HESI EXIT V3 (NEW) Q & Ans BEST EXAM SOLUTION SATISFACTION GUARANTEED
• A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set of dentures prior to leaving the unit for the operating room. What would be the most appropriate intervention by the nurse? • Explain to the client that the dentures must come out as they may get lost or broken in the operating room • Ask the client if there are second thoughts about having the procedure • Notify the anesthesia department and the surgeon of the client's refusal • Ask the client if the preference would be to remove the dentures in the operating roomreceiving area The correct answer is D: Ask the client if the preference would be to remove the denturesin the operating room receiving area • When teaching a 10 year-old child about their impending heart surgery, which form of explanation meets the developmental needs of this age child? • Provide a verbal explanation just prior to the surgery • Provide the child with a booklet to read about the surgery • Introduce the child to another child who had heart surgery 3 days ago • Explain the surgery using a model of the heart The correct answer is D: Explain the surgery using a model of the heart • The parents of a child who has suddenly been hospitalized for an acute illness state that they should have taken the child to the pediatrician earlier. Which approach by the nurse is best when dealing with the parents' comments? • Focus on the child's needs and recovery • Explain the cause of the child's illness • Acknowledge that early care would have been better • Accept their feelings without judgment The correct answer is D: Accept their feelings without judgment • When caring for a client with total parenteral nutrition (TPN), what is the most important action on the part of the nurse? • Record the number of stools per day • Maintain strict intake and output records • Sterile technique for dressing change at IV site • Monitor for cardiac arrhythmias The correct answer is C: Sterile technique for dressing change at IV site • When caring for a client who is receiving a thrombolytic agent to open a clot occluded coronary artery after a myocardial infarction, which finding would be of greatest concern to the nurse? • Sero sanginous drainage from gums • Hematemesis • Pink frothy sputum • Slight red color at urine The correct answer is B: Hematemesis
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