HESI case studies EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS LATEST UPDATE!!!!

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HESI Case Study: Mobility 2026 A+ GRADE ASSURED CO
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MPLETE SOLUTIONS AND VERIFIED ANSWERS (BC080) zm zm zm zm zm




QUESTION 1 zm




Client was prescribed morphine IV 0.05mg/kg/dose now and every 2 hours as needed
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for moderate to severe pain. Morphine is available in parenteral dose of 2mg/mL. Ho
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w much medication should the nurse draw up for administration? (Patient weighs 140
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lbs on admission).
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ANSWER

140 lb /2.2 lb = 63 kg 63 kg x 0.05 mg = 3.15 mg 3.15 mg / 2 ml = 1.575 ml 1.575 ml (Round) =
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1.6 ml zm




QUESTION 2 zm




Before giving the initial dose of pain medication or antibiotic, which action should the
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nurse take first?
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ANSWER

C) Ask the client if he is aware of any allergies to medications. Rationale: This action should be take
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n first since this is the initial dose of a new medication. It is important to verify any allergies. Client
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s sometimes recall additional allergies after the initial admission history has been taken.
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QUESTION 3 zm




When the client's foot pain is controlled, which nursing diagnosis should take priority
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?
ANSWER

C) Impaired physical mobility. Rationale: The client's limited activities support this nursing diagnosis.
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Improving mobility is a nursing priority to prevent the many potential complications of immobility.
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QUESTION 4 zm

, Which goal is correct for the client's diagnosis of impaired physical mobility?
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ANSWER

C) The client will sit in the chair for each meal beginning on the day of admission. Rationale: This i
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s a correctly stated goal. The client is always the subject of the goal, and the action is always measu
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rable. This goal includes what the client is to achieve and sets a realistic deadline.
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QUESTION 5 zm




Which instructions should the nurse convey to help prevent venous thromboembolism
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(VTE) in the client's legs? (Select all that apply. One, some, or all options may be corr
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ect.)
ANSWER

B) Teach the client to dorsal flex and plantar flex his feet while in the bed and chair.
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C) Instruct the client to wear sequential compression stockings.
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E) Explain that enoxaparin injections will be administered routinely. Rationale: This action stimulate
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s circulation by contracting calf muscles, which increases the venous return of blood to the heart. T
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hese decreases pooling of blood in the legs, which helps VTE in the legs. Sequential compression de
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vices (SCD) promote venous blood flow, preventing VTE. Enoxaparin is an anticoagulant that is admi
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nistered to reduce the risk of VTE.
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QUESTION 6 zm




The nurse is observing a student nurse perform a peripheral assessment on the client
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. Which action requires the nurse to intervene?
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ANSWER

C) Assessing the Homan's sign in bilateral extremities. Rationale: Homan's sign is "not a reliable indi
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cator" and is a potentially dangerous method because of possible clot dislodgment.
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QUESTION 7 zm




Which instruction should the nurse give to the nursing student for positioning the clie
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nt's legs when he is sitting?
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ANSWER

A) Use two pillows and place one lengthwise under each calf. Rationale: This method provides a slig
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ht elevation of the lower legs for comfort but avoids pressure behind the knees, which would adver
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sely decrease venous return and decrease the risk for venous thrombosis.
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QUESTION 8 zm




The client is wearing thigh-
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high Anti embolic hose prescribed by the Healthcare provider (HCP). The nurse assess
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