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Exam (elaborations)

HESI EXIT RN EXAM 2019 V1-V7 UPDATED.

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201. A 56-years-old man shares with the nurse that he is having difficulty making decision about terminating life support for his wife. What is the best initial action by the nurse? • Provide ianiopportunityiforihimito iclarify ihis ivalues irelatedito ithe idecision i • Encourage him to share memories about his life with his wife and family • Advise him to seek several opinions before making decision • Offer to contact the hospital chaplain or social worker to offer support. • Rationale: When a client is faced with a decisional conflict, the nurse should first provide opportunities for the client to clarify values important in the decision. The rest may also be beneficial once the client as clarified the values that are important to him in the decision-making process. 202. A client is being discharged home after being treated for heart failure (HF). What instruction should the nurse include in this client’s discharge teaching plan? • Weighievery imorning • Eat a high protein diet • Perform range of motion exercises • Limit fluid intake to 1,500 ml daily 203. A client who recently underwear a tracheostomy is being prepared for discharge to home. Which instructions is most important for the nurse to include in the discharge plan? • Teach tracheal suctioning techniques 204. A child with heart failure is receiving the diuretic furosemide (Lasix) and has serum potassium level 3.0 mEq/L. Which assessment is most important for the nurse to obtain? • Cardiac irhythmiand iheart irate. • Daily intake of foods rich in potassium. • Hourly urinary output • Thirst ad skin turgor.

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