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Exam (elaborations)

HESI Module 6 Graded A+ (Verified)

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HESI Module 6 Graded A+ (Verified)

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HESI Module 6 Graded A+ (Verified)
Well-cooked cheeseburger - ANSWER-Italian bread

Baked chicken

Well-cooked cheeseburger

A client with a new diagnosis of tuberculosis (TB) is being admitted to the hospital.
During the collection of data from the client, which of the following considerations is
most important?

The religious affiliation or church of preference

The names of close friends and family members

What medications have been prescribed and what the client knows about his or her side
effects

The name of the person from whom the client contracted TB, so that the person may be
reported for follow-up care - ANSWER-The names of close friends and family members

A client with an infection is receiving antibiotics by way of intramuscular (IM) injection.
The client is also receiving subcutaneous (SC) injections of heparin. Which precautions
does the nurse understand are most appropriate to help ensure the safety of this client?
Select all that apply.

Switching injection sites

Doubling the dose of anticoagulant

Applying a pressure bandage to the site after each IM injection

Applying prolonged pressure to the sites of the IM and SC injections

Decreasing the sizes of the needles used for the IM and SC injections - ANSWER-
Switching injection sites

Applying prolonged pressure to the sites of the IM and SC injections

A client with osteoporosis is at risk for falls. Which statement by the client indicates the
need for instruction regarding measures to prevent falls?

"I took the bathmat out of my tub."

,"I use a shower chair when I bathe."

"I've placed nightlights in my hallway."

"The railings on my stairs are sturdy and secure." - ANSWER-"I took the bathmat out of
my tub."

A client with paraplegia has spasticity of the leg muscles. Which nursing interventions
should be included in the plan of care for this client? Select all that apply.

The use of restraints to immobilize the limbs

Range-of-motion exercises of the affected limbs

An as-needed prescription for a muscle relaxant

Removal of potentially harmful objects near the client

The use of padding against the client's legs when the client is sitting in a wheelchair -
ANSWER-Range-of-motion exercises of the affected limbs

An as-needed prescription for a muscle relaxant

Removal of potentially harmful objects near the client

The use of padding against the client's legs when the client is sitting in a wheelchair

A community health nurse is asked to assist in developing a community disaster plan
identified by Federal Emergency Management Agency (FEMA). The nurse knows that
the preparedness phase of the plan includes what components? Select all that apply.

Evacuation

Planning for rescue

Caring for disaster victims

Training of disaster personnel

Putting disaster planning services into action

Actions to prevent the occurrence of a disaster or reduce the
damaging effects - ANSWER-Evacuation

Planning for rescue

,Caring for disaster victims

Training of disaster personnel

A community health nurse is providing an educational session on childhood poisoning at
a local school. What does the nurse tell the group what the first action is when an
accidental poisoning occurs?

Induce vomiting

Call an ambulance

Call the poison control center

Bring the child to the emergency department (ED) - ANSWER-Call the poison control
center

A community health nurse is providing information to local residents about the
transmission of anthrax. Through which body systems does the nurse tell the residents
that anthrax can be contracted? Select all that apply.

Immune

Urinary

Lymphatic

Respiratory (Lungs)

Gastrointestinal

Integumentary System (Skin) - ANSWER-Skin, lungs, GI

A community health nurse working in a school setting is concerned because parents are
not participating in health activities designed to promote child safety. What is the most
appropriate initial action for the nurse to take?

Implementing a child safety program

Planning a focused child safety program

Performing an analysis of health problems related to child safety

Determining the appropriateness of the planned health activity - ANSWER-Determining
the appropriateness of the planned health activity

, A fever develops in a client who has been hospitalized for 2 months and is receiving
parenteral nutrition by way of a central venous line, and central venous line-related
sepsis is diagnosed. What does the nurse interpret the meaning of this infection? Select
all that apply.

A nosocomial infection

An iatrogenic infection

A result of bacterial colonization

A community-acquired infection

A healthcare-associated infection

A hospital-acquired infection - ANSWER-A healthcare-associated infection

A nosocomial infection

A hospital-acquired infection

A home care nurse is instructing a client in the use of ice packs to treat an eye injury.
What does the nurse instruct the client to do?

Place the ice pack directly on the eye

Avoid the use of commercially prepared ice bags

Keep the ice pack on the eye continuously for 24 hours

Wrap a plastic bag filled with ice in a pillowcase and place it on the eye - ANSWER-
Wrap a plastic bag filled with ice in a pillowcase and place it on the eye

A home care nurse is visiting an older client who has been recovering from a mild brain
attack (stroke) affecting her left side. The client lives alone but receives regular
assistance from her daughter and son, who both live within 10 miles. Which of the
following actions should the nurse take to assess the client's safety risk? Select all that
apply.

Assess the client's visual acuity

Observe the client's gait and posture

Evaluate the client's muscle strength

Look for any hazards in the home environment

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