HESI 799 RN EXIT EXAM (301-400) ,
HESI 799 RN EXIT EXAM (301-400) A client on a long-term mental health unit repeatedly takes own pulse regardless of the circumstance. What action should the nurse implement? a. Overlook the client's behavior. b. Distract client to interfere with the ritual. c. Ask why the client checks the pulse. d. Hold client's hand to stop the behavior. - correct answer-Overlook the client's behavior. A client is discharged with automated peritoneal dialysis (PD) to be used nightly...which instructions should the nurse include? a. Wash hands before cleaning exit site b. Keep the head of the bed flat at night c. Feel for a thrill and a distal pulse nightly d. Do not get up if fluid is left in the abdomen - correct answer-Wash hands before cleaning exit site Rationale: meticulous hand hygiene is essential when performing care for a peritoneal dialysis, infections is a common complication of peritoneal dialysis. The charge nurse observes the practical nurse (PN) apply sterile gloves in preparation for performing a sterile dressing change. Which action by the PN requires correction by the charge nurse? a- Opening the package b- Picking up the second glove c- Picking up the first glove d- Positioning of the table - correct answer-Picking up the second glove
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