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Nursing Fundamentals BSN 225 HESI Review Questions and
Answers with Complete Solutions UPDATED!!!!
24 hour urine collection - ANSWER The urine collected from the
1st specimen was in the bladder before the 24 hour. Specimen
collection was started, so it should be discarded.
Assess Feces - ANSWER Multiple hard pallets may indicate
problems with constipation or inadequate fluid intake. A tarry
appearance or read streaks may indicate bleeding. Brown liquid
may indicate diarrhea or decal impaction.
Braden risk assessment- turning - ANSWER A score of 10 on the
Braden risk assessment scale indicate that the client should be
turned frequently. This scale is a reliable tool used to measure
the clients risk for the development of pressure sores. Sores
range from 6-23, with the lower scores indicating the highest
risk for pressure sore development.
Cath insertion technique - ANSWER While inserting an urinary
catheter into a client & urine is observed, the catheter should
be advanced another inch, to ensure that the balloon will be
inflated in the bladder, rather than the urethra.
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Clear liquid diet - ANSWER A client who is on a clear liquid diet
has coffee on the tray. Black coffee is considered a clear liquid,
but the nurse should remind the client that no milk or creamer
can be added to the coffee.
Client safety - ANSWER The nurse should help the client lie back
down & then explain to the spouse the need for ambulation to
reduce potential postoperative complications.
confused client- action - ANSWER A confused client who is
wandering is at risk for injury. The nurse should orient the client
to her surroundings, escort the client to her room to promote
sleep, & use a bed alarm to alert the nurse to further wandering
behavior.
Conversion- PO- g/ml- 1000mg = 1 g. 1000 mg: X mL: 200 mg : 5
mL - ANSWER 200X= 1000 (5). X= 5000/200 = 25 mL
Culture- constipation - ANSWER It is common for cultures, such
as Native Americans, to believe in using home remedies &
herbs before seeking medical attention. Cascara Sagrada is one
Nursing Fundamentals BSN 225 HESI Review Questions and
Answers with Complete Solutions UPDATED!!!!
24 hour urine collection - ANSWER The urine collected from the
1st specimen was in the bladder before the 24 hour. Specimen
collection was started, so it should be discarded.
Assess Feces - ANSWER Multiple hard pallets may indicate
problems with constipation or inadequate fluid intake. A tarry
appearance or read streaks may indicate bleeding. Brown liquid
may indicate diarrhea or decal impaction.
Braden risk assessment- turning - ANSWER A score of 10 on the
Braden risk assessment scale indicate that the client should be
turned frequently. This scale is a reliable tool used to measure
the clients risk for the development of pressure sores. Sores
range from 6-23, with the lower scores indicating the highest
risk for pressure sore development.
Cath insertion technique - ANSWER While inserting an urinary
catheter into a client & urine is observed, the catheter should
be advanced another inch, to ensure that the balloon will be
inflated in the bladder, rather than the urethra.
, Page |2
Clear liquid diet - ANSWER A client who is on a clear liquid diet
has coffee on the tray. Black coffee is considered a clear liquid,
but the nurse should remind the client that no milk or creamer
can be added to the coffee.
Client safety - ANSWER The nurse should help the client lie back
down & then explain to the spouse the need for ambulation to
reduce potential postoperative complications.
confused client- action - ANSWER A confused client who is
wandering is at risk for injury. The nurse should orient the client
to her surroundings, escort the client to her room to promote
sleep, & use a bed alarm to alert the nurse to further wandering
behavior.
Conversion- PO- g/ml- 1000mg = 1 g. 1000 mg: X mL: 200 mg : 5
mL - ANSWER 200X= 1000 (5). X= 5000/200 = 25 mL
Culture- constipation - ANSWER It is common for cultures, such
as Native Americans, to believe in using home remedies &
herbs before seeking medical attention. Cascara Sagrada is one
