HESI-RN COMPREHENSIVE EXAM A QUESTIONS
WITH ANSWERS
The nurse is providing care to an 86-year-
xz xz xz xz xz xz xz
old admitted with generalized weakness. Dietary modifications and levothyroxine are presc
xz xz xz xz xz xz xz xz xz xz
ribed. Which physiologic finding in an older adult could precipitate an adverse reaction to th
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
e medication?
xz
A.
Reduced renal excretion xz xz
B.
xz
Reduced gastrointestinal motility xz xz
C.
xz
Increased hepatic metabolism xz xz
D.
xz
Increased risk of autoimmune disorders - ans-A xz xz xz xz xz xz
Rationale: During the aging process, reduced renal function is common and contributes to
xz xz xz xz xz xz xz xz xz xz xz xz xz
drug accumulation that contributes to adverse reactions. Reduced hepatic function, not opt
xz xz xz xz xz xz xz xz xz xz xz
ion C, predisposes an older adult to an increase in adverse drug reactions. Option B may oc
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
cur frequently in an older client but does not impact the bioavailability of drugs. Although an
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
older adult may have a decreased immune response, the aging client's risk for autoimmune
xz xz xz xz xz xz xz xz xz xz xz xz xz x
disorders is not increased, nor does it affect drug pharmacotherapeutics
z xz xz xz xz xz xz xz xz xz
The charge nurse of a 16- xz xz xz xz xz
bed medical unit is making 0700 to 1900 shift assignments. The team consists of two RNs, t
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
wo PN/ xz
VNs, and two UAP. Which assignment is the most effective use of the available team memb
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ers?
A.
Assign the PNs to perform am care and assist with feeding the clients.
xz xz xz xz xz xz xz xz xz xz xz xz
B.
xz
Assign the UAPs to take vital signs and obtain daily weights.
xz xz xz xz xz xz xz xz xz xz
C.
xz
Assign the RNs to answer the call lights and administer all medications.
xz xz xz xz xz xz xz xz xz xz xz
D.
xz
Assign the PN/ xz xz
VNs to assist health care providers on rounds and perform glucometer checks. - ans-B
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
Rationale: A UAP can take vital signs and daily weights on stable clients. UAPs can perform
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
am care and feed clients, which is a better use of personnel than assigning the task to the P
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
N. All team members can answer call lights, and PNs can administer some of the medicatio
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ns, so assigning the RN these tasks is not an effective use of the available personnel. The R
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
N is the best team member to assist on rounds, and the UAP can perform glucometer check
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
s, so assigning the PN these tasks is not an effective use of available personnel.
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
,A client is admitted to the mental health unit with a chief complaint of crying, depressed moo
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
d, and sleeping difficulties. While talking about the death of a friend, the client states, "I can't
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believe this happened." Which statement by the nurse is most therapeutic?
z xz xz xz xz xz xz xz xz xz xz
A.
"It sounds like you're feeling very sad."
xz xz xz xz xz xz
B.
xz
"Tell me more about how you're feeling."
xz xz xz xz xz xz
C.
xz
"How often do you have crying spells?"
xz xz xz xz xz xz
D.
xz
"Do you want to talk about these feelings?" - ans-B
xz xz xz xz xz xz xz xz xz
Rationale: It is most therapeutic to ask an open- xz xz xz xz xz xz xz xz
ended question and encourage the client to explore his or her feelings. Option A is a leading
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
response, and the client may not be feeling sad. Options C and D are closed-
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ended questions that do not facilitate communication.
xz xz xz xz xz xz
When the nurse manager posts a schedule for volunteers to be on call, one staff member im
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
mediately signs up for all available 7-to- xz xz xz xz xz xz
3 day shifts. Other staff members complain to the charge nurse that they were not permitted
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
the opportunity to be on call for the day shift. What action should the nurse manager imple
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ment?
A.
Speak privately with the nurse. xz xz xz xz
B.
xz
Hold a staff meeting to discuss this issue.
xz xz xz xz xz xz xz
C.
xz
Review the nurse's current salary. xz xz xz xz
D.
xz
Nominate the nurse for employee of the month. - ans-A xz xz xz xz xz xz xz xz xz
Rationale: The nurse manager should speak privately with the nurse to assess the nurse's
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
motives and to discuss allowing other team members the opportunity to be on call for the da
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
y shift. Option B might become confrontational. Option C is irrelevant. Option D is not warra
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
nted.
At 0800 the nurse placed a 1 inch/
xz xz xz xz xz xz xz
2.54 cm of 2% nitroglycerin paste to a client's right thigh. The nurse placed the time, date an
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
d initials on the patch when it was applied. An hour later the client was complaining of a sud
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
den onset of dizziness; the blood pressure was 90/50 mm Hg. Upon further assessment, a
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
nitroglycerine patch was noted on the client's back with the same date, and the time was 08 xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
30. What are the nurse's next actions? (Select all that apply.)
xz xz xz xz xz xz xz xz xz xz
A.
Take the clients vital signs every 15 minutes.
xz xz xz xz xz xz xz
B.
xz
Find out who applied the second dose of ointment.
xz xz xz xz xz xz xz xz
C.
xz
,Have the client stay in bed. xz xz xz xz xz
D.
xz
Complete an occurrence/incident report. xz xz xz
E.
xz
Notify the health care provider. xz xz xz xz
F.
xz
Chart, occurrence report complete. - ans-A, C, D, E
xz xz xz xz xz xz xz xz
Rationale: The nurse's priority is the safety of the client who is going to require frequent vital
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
signs. The client's blood pressure is low and is at risk for falling. Notify the health care provid
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
er of the event for any alternative prescriptions that may be necessary. Complete the occurr
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ence report to document the objective findings. Do not place in the client's chart "occurrenc
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
e report completed." Only chart the findings and the client's physiologic responses to the tre
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
atments. The manager will complete the investigation. xz xz xz xz xz xz
A registered nurse (RN) delivers telehealth services to clients via electronic communication
xz xz xz xz xz xz xz xz xz xz xz
. Which nursing action creates the greatest risk for professional liability and has the potentia
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
l for a malpractice lawsuit?
xz xz xz xz
A.
Participating in telephone consultations with clients xz xz xz xz xz
B.
xz
Identifying oneself by name and title to clients in telehealth communications xz xz xz xz xz xz xz xz xz xz
C.
xz
Sending medical records to health care providers via the Internet
xz xz xz xz xz xz xz xz xz
D.
xz
Answering a client-initiated health question via electronic mail - ans-C xz xz xz xz xz xz xz xz xz
Rationale: Sending medical records over the Internet, even with the latest security protectio
xz xz xz xz xz xz xz xz xz xz xz xz
n, creates the greatest risk for liability because of the high potential of breaching client confi
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
dentiality and the amount of information being transferred. Client confidentiality is protecte
xz xz xz xz xz xz xz xz xz xz xz
d by federal wiretapping laws making telephone consultation a private and protected form o
xz xz xz xz xz xz xz xz xz xz xz xz xz
f communication. By stating one's name and credentials in telehealth communication, one i
xz xz xz xz xz xz xz xz xz xz xz xz
s taking responsibility for the encounter. E-
xz xz xz xz xz xz
mail initiated by the client poses less risk than sending records via the Internet.
xz xz xz xz xz xz xz xz xz xz xz xz xz
A client with arterial peripheral vascular disease (PVD) complains of pain in the feet. Which
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
instruction should the nurse give to the UAP to relieve the client's pain quickly?
xz xz xz xz xz xz xz xz xz xz xz xz xz
A.
Help the client dangle legs. xz xz xz xz
B.
xz
Apply compression stockings. xz xz
C.
xz
Assist with passive leg exercises. xz xz xz xz
D.
xz
Ambulate three times a day. - ans-A xz xz xz xz xz xz xz
Rationale: The client who has arterial PVD may benefit from dependent positioning, and thi
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s can be achieved with bedside dangling, which will promote gravitation of blood to the feet,
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
improve blood flow, and relieve pain. Option B is indicated for venous insufficiency and indi
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
, cated for bed rest. Ambulation is indicated to facilitate collateral circulation and may improv
xz xz xz xz xz xz xz xz xz xz xz xz xz
e long-term complaints of pain.
xz xz xz xz
The nurse is preparing assignments for the day shift. Which client should be assigned to the
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
staff RN rather than a PN?
xz xz xz xz xz xz
A.
A client with an admitting diagnosis of menorrhagia who is now 24 hours' post-
xz xz xz xz xz xz xz xz xz xz xz xz xz
vaginal hysterectomy xz
B.
xz
A client admitted with a myocardial infarction 4 days ago who was transferred from the inten
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
sive care unit (ICU) the previous day
xz xz xz xz xz xz
C.
xz
A client admitted during the night with depression following a suicide attempt with an overd
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ose of acetaminophen (Tylenol)xz xz xz
D.
xz
A 4-year- xz
old admitted the previous evening with gastrointestinal rotavirus who is receiving IV fluids a
xz xz xz xz xz xz xz xz xz xz xz xz xz
nd a clear liquid diet - ans-C
xz xz xz xz xz xz
Rationale: Option C requires communication skills and assessment skills beyond the educ
xz xz xz xz xz xz xz xz xz xz xz
ational level of a PN or UAP. Establishing a therapeutic, one-on-
xz xz xz xz xz xz xz xz xz xz
one relationship with a depressed client is beyond the scope of practice for a PN. In addition
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
, Tylenol is extremely hepatotoxic, and careful assessment is essential. Options A, B, and D
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
could all be cared for by a PN under the supervision of the RN.
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
The nurse is preparing for discharge teaching for the client who had open abdominal surger
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
y. The client is a 46-year-old, Hispanic male client; weight 220 pounds/
xz xz xz xz xz xz xz xz xz xz xz
100 kg; food preferences include beans, rice and fresh fruit; smokes ½ pack cigarettes daily
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
; and large extended family. Which factors place the client at risk for wound evisceration?
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
(Select all that apply.)
xz xz xz xz
A.
Large extended family xz xz
B.
xz
Dietary preferences xz
C.
xz
Smoker
D.
xz
Weight
E.
xz
Abdominal surgery xz
F.
xz
46 years old - ans-C, D, E
xz xz xz xz xz xz
Rationale: Risks for evisceration include abdominal surgery, poor wound healing secondar
xz xz xz xz xz xz xz xz xz xz
y to smoking, and obesity. The family offers social support; the diet is balanced with protein,
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz x
carbohydrates, vitamins and minerals; age is not a factor.
z xz xz xz xz xz xz xz xz
WITH ANSWERS
The nurse is providing care to an 86-year-
xz xz xz xz xz xz xz
old admitted with generalized weakness. Dietary modifications and levothyroxine are presc
xz xz xz xz xz xz xz xz xz xz
ribed. Which physiologic finding in an older adult could precipitate an adverse reaction to th
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
e medication?
xz
A.
Reduced renal excretion xz xz
B.
xz
Reduced gastrointestinal motility xz xz
C.
xz
Increased hepatic metabolism xz xz
D.
xz
Increased risk of autoimmune disorders - ans-A xz xz xz xz xz xz
Rationale: During the aging process, reduced renal function is common and contributes to
xz xz xz xz xz xz xz xz xz xz xz xz xz
drug accumulation that contributes to adverse reactions. Reduced hepatic function, not opt
xz xz xz xz xz xz xz xz xz xz xz
ion C, predisposes an older adult to an increase in adverse drug reactions. Option B may oc
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
cur frequently in an older client but does not impact the bioavailability of drugs. Although an
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
older adult may have a decreased immune response, the aging client's risk for autoimmune
xz xz xz xz xz xz xz xz xz xz xz xz xz x
disorders is not increased, nor does it affect drug pharmacotherapeutics
z xz xz xz xz xz xz xz xz xz
The charge nurse of a 16- xz xz xz xz xz
bed medical unit is making 0700 to 1900 shift assignments. The team consists of two RNs, t
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
wo PN/ xz
VNs, and two UAP. Which assignment is the most effective use of the available team memb
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ers?
A.
Assign the PNs to perform am care and assist with feeding the clients.
xz xz xz xz xz xz xz xz xz xz xz xz
B.
xz
Assign the UAPs to take vital signs and obtain daily weights.
xz xz xz xz xz xz xz xz xz xz
C.
xz
Assign the RNs to answer the call lights and administer all medications.
xz xz xz xz xz xz xz xz xz xz xz
D.
xz
Assign the PN/ xz xz
VNs to assist health care providers on rounds and perform glucometer checks. - ans-B
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
Rationale: A UAP can take vital signs and daily weights on stable clients. UAPs can perform
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
am care and feed clients, which is a better use of personnel than assigning the task to the P
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
N. All team members can answer call lights, and PNs can administer some of the medicatio
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ns, so assigning the RN these tasks is not an effective use of the available personnel. The R
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
N is the best team member to assist on rounds, and the UAP can perform glucometer check
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
s, so assigning the PN these tasks is not an effective use of available personnel.
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
,A client is admitted to the mental health unit with a chief complaint of crying, depressed moo
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
d, and sleeping difficulties. While talking about the death of a friend, the client states, "I can't
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz x
believe this happened." Which statement by the nurse is most therapeutic?
z xz xz xz xz xz xz xz xz xz xz
A.
"It sounds like you're feeling very sad."
xz xz xz xz xz xz
B.
xz
"Tell me more about how you're feeling."
xz xz xz xz xz xz
C.
xz
"How often do you have crying spells?"
xz xz xz xz xz xz
D.
xz
"Do you want to talk about these feelings?" - ans-B
xz xz xz xz xz xz xz xz xz
Rationale: It is most therapeutic to ask an open- xz xz xz xz xz xz xz xz
ended question and encourage the client to explore his or her feelings. Option A is a leading
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
response, and the client may not be feeling sad. Options C and D are closed-
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ended questions that do not facilitate communication.
xz xz xz xz xz xz
When the nurse manager posts a schedule for volunteers to be on call, one staff member im
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
mediately signs up for all available 7-to- xz xz xz xz xz xz
3 day shifts. Other staff members complain to the charge nurse that they were not permitted
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
the opportunity to be on call for the day shift. What action should the nurse manager imple
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ment?
A.
Speak privately with the nurse. xz xz xz xz
B.
xz
Hold a staff meeting to discuss this issue.
xz xz xz xz xz xz xz
C.
xz
Review the nurse's current salary. xz xz xz xz
D.
xz
Nominate the nurse for employee of the month. - ans-A xz xz xz xz xz xz xz xz xz
Rationale: The nurse manager should speak privately with the nurse to assess the nurse's
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
motives and to discuss allowing other team members the opportunity to be on call for the da
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
y shift. Option B might become confrontational. Option C is irrelevant. Option D is not warra
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
nted.
At 0800 the nurse placed a 1 inch/
xz xz xz xz xz xz xz
2.54 cm of 2% nitroglycerin paste to a client's right thigh. The nurse placed the time, date an
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
d initials on the patch when it was applied. An hour later the client was complaining of a sud
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
den onset of dizziness; the blood pressure was 90/50 mm Hg. Upon further assessment, a
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
nitroglycerine patch was noted on the client's back with the same date, and the time was 08 xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
30. What are the nurse's next actions? (Select all that apply.)
xz xz xz xz xz xz xz xz xz xz
A.
Take the clients vital signs every 15 minutes.
xz xz xz xz xz xz xz
B.
xz
Find out who applied the second dose of ointment.
xz xz xz xz xz xz xz xz
C.
xz
,Have the client stay in bed. xz xz xz xz xz
D.
xz
Complete an occurrence/incident report. xz xz xz
E.
xz
Notify the health care provider. xz xz xz xz
F.
xz
Chart, occurrence report complete. - ans-A, C, D, E
xz xz xz xz xz xz xz xz
Rationale: The nurse's priority is the safety of the client who is going to require frequent vital
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
signs. The client's blood pressure is low and is at risk for falling. Notify the health care provid
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
er of the event for any alternative prescriptions that may be necessary. Complete the occurr
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ence report to document the objective findings. Do not place in the client's chart "occurrenc
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
e report completed." Only chart the findings and the client's physiologic responses to the tre
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
atments. The manager will complete the investigation. xz xz xz xz xz xz
A registered nurse (RN) delivers telehealth services to clients via electronic communication
xz xz xz xz xz xz xz xz xz xz xz
. Which nursing action creates the greatest risk for professional liability and has the potentia
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
l for a malpractice lawsuit?
xz xz xz xz
A.
Participating in telephone consultations with clients xz xz xz xz xz
B.
xz
Identifying oneself by name and title to clients in telehealth communications xz xz xz xz xz xz xz xz xz xz
C.
xz
Sending medical records to health care providers via the Internet
xz xz xz xz xz xz xz xz xz
D.
xz
Answering a client-initiated health question via electronic mail - ans-C xz xz xz xz xz xz xz xz xz
Rationale: Sending medical records over the Internet, even with the latest security protectio
xz xz xz xz xz xz xz xz xz xz xz xz
n, creates the greatest risk for liability because of the high potential of breaching client confi
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
dentiality and the amount of information being transferred. Client confidentiality is protecte
xz xz xz xz xz xz xz xz xz xz xz
d by federal wiretapping laws making telephone consultation a private and protected form o
xz xz xz xz xz xz xz xz xz xz xz xz xz
f communication. By stating one's name and credentials in telehealth communication, one i
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s taking responsibility for the encounter. E-
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mail initiated by the client poses less risk than sending records via the Internet.
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A client with arterial peripheral vascular disease (PVD) complains of pain in the feet. Which
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instruction should the nurse give to the UAP to relieve the client's pain quickly?
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A.
Help the client dangle legs. xz xz xz xz
B.
xz
Apply compression stockings. xz xz
C.
xz
Assist with passive leg exercises. xz xz xz xz
D.
xz
Ambulate three times a day. - ans-A xz xz xz xz xz xz xz
Rationale: The client who has arterial PVD may benefit from dependent positioning, and thi
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s can be achieved with bedside dangling, which will promote gravitation of blood to the feet,
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improve blood flow, and relieve pain. Option B is indicated for venous insufficiency and indi
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, cated for bed rest. Ambulation is indicated to facilitate collateral circulation and may improv
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e long-term complaints of pain.
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The nurse is preparing assignments for the day shift. Which client should be assigned to the
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staff RN rather than a PN?
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A.
A client with an admitting diagnosis of menorrhagia who is now 24 hours' post-
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vaginal hysterectomy xz
B.
xz
A client admitted with a myocardial infarction 4 days ago who was transferred from the inten
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sive care unit (ICU) the previous day
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C.
xz
A client admitted during the night with depression following a suicide attempt with an overd
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ose of acetaminophen (Tylenol)xz xz xz
D.
xz
A 4-year- xz
old admitted the previous evening with gastrointestinal rotavirus who is receiving IV fluids a
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nd a clear liquid diet - ans-C
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Rationale: Option C requires communication skills and assessment skills beyond the educ
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ational level of a PN or UAP. Establishing a therapeutic, one-on-
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one relationship with a depressed client is beyond the scope of practice for a PN. In addition
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, Tylenol is extremely hepatotoxic, and careful assessment is essential. Options A, B, and D
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could all be cared for by a PN under the supervision of the RN.
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The nurse is preparing for discharge teaching for the client who had open abdominal surger
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y. The client is a 46-year-old, Hispanic male client; weight 220 pounds/
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100 kg; food preferences include beans, rice and fresh fruit; smokes ½ pack cigarettes daily
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; and large extended family. Which factors place the client at risk for wound evisceration?
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(Select all that apply.)
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A.
Large extended family xz xz
B.
xz
Dietary preferences xz
C.
xz
Smoker
D.
xz
Weight
E.
xz
Abdominal surgery xz
F.
xz
46 years old - ans-C, D, E
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Rationale: Risks for evisceration include abdominal surgery, poor wound healing secondar
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y to smoking, and obesity. The family offers social support; the diet is balanced with protein,
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carbohydrates, vitamins and minerals; age is not a factor.
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