HESI Fundamentals questions and answers latest top score.

HESI Fundamentals questions and answers latest top score. A policy required the removal of acrylic nails by all nursing personnel was implemented 6 months ago. Which assessment measure best determines if the intended outcome of the policy is being achieved? - correct h care-associated infection rate The nurse is preparing to assist a newly admitted client with person hygiene measures. The client... the client's gag reflex. Which action should the nurse include? - correct tongue blade on back half of tongue The father of an 11-year-old boy... - correct m the father that it is important to let the son that nocturnal emissions are normal The nurse explains to an older adult male the procedure for collecting a 24-hr urine specimen for creatinine clearance. - correct the urinal contents into the 24-hr collection container A 54 yo male client and his wife were informed this morning that he has terminal cancer. Which nursing intervention is most appropriate for the wife? - correct her to support group for family members of those dying of cancer A client who has a body mass index (BMI) of 30 is requesting information on the initial approach to a weight loss plan. Which action should the nurse recommend? - correct a record of food and drinks consumed daily The nurse assesses a client who has a nasal cannula delivering oxygen at 2L/min. To assess for skin damage related to the cannula, which areas should the nurse observe? - correct of the ear around the nostrils over the checks The nurse observes an unlicensed assistive personnel (UAP) who is providing a total bed bath for a confused and lethargic client. The UAP is soaking the clients foot in a basin of warm water placed on the bed. What action should the nurse take? - correct d the UAP to dry between the clients toes completely The nurse in the emergency department observes a colleague viewing the electronic health record of a client who holds an elected position in the community. The client is not a part of the colleagues assignment. Which action should the nurse implement? - correct nicate the colleagues action to the unit. charge nurse At 0100 on a male clients second postoperative night, the client states he is unable to sleep and plans to read until feeling sleepy. What action should the nurse implement? - correct the client a prescribed PRN sedative-hypnotic The nursing staff in the cardiovascular intensive care unit are creating a continuous quality improvement project on social media that addresses coronary artery disease. Which action should the nurse implement to protect client privacy? - correct e identifying information of the clients who participated A male client with unstable angina needs a cardiac catheterization, so the healthcare provider explains the risks and benefits of the procedure and then leaves to set up for the procedure. When the nurse presents the consent form for signature, the client hesitates and asks how the wires will keep his heart going. Which action should the nurse take? - correct one the procedure until the client understands the risks and benefits The nurse is teaching a client how to do active range of motion exercises. To exercise the hinge joints, which action should the nurse instruct the client to perform? - correct the arm by flexing the ulnar to the humerus A postoperative client has three different PRN analgesics prescribed for different levels of pain. The nurse inadvertently administers a dose that is not within the prescribed parameters. What actions should the nurse take first? - correct s for side effects of the medication When assessing a male client, the nurse finds that he is fatigued, and is experiencing muscle weakness, leg cramps, and cardiac dysrhythmias. Based on these findings, the nurse plans to check the clients laboratory values to validate the existence of which? - correct alemia A female client's significant other has been at her bedside providing reassurances and support for the past 3days, as desired by the client. The client's estranged husband arrives and demands that the significant other not be allowed to visit or be given condition updates. Which intervention should the nurse implement? - correct st a consultation with the ethics committee for solution of the situation When measuring vital signs, the nurse observes that a client is using accessory neck muscles during respirations. What follow-up action should the nurse take first? - correct for neck vein distention To avoid nerve injury, what location should the nurse select to administer a 3 mL IM injection? - correct upper quadrant of the buttocks Which instruction should the nurse include in the discharge teaching plan for an adult client with hypernatremia? - correct w food labels for sodium content