Nurs 310 HESI Review
Study online at https://quizlet.com/_512mnh
1. A 75-year-old client who has a history Determine who is legally empowered to make
of end stage renal failure and advanced decisions.
lung cancer, recently had a stroke. Two
days ago the healthcare provider discon-
tinued the client's dialysis treatments,
stating that death is inevitable, but the
client is disoriented and will not sign a
DNR directive. What is the priority nurs-
ing intervention?
Review the client's most recent laborato-
ry reports.
Refer the client and family members for
hospice care.
Notify the hospital ethics committee of
the client situation.
Determine who is legally empowered to
make decisions.
2. A male client with an infected wound tells
Combination of plant proteins to provide es-
the nurse that he follows a macrobiot- sential amino acids.
ic diet. Which type of foods should the A macrobiotic diet is high in whole-grain ce-
nurse recommend that the client select reals, vegetables, sea vegetables, beans, and
from the hospital menu? vegetarian soups, and the client needs essen-
tial amino acids to provide complete proteins
to heal the infected wound. Although a mac-
Low fat and low sodium foods.
robiotic diet contains no source of animal pro-
tein, essential amino acids should be obtained
Combination of plant proteins to provide
by combining plant (incomplete) proteins to
, Nurs 310 HESI Review
Study online at https://quizlet.com/_512mnh
essential amino acids. provide complete (all essential amino acids)
proteins (B) for anabolic processes. (A, C, and
Limited complex carbohydrates and D) do not provide the client with food choices
fiber. consistent with a macrobiotic diet and protein
needs.
Increased amount of vitamin C and beta
carotene rich foods.
3. The nurse is administering an intermit- Reposition the client's arm.
tent infusion of an antibiotic to a client If the client's elbow is bent, the IV may be
whose intravenous (IV) access is an ante- unable to infuse, resulting in an obstruction
cubital saline lock. After the nurse opens alarm, so the nurse should first attempt to
the roller clamp on the IV tubing, the reposition the client's arm to alleviate any ob-
alarm on the infusion pump indicates struction
an obstruction. What action should the
nurse take first?
Check for a blood return.
Reposition the client's arm.
Remove the IV site dressing.
Flush the lock with saline.
4. What action should the nurse implement Position prone with a small pillow below the
to prevent the formation of a sacral ulcer diaphragm.
for a client who is immobile?
Maintain in a lateral position using pro-
tective wrist and vest devices.
, Nurs 310 HESI Review
Study online at https://quizlet.com/_512mnh
Position prone with a small pillow below
the diaphragm.
Raise the head and knee gatch when ly-
ing in a supine position.
Transfer into a wheelchair close to the
nurse's station for observation.
5. What intervention should the nurse in- Check capillary refill of toes on lower extremity
clude in the plan of care for a client who is with Unna's paste boot.
being treated with an Unna's paste boot
for leg ulcers due to chronic venous insuf-
ficiency?
Check capillary refill of toes on lower ex-
tremity with Unna's paste boot.
Apply dressing to wound area before ap-
plying the Unna's paste boot.
Wrap the leg from the knee down to-
wards the foot.
Remove the Unna's paste boot q8h to as-
sess wound healing.
6. Which nursing intervention is most ben- Obtain a prescription for removal of the
eficial in reducing the risk of urosepsis catheter as soon as possible.
in a hospitalized client with an indwelling The best intervention to reduce the risk for
urinary catheter? urosepsis (spread of an infectious agent from
the urinary tract to systemic circulation) is re-
Study online at https://quizlet.com/_512mnh
1. A 75-year-old client who has a history Determine who is legally empowered to make
of end stage renal failure and advanced decisions.
lung cancer, recently had a stroke. Two
days ago the healthcare provider discon-
tinued the client's dialysis treatments,
stating that death is inevitable, but the
client is disoriented and will not sign a
DNR directive. What is the priority nurs-
ing intervention?
Review the client's most recent laborato-
ry reports.
Refer the client and family members for
hospice care.
Notify the hospital ethics committee of
the client situation.
Determine who is legally empowered to
make decisions.
2. A male client with an infected wound tells
Combination of plant proteins to provide es-
the nurse that he follows a macrobiot- sential amino acids.
ic diet. Which type of foods should the A macrobiotic diet is high in whole-grain ce-
nurse recommend that the client select reals, vegetables, sea vegetables, beans, and
from the hospital menu? vegetarian soups, and the client needs essen-
tial amino acids to provide complete proteins
to heal the infected wound. Although a mac-
Low fat and low sodium foods.
robiotic diet contains no source of animal pro-
tein, essential amino acids should be obtained
Combination of plant proteins to provide
by combining plant (incomplete) proteins to
, Nurs 310 HESI Review
Study online at https://quizlet.com/_512mnh
essential amino acids. provide complete (all essential amino acids)
proteins (B) for anabolic processes. (A, C, and
Limited complex carbohydrates and D) do not provide the client with food choices
fiber. consistent with a macrobiotic diet and protein
needs.
Increased amount of vitamin C and beta
carotene rich foods.
3. The nurse is administering an intermit- Reposition the client's arm.
tent infusion of an antibiotic to a client If the client's elbow is bent, the IV may be
whose intravenous (IV) access is an ante- unable to infuse, resulting in an obstruction
cubital saline lock. After the nurse opens alarm, so the nurse should first attempt to
the roller clamp on the IV tubing, the reposition the client's arm to alleviate any ob-
alarm on the infusion pump indicates struction
an obstruction. What action should the
nurse take first?
Check for a blood return.
Reposition the client's arm.
Remove the IV site dressing.
Flush the lock with saline.
4. What action should the nurse implement Position prone with a small pillow below the
to prevent the formation of a sacral ulcer diaphragm.
for a client who is immobile?
Maintain in a lateral position using pro-
tective wrist and vest devices.
, Nurs 310 HESI Review
Study online at https://quizlet.com/_512mnh
Position prone with a small pillow below
the diaphragm.
Raise the head and knee gatch when ly-
ing in a supine position.
Transfer into a wheelchair close to the
nurse's station for observation.
5. What intervention should the nurse in- Check capillary refill of toes on lower extremity
clude in the plan of care for a client who is with Unna's paste boot.
being treated with an Unna's paste boot
for leg ulcers due to chronic venous insuf-
ficiency?
Check capillary refill of toes on lower ex-
tremity with Unna's paste boot.
Apply dressing to wound area before ap-
plying the Unna's paste boot.
Wrap the leg from the knee down to-
wards the foot.
Remove the Unna's paste boot q8h to as-
sess wound healing.
6. Which nursing intervention is most ben- Obtain a prescription for removal of the
eficial in reducing the risk of urosepsis catheter as soon as possible.
in a hospitalized client with an indwelling The best intervention to reduce the risk for
urinary catheter? urosepsis (spread of an infectious agent from
the urinary tract to systemic circulation) is re-
