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Exam (elaborations)

HESI RN FUNDAMENTALS EXAM WITH COMPLETE SOLUTIONS …GRADE A+

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HESI RN FUNDAMENTALS EXAM WITH COMPLETE SOLUTIONS …GRADE A+ A postoperative client has three different PRN analgesics prescribed for different levels of pain. The nurse inadvertently administer a dose that is not within the prescribed parameters. What action should the nurse takefirst? C A) Determine if the pain was relieved. B) Complete a medication error report. C) Assess iforiside ieffects iof ithe imedication. D) Document the clients responses. The unlicensed assistive personnel (UAP) describes the appearance of the bowel movements of severalclients. Which descriptions warrant additional follow-up by the nurse? (Select all that apply.) ABDE A)iMultiple ihard ipellets. B) Brown iliquid. C) Formed but soft. D) Solid iwith ired istreaks.E)i iTarry iappearance. An elderly woman comes to the clinic because of vaginal bleeding. The healthcare provider finds a vaginal tear,which the client reports is likely to have occurred during unprotected sexual intercourse. Which content is most important for the nurse to include in this client’s teaching plan? A A) The iimportance iof iusing ivaginal ilubricants. B) Methods used to practice safe sex. C) Information about alternative ways to express sexuality. D) Intercourse positions that help prevent tears. A male client has right-sided hemiplegia following a left cerebrovascular accident (CVA). His sitting balance hasimproved, and he is now able to sit In a wheelchair. To assist the client in transferring from the bed to a wheelchair, what action should the nurse take? A) Have the client put both arms around the nurse’s neck for support.B)i iPlace ithe iwheelchair ion ithe iclient’s ileft iside. C) Instruct the client to look at his feet. D) Instruct the client total slow, deep breaths while transferring. The nurse observes a newly admitted older adult female take short steps and walk very slowly while pushing awalker in front of her. What action should the nurse take in response to these observations? A A) Complete ia ifull ifall irisk iassessment iof ithe iclient. B) Teach the client to take longer steps at faster pace. C) Suggest that the the client use a wheelchair instead of a walker. D) Place client on bedrest until the healthcare provider is notified.

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