HESI Practice 2 VERIFIED 100% SOLUTIONS

HESI Practice 2 VERIFIED 100% SOLUTIONS A middle-aged woman who enjoys being a teacher and mentor feels that she should pass down her legacy of knowledge and skills to the younger generation. According to Erikson, she is involved in what developmental stage? - ANSWER Generativity. A client has a nursing diagnosis of, "Spiritual distress related to a loss of hope, secondary to impending death." What intervention is best for the nurse to implement when caring for this client? - ANSWER Assist and support the client in establishing short-term goals. How should the nurse handle linens that are soiled with incontinent feces? - ANSWER Place the soiled linens in a pillow case and deposit them in the dirty linen hamper. The nurse removes the dressing on a client's heel that is covering a pressure sore oneinch in diameter and finds that there is straw-colored drainage seeping from the wound. What description of this finding should the nurse include in the client's record? - ANSWER One-inch pressure sore draining serous fluid. Which statement correctly identifies a written learning objective for a client with peripheral vascular disease? - ANSWER Upon discharge, the client will list three ways to protect the feet from injury. A female nurse who sometimes tries to save time by putting medications in her uniform pocket to deliver to clients, confides that after arriving home she found a hydrocodone (Vicodin) tablet in her pocket. Which possible outcome of this situation should be the nurse's greatest concern? - ANSWER Accused of diversion. A low-sodium, low-protein diet is prescribed for a 45-year-old client with renal insufficiency and hypertension, who gained 3 pounds in the last month. The nurse determines that the client has been noncompliant with the diet, based on which report from the 24-hour dietary recall? (Select all that apply.) - ANSWER Snack of potato chips, and diet soda. Lunch of tuna fish sandwich, carrot sticks, fresh fruit, and coffee. Breakfast of eggs, bacon, toast, and coffee. Bedtime snack of crackers and milk. Which statement is an example of a correctly written nursing diagnosis statement? - ANSWER Ineffective coping related to response to positive biopsy test results. A client is demonstrating a positive Chvostek's sign. What action should the nurse take? - ANSWER Ask the client about numbness or tingling in the hands. A client who has moderate, persistent, chronic neuropathic pain due to diabetic neuropathy takes gabapentin (Neurontin) and ibuprofen (Motrin, Advil) daily. If Step 2 of the World Health Organization (WHO) pain relief ladder is prescribed, which drug protocol should be implemented? - ANSWER Continue gabapentin. While preparing to insert a rectal suppository in a male adult client, the nurse observes that the client is holding h