HESI TERM 2 EXIT EXAM | Latest 2023/24 | Updated & Verified | Guaranteed Success

A 16-year old client who has admitted to the psychiatric unit. Which nursing intervention is MOST important for the practical nurse (PN) to implement? 1. Do not leave the client alone 2. Assess the family history for depression 3. Obtain information about previous suicide attempts 4. Limit visitation until the clients vital signs are stable - Do not leave the client alone The practical nurse is initiating a new prescription for nitroglycerin transdermal patch for a client with angina pectoris. What action has the highest priority in preventing tolerance to the nitrogylcerin? 1. Shave the chest hairs to ensure adequate skin contact 2. Label the patch with date, time, and nurse's initials 3. emove the patch at bedtime as prescribed - Remove the patch at bedtime as prescribed Constant observation is an intervention included in the plan of care for a female client with dementia because she is at risk for falls. When she walks to the door and asks to leave, the practice nurse (PN) is unable to convince her to return to her room. Which action should the PN take? 1. Allow the client 10 minutes to stand by the door 2. Request assistance to remove the client from the exit 3. Distract the client by offering to walk with her 4. Administer a PRN prescription for agitation - Distract the client by offering to walk with her A female client with obsessive compulsive disorder is admitted to the hospital for a cardiac catheterization. The afternoons before the procedure, the client begins to keep detailed notes if the nursing care she is receiving. At bedtime, she shows the list to the practical nurse (PN). Which action should the PN implement?