NUR COMMUNITY HESI Exit 1-with 100% verified solutions-2203

lOMoAR cPSD|12263423 Downloaded by Anna Maina () NUR COMMUNIT Y HESI Exit 1-with 100% verified solutions -2203 • male client admitted the morning of his scheduled surgery tells the PN that he drank water last night. What intervention will the PN implement first? Determine the amount of water and exact time it was taken. • A client receives ondansetron prior to chemotherapy treatment. How should the PN evaluate this medication? Monitor the client for nausea or vomiting following the treatment. • During morning rounds a client is admitted w ith OCD is in the...of the same table. What intervention should the PN implement when approached? Provide time for the behavior then guide the client to other activities. • The PN is caring for an older adult client who is confused and spends...factor contributes to an increased risk for impaired skin integrity for this client? Has increasing episodes of urinary incontinence. • The PN determines that a client with cirrhosis is experiencing peripheral Take? Protect the clients’ feet from injury. lOMoAR cPSD|12263423 Downloaded by Anna Maina () 7. A client is admitted to the postoperative surgical unit after a left lobectomy with two chest tubes ..... observes the water -sealed chambers, set and prescribed suction of 20cm water what action should the PN implement? Maintain system integrity and to promote lung expansion. 8. Photo of chest and locating apical HR. Just below the left nipple. 9. At the end of a 12-hour shift the PN observes the urine in a client’s drainage. What action should the PN take next? Note the most recent white blood count. 10. A client with a compound fracture of the left ankle is being discharged with a below the knee cast PN provide to the client prior to discharge? Never scratch under the cast. 11. Thirty minutes after receiving IV morphine, a postoperative male client continues to rate his pain. what action should the PN implement first? lOMoAR cPSD|12263423 Downloaded by Anna Maina () Implement complementary pain relief methods. 12. A male client has been diagnosed with schizophrenia is withdrawn, isolates himself in................................. ................................ ................................ ........ with one or two word responses. The morning the PN observes that he Which intervention is most important for the PN to implement? Measure appropriate vital signs. 13. The PN is assisting an unsteady client to ambulate from the bed to the bath. client loses balance and falls onto the bedside table. What action should the PN take first? Stay with the client and call for assistance. 14. The PN is assisting a female client to obtain a voided specimen for Uri meatus. Which intervention is performed next? Initiate the urine stream? 15. ................................ ................................ ................................ ................. An 8- year-old is placed in 90-90 traction for a fractured femur that resulted from .................................................................................................................further action by the PN? lOMoAR cPSD|12263423 Downloaded by Anna Maina () Weights are touching the foot of the bed. 16. The PN is reviewing diet instructions with a female client who has hypershe has increased her intakes of protein and calories. What action should the PN take? Encourage the client to continue the dietary changes she has made 17. A 3-year-old child returns to the pediatrician’s office for a postoperative visit after having...procedure. The PN shoul d expect to observe which behavior that indicates... Plays doctor and nurse with the dolls 18. The PN reviews the procedure for measuring fluid intake and output glomerulonephritis and is preparing for discharge from the hospital. What... -why the fluid measurements need to be recoded -which food types are included when measuring fluid take -what container to use for the most accurate measurement