HESI Fundamentals Practice Exam

HESI Fundamentals Practice Exam A nurse is preparing to insert an IV catheter into a client's arm prior to initiating IV fluid therapy. Which of the following interventions should the nurse implement to prevent infection? a) Thread the IV catheter so that the hub rests at the insertion site b) Shave excess hair from around the insertion site c) Cleanse the site with hydrogen peroxide before IV catheter insertion d) Palpate the site carefully just before inserting the IV catheter (ANS - A Inserting the catheter up to the hub reduces the risk of contaminating along the length of the catheter what can increase the risk for infection at an iv site? What is used to clean the site? (ANS – -shaving excess hair around insertion site -palpating the site after cleansing b/c this can introduce micro-organisms -iodine or chlorhexidine to cleanse the agent before insertion A nurse is caring for a postoperative adult client who refuses to use an incentive spirometer following major abdominal surgery. Which of the following is the nurse's priority action? a) Request that a respiratory therapist discuss the technique for incentive spirometry b) Administer a pain medication to the client c) Chart the client's refusal to participate in health restorative activities d) Determine the reasons why the client is refusing the use the incentive spirometer (ANS - D *the first action of the nurse should be to use the nursing process and ASSESS the client first A nurse is preparing to administer ampicillin 40mg/kg/day PO divided in equal doses every 6 hours to a toddler who weighs 10 kg. Available is ampicillin oral suspension 125/5 mL. How many mL should the nurse administer per dose?