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HESI Proctored Exam| Latest Review| 100% Correct The nurse is giving change-of-shift report for four clients in the emergency center and reports the client with a terminal disease has a living will and a "Do not resuscitate" (DNR) order on file. Which client fits the criteria for a terminal illness? A) 2-year-old child with esophageal burns from drinking drain cleaner who now has a gastrostomy tube. B) 76-year-old female client with Alzheimer's disease who is pacing the halls and try...

Med-Surg HESI Latest Exam With Verified Question & Answer () What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? a. sexual activities may be resumed upon return home b. light housekeeping is permitted but avoid heavy lifting c. use a metal eye shield on operative eye during the day d. administer eye ointment before applying eye drops - CORRECT ANSWER-b. light housekeeping is permitted but avoid heavy lifting

Adult Health HESI review questions A central venous catheter has been inserted via a jugular vein, and a radiograph has confirmed of the catheter. A prescription has been received for a medication STAT, but IV fluids have not yet been started. Which action should the nurse take prior to administering the prescribed medication? A. Assess for signs of jugular venous distention. B. Obtain the needed intravenous solution. C. Flush the line with heparinized solution. ...

HESI A2 Critical Thinking Questions 1. In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which statement is true regarding note-taking? A) Note-taking may impede the nurse's observation of the patient's nonverbal behaviors. B) Note-taking allows the patient to continue at his or her own pace as the nurse records what is said. C) Note-taking allows the nurse to shift attention away from the patient, resulting in an increased comfort ...

HESI Health AssessmHESI Health Assessment FortisHESI Health Assessment Fortis Prioritize the nursing actions - ANS ABC rule: Airway Breathing Circulation two point discrimination: Fingers - ANS 2-3 mm two point discrimination: Palm - ANS 10 mm two point discrimination: Forearm - ANS 35 mm Two point discrimination: Upper arm - ANS 39 Cranial Nerves - ANS 12 pairs of nerves that carry messages to and from the brain Nerve I - ANS Olfactory Nerve II -...

Health Assessment HESI SOAP modified format - ANS Subjective Objective Assessment Plan What color ink should be used when documenting on paper - ANS Permanent black ink What is the correct order for vital signs - ANS T, P, RR, BP, extremity, pt position, SPO2 What should be at the top of every page of documentation - ANS Patient initials and date and time of entry What should be at the end of every documentation entry - ANS Interviewers signature How do y...

When describing patient education approaches, the nurse educator would explain that informal teaching is an approach that a. follows formalized plans b. has standardized content c. often occurs one-to-one d. addresses group needs - ANSWER - C. Informal teaching is individualized one on one teaching which represents the majority of patient education done by nurses that occurs when an intervention is explained or a question is answered. Group needs are often the focus of formal patient ed...

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