EXIT HESI #1|UPDATED&VERIFIED|100% SOLVED|GUARANTEED SUCCESS
The single mother of a child with a head injury is sitting at the child's bedside crying when the PN enters the room. The mother states, "why did this happen? I just can't cope with this." What is the best initial response Do you have someone who can help you cope with this? The PN is reinforcing instruction with a client who is being discharged from the ambulatory day surgery center following cataracts removal and intraocular lens implants. Which occurrence should the PN tell the client to report to HCP immediately New visual floaters or dots The PN administer morphine sulfate 10 mg IM to a postop client. Before administering, the PN should recognize the necessity for monitoring which parameter? Dyspnea, respiratory depth and rate Student pregnancy is an issue. New prevention program was implemented. Which indicates to the PN that the program is successful? Students requesting information about adolescent pregnancy has increased by 25% Client who had endoscopic procedure in which local anesthetic was sprayed on throat. access the gag reflex PN is preparing to administer zolpidem prescribed PRN at HS for a male client. At 2100, client states he is staying up 2 more hours and will put on call light when ready for med. Which action should the PN take? Plan to return and administer the medication when requested by the client At 1200, the PN learns that clients 0900 dose of an anticonvulsant was not given. Next dose is at 2100. Which action should the PN take? Administer the missed dose asap A client on bedrest refuses to wear the prescribed pneumatic compression devices after surgery. Which action should the PN implement in response to the client's refusal? A. Emphasize the importance of active foot flexion B. Check the surgical dressing C. Complete an incident report D. Explain the use of incentive spirometer q2 hours explain the use of the incentive spirometer q2h Which action should the PN take while caring for a client who is experiencing spiritual distress? Determine the clients beliefs system During prenatal visit, the PN discusses with a client the effects of smoking of her fetus. Which is most common problem among neonates whose mother's smoked during pregnacy Low birth weights The PN is caring for a 9 month infant with developmental dysphasia of the hip (ddh) after a closed reduction and hip spica cast application. After cast application, which is the most important intervention in caring for the intervention? monitor toes for movement, sensation, and circulation While administering oxygen to an infant with Tetralogy of Fallot (TOF) who is having a hypoxic episode, the PN should implement which implement? Hold the infant in a knee-position The PN is assigned care for an older adult male client who is recovering from a stroke. When assisting client to ambulate with the use of a cane, where should the PN place the cane in relation to the client's body? On the opposite side of the affected extremity The PN plans to collect a urine specimen for culture and sensitivity. Why should the client be instructed to collect the specimen using a clean-catch or midstream technique. To wash the external genitalia of organisms that may contaminate the specimen The PN is assisting with the care of a newborn who received erythromycin ointment eye prophylaxis 24 ago. Which finding should the PN report to the charge nurse. Swollen eyelids bilaterally An older adult is admitted to the hospital because of an adverse drug reaction related to polypharmacy. Which information is most important for the PN to collect during the admission process? Pharm and herbal supplement use Before administering a antibiotic that can cause nephrotoxicity, which lab value is most important for the PN to review? Serum creatinine During a daily assessment in the nursey, the PN notices three large bluish-black areas on the back and buttocks of an African American infant. Which action should the PN take? review the labor and delivery record for birth truama The PN is assigned to care for four clients and needs to assign the care of one of the clients to the UAP. Which clients should teh PN assign to the UAP A cleint with paraplegia who is transferring to a skilled nursing facility tomorrow When administering a saline enema, the PN inserts the enema tubing 3 in into client's rectum and elevates the container 6 inches above the clients body. When the clamp opens and the solution does not infuse. Which action should the PN first? Raise the saline container 6 in higher A 2 day old infant with hydrocephalus return from surgery following placement of a ventriculoperitoneal shunt. Which nursing interventions should the PN implement during post op care? Select all that apply A PN, who is a member of the continuous qulaity improvement committee of an extended care facility, identifies that there has been an increased incidence of utis over a 6 month period. Which intervention should teh PN implement to decrease catheter associated UTIs evaluate the UAPs Technique for catheter care A client recieves a prescription for dexamethasone 3.0 mg PO. The PN accesses the Pyxis medication despensing unit that provides a unit dose of .75mg/ tablet How many tablets? 3.0/.75
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exit hesi 1|updatedampverified|100 solved|guarante
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