v1 50 out of 55 Fundamentals HESI 2020

Question about air pressure mattress = those type of bed we don’t put sheets to avoid skin tearing of the patient 1. What nerves we assess when using Snellen chart = optic nerve (II) 2. Nurse assistant tells you about stool characteristics or something, and what would you prioritize = Watery stool (diarrhea) 3. There are two patients who are complaining of pain, what you would do first to assist them or something like that = assess their pain first (compare which one is more severe, by describing it) 4. There was a priority question which client do you assist first (remember ABC’s) = she chose the answer that had something to do with breathing- D 5. For adult = pull the ear up and outward 6. When you take care of a patient with Hepatitis A, what do you do? Wear gloves when giving bath 7. The patient has TB and what would you place in biohazard bag before taking it from the room = Sputum sample 8. They said when the person is agnostic (or something) what do we include in care plan = something to do with spirituality 9. Nurse observes nursing assistive personnel giving patient a bed bath and has the patients foot soaked in the basin of water. What should the nurse instruct the nursing assistive personnel to do? Dry the water between the toes (because of skin breakdown) 10. When you catheterization on circumcised patient, what to do? Advance the catheter and inflate the balloon 11. Which position do you apply enema? Left side-lying (Sims’) position with the right knee flexed 12. Elderly patient that needed to have something done, who would you ask consent = daughter in law because she has the consent or whatever 13. A patient has an order for wrist restraint, after putting them on, what do you = check capillary refill 14. When giving medication = make sure you verify the patient identification band 15. When you bathe someone with UTI or something like that, what do you do = put don gloves 16. What is the safe procedure regarding gloves = change gloves before entering another room 17. A patient with a soft bland diet reports constipation you assess the bowel sounds and they are low what do you do? Heat prune juice 18. A patient was admitted for dehydration yesterday, what are signs that the patient is getting hydrated? Pulse