HESI V2 Exam (mock)

Which skin care measures are used to manage a client who is experiencing fecal and urinary incontinence? - Answer- Using an incontinence cleaner, followed by application of a moisture-barrier ointment How should the nurse position the client who has to undergo administration of medication into the ethmoid sinus? Select all that apply. - Answer- - Tilt the head back over the edge of the bed. - Place a pillow under the shoulder and tilt the head back The nurse is attending to a client recently diagnosed with diabetes. Following an initial assessment, the nurse writes down several nursing-sensitive client outcomes. Which nursing-sensitive client outcomes are correctly written? Select all that apply. - Answer- - The client will administer a self-injection by discharge. - The body temperature will remain at or below 98.6 ° F. - The heart rate will remain between 70 to 90 beats per minute. The nurse is caring for a preoperative client in a coronary care unit. After reviewing the nursing diagnoses, the nurse prioritizes the nursing diagnoses. Which nursing diagnoses are considered to be high priorities for the client? Select all that apply. - Answer- - Impaired gas exchange - Decreased cardiac output A 45-year-old client has been advanced to a low-residue diet postoperatively. What food should be avoided in the client's diet? - Answer- Steamed vegtables Which of the following are examples of collaborative problems? Select all that apply. - Answer- - Hemorrhage - Wound infecction A nurse is educating a diabetic client about how to administer insulin. Which of the nurse's statements pertaining to use of insulin are appropriate? Select all that apply. - Answer- - Insulin should not be mixed with any other medication. - Insulin detemir should not be mixed with any insulin. The nurse is caring for a 16-year-old client with acne. What instructions should be included when teaching skin care to the client? Select all that apply. - Answer- - Avoid squeezing the acne - Use pre