HESI
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Terms in this set (72)
20 minutes after "The body's receptors adapt over time as they are
beginning a heat exposed to heat"
application, the client
states that the heating --thermal adaptation, which occurs 20-30
pad no longer feels minutes after heat application
warm enough. What is
the best response by
the nurse?
, "place a pillow between your knees while lying in
bed to prevent hip dislocation"
A 73 y/o female client
had a hemiarthroplasty The client's affected hip joint following
of the left hip yesterday hemiarthroplasty (partial hip replacement) is at
due to a fx resulting risk of dislocation for 6 months to a year
from a fall. In reviewing following the procedure. Hip precautions to
hip precautions with the prevent dislocation include placing a pillow
client, which instruction between the knees to maintain abduction of the
should the nurse hips. Clients should be instructed to avoid
include in this client's bending at the waist, to seek assistance for both
teaching plan? standing and walking until they are stable on a
walker or cane, and to take medication 20 - 30
minutes prior to PT
Abnormal heart sounds
are best heard with the
bell of the stethoscope,
which picks up lower-
pitched sounds, that is
placed at points on the
anterior chest.
, "It is important that you continue your medication
while learning to meditate"
An adult male client
with a history of The prolonged practice of meditation may lead
hypertension tells the to reduced need for antihypertensive
nurse that he is tired of medications. However, medications must be
taking antihypertensive continued while the physiologic response to
medications and is meditation is monitored. The healthcare provider
going to try spiritual should be informed, but permission is not
meditation instead. required to meditate. Although it is true that this
What should be the complimentary therapy might be effective, it is
nurse's first response? essential that the client continue with
antihypertensive medications until the effect of
meditation can be measured.
An african-american Inquire about the source and type of pain
grandmother tells the
nurse that her 4-year- Different cultural groups often have their own
old grandson is terms for health conditions. African-American
suffering with "Miseries". clients may refer to pain as "miseries"
based on this
statement, which
focused assessment
should the nurse
conduct?
, After completing an Determine the etiology of the problem
assessment and
determining that a Before planning care, the nurse should determine
client has a problem, etiology or cause, of the problem bc this will
which action should the help determine the nursing interventions and
nurse perform next? goals.
Immediately after the assessments are
At the beginning of the completed.
shift, the nurse assesses
a client is admitted from Documentation should occur immediately after
the PACU. When should any component of the nursing process, so
the nurse document the assessments should be entered in the client's
client's findings? medical record as readily as findings are
obtained.
Save
Terms in this set (72)
20 minutes after "The body's receptors adapt over time as they are
beginning a heat exposed to heat"
application, the client
states that the heating --thermal adaptation, which occurs 20-30
pad no longer feels minutes after heat application
warm enough. What is
the best response by
the nurse?
, "place a pillow between your knees while lying in
bed to prevent hip dislocation"
A 73 y/o female client
had a hemiarthroplasty The client's affected hip joint following
of the left hip yesterday hemiarthroplasty (partial hip replacement) is at
due to a fx resulting risk of dislocation for 6 months to a year
from a fall. In reviewing following the procedure. Hip precautions to
hip precautions with the prevent dislocation include placing a pillow
client, which instruction between the knees to maintain abduction of the
should the nurse hips. Clients should be instructed to avoid
include in this client's bending at the waist, to seek assistance for both
teaching plan? standing and walking until they are stable on a
walker or cane, and to take medication 20 - 30
minutes prior to PT
Abnormal heart sounds
are best heard with the
bell of the stethoscope,
which picks up lower-
pitched sounds, that is
placed at points on the
anterior chest.
, "It is important that you continue your medication
while learning to meditate"
An adult male client
with a history of The prolonged practice of meditation may lead
hypertension tells the to reduced need for antihypertensive
nurse that he is tired of medications. However, medications must be
taking antihypertensive continued while the physiologic response to
medications and is meditation is monitored. The healthcare provider
going to try spiritual should be informed, but permission is not
meditation instead. required to meditate. Although it is true that this
What should be the complimentary therapy might be effective, it is
nurse's first response? essential that the client continue with
antihypertensive medications until the effect of
meditation can be measured.
An african-american Inquire about the source and type of pain
grandmother tells the
nurse that her 4-year- Different cultural groups often have their own
old grandson is terms for health conditions. African-American
suffering with "Miseries". clients may refer to pain as "miseries"
based on this
statement, which
focused assessment
should the nurse
conduct?
, After completing an Determine the etiology of the problem
assessment and
determining that a Before planning care, the nurse should determine
client has a problem, etiology or cause, of the problem bc this will
which action should the help determine the nursing interventions and
nurse perform next? goals.
Immediately after the assessments are
At the beginning of the completed.
shift, the nurse assesses
a client is admitted from Documentation should occur immediately after
the PACU. When should any component of the nursing process, so
the nurse document the assessments should be entered in the client's
client's findings? medical record as readily as findings are
obtained.
