neutrophils are the body’s primary defense against infection, and an elevated or severely decreased count indicates sepsis or immune suppression.
◈ Prompt reporting of abnormal neutrophil values can facilitate early antimicrobial intervention.
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This question is from RN-Hesi Medical Surgical Exam III which contains 34 questions.
More Questions from This Exam
To reduce the risk for pulmonary complications for a client with Amyotrophic Lateral Sclerosis (ALS), which interventions should the nurse implement? (Select all that apply)
Answer Choices:
A. Teach the client breathing exercises.
B. Establish a regular bladder routine.
C. Perform chest physiotherapy.
D. Encourage use of incentive spirometer.
E. Initiate passive range of motion exercises
A client is admitted to the medical unit during an exacerbation of systemic lupus erythematosus (SLE). It is most important to report which assessment finding to the health care provider?
Answer Choices:
A. Joint pain.
B. Hematuria.
C. Low grade fever.
D. Muscle atrophy.
The nurse is assessing a client who has herpes zoster. Which question will allow the nurse to gather further information about this condition?
Answer Choices:
A. Has everyone at home already had varicella?
B. Have the antifungal creams been effective?
C. Do you have any dry patches on your feet and hands?
D. Do your family members share combs and brushes?
A client with obstructive sleep apnea (OSA) calls the clinic to report difficulty wearing the continuous positive air pressure (CPAP) mask because it is uncomfortable. The client asks the nurse for an alternative way to manage sleep apnea. Which recommendation should the nurse provide?
Answer Choices:
A. Begin a weight loss program.
B. Drink 1 to 2 glasses of wine at bedtime.
C. Take sedatives prior to sleep.
D. Sleep with the head of the bed flat
An older client who experienced a cerebrovascular accident (CVA) has difficulty with visual perception and eats only half of the food on the meal tray. The client's family expresses concern about the client's nutritional status. How should the nurse respond to the family's concern?
Answer Choices:
A. Demonstrate the use of visual scanning during meals to the client and family.
B. Explain that weight loss will be reversed after the acute phase of the stroke has ended.
C. Suggest that the family bring foods from home that the client enjoys eating.
D. Encourage the family to offer to feed the client when she does not eat her entire meal
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi MedSurg
- Answer Choices: 4
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