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An elderly client with a fractured left hip is on strict bedrest. Which
nursing measure is essential to the client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
✅
D. Gently lift the client when moving into a desired position.
- ............ANSWER.......... - To avoid shearing forces when
repositioning, the client should be lifted gently across a surface (D).
Reddened areas should not be massaged (A) since this may increase
the damage to already traumatized skin. To control pain and muscle
spasms, active range of motion (B) may be limited on the affected
leg. The position described in (C) is contraindicated for a client with
a fractured left hip.
Correct Answer: D
,
The nurse is administering medications through a nasogastric tube
(NGT) which is connected to suction. After ensuring correct tube
placement, what action should the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
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D. Crush the tablets and dissolve in sterile water.
- ............ANSWER.......... - The NGT should be flushed before,
after and in between each medication administered (B). Once all
medications are administered, the NGT should be clamped for 20
minutes (A). (C and D) may be implemented only after the tubing
has been flushed.
Correct Answer: B
A client who is in hospice care complains of increasing amounts of
pain. The healthcare provider prescribes an analgesic every four
hours as needed. Which action should the nurse implement?
A. Give an around-the-clock schedule for administration of
analgesics.
B. Administer analgesic medication as needed when the pain is
severe.
C. Provide medication to keep the client sedated and unaware of
stimuli.
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D. Offer a medication-free period so that the client can do daily
activities. - ............ANSWER.......... - The most effective
management of pain is achieved using an around-the-clock schedule
,
that provides analgesic medications on a regular basis (A) and in a
timely manner. Analgesics Hesi Fundamentals 2025 exam. Correctly
answered. are less effective if pain persists until it is severe, so an
analgesic medication should be administered before the client's pain
peaks (B). Providing comfort is a priority for the client who is dying,
but sedation that impairs the client's ability to interact and
experience the time before life ends should be minimized (C).
Offering a medication-free period allows the serum drug level to
fall, which is not an effective method to manage chronic pain (D).
Correct Answer: A
When assessing a client with wrist restraints, the nurse observes that
the fingers on the right hand are blue. What action should the nurse
implement first?
A. Loosen the right wrist restraint.
B. Apply a pulse oximeter to the right hand.
✅
C. Compare hand color bilaterally.
D. Palpate the right radial pulse. - ............ANSWER.......... - The
priority nursing action is to restore circulation by loosening the
restraint (A), because blue fingers (cyanosis) indicates decreased
circulation. (C and D) are also important nursing interventions, but
do not have the priority of(A). Pulse oximetry (B) measures the
saturation of hemoglobin with oxygen and is not indicated in
situations where the cyanosis is related to mechanical compression
(the restraints).
Correct Answer: A