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Exam (elaborations)

HESI: Fundamentals Study Guide fully solved 2024

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HESI: Fundamentals Study GuideWhich instruction should the practical nurse (PN) provide to a client whose vision is being tested with a Snellen chart? - correct answer Cover one eye while reading the chart with the other. Which client finding requires further action by the practical nurse (PN)? - correct answer The drainage tube of an indwelling catheter is looped below the client's bladder. The practical nurse (PN) enters a client's room and finds the client on the floor after a fall. How should the PN communicate this situation to the risk management team? - correct answer Submit a completed incident report describing the situation to the unit manager. The practical nurse (PN) is performing nasotracheal suctioning. After the client's trachea is suctioned for 15 seconds, large amounts of thick yellow secretions return. What action should the PN implement next? - correct answer Reoxygenate the client before attempting to suction again. The practical nurse (PN) is administering a rectal suppository to a client. What action should be implemented to prevent discomfort during administration? - correct answer Allow the suppository soften before insertion. An elderly client who attends an adult day care program and is wheelchair-mobile has redness in the sacral. Which information is most important for the practical nurse (PN) to provide? - correct answer Change positions in the chair at least every hour. During the initial morning assessment, a client denies dysuria but reports dark amber urine. Which intervention should the practical nurse (PN) implement? - correct answer Encourage additional oral intake of juices and water. The HIV unit nursing team, composed of the registered nurse (RN) case manager, staff RNs, and staff practical nurses (PNs), is meeting to discuss a client who has developed anorexia related to HIV medications. The client has lost 15 pounds in the previous 2 months. Which action should the team implement to continue the nursing process? - correct answer Collaborate with the client to set goals.

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