Hesi exit 5 - 160 Questions & Answers 100% Accurate!

Suicide precautions are initiated for a child admitted to the mental health unit following an intentional narcotic overdose. After a visitor leaves, the nurse finds a package of cigarettes in the client's room. Which intervention is most important for the nurse to implement? - ANSWERSRemove cigarettes for the client's room A family member of a frail elderly adult asks the nurse about eligibility requirements for hospice care. What information should the nurse provide? (Select all that apply.) A.)A client must be willing to accept palliative care, not curative care. B.)The healthcare provider must project that the client has 6 months or less to live. C.)The client must be diagnosed with clinical depression D.)The client must be of sound mind - ANSWERSA,B A client with atrial fibrillation receives a new prescription for dabigatran. What instruction should the nurse include in this client's teaching plan? - ANSWERSAvoid use of nonsteroidal ant-inflammatory drugs (NSAID). An infant who is admitted for surgical repair of a ventricular septal defect (VSD) is irritable and diaphoretic with jugular vein distention. Which prescription should the nurse administer first? - ANSWERSDigoxin The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (PN), and an unlicensed assistive personnel (UAP). Which task should the charge nurse assign to the RN? - ANSWERSSupervise a newly hired graduate nurse during an admission assessment. While teaching a young male adult to use an inhaler for his newly diagnosed asthma, the client stares into the distance and appears to be concentrating on something other than the lesson the nurse is presenting. What action should the nurse take? - ANSWERSAsk the client what he is thinking about at his time. After several hours of non-productive coughing, a client presents to the emergency room complaining of chest tightness and shortness of breath. History includes end stage chronic obstructive pulmonary disease (COPD) and diabetes mellitus. While completing the pulmonary assessment, the nurse hears wheezing and poor air movement bilaterally. Which actions should the nurse implement? (Select all that apply.) A.)Administer PRN nebulizer treatment. B.)Obtain 12 lead electrocardiogram. C.)Monitor continuous oxygen saturation. D.) Lay the client in the prone position - ANSWERSA,B,C The nurse caring for a 3-month-old boy one day after a pylorotomy notices that the infant is restless, is exhibiting facial grimaces, and is drawing his knees to his chest. What action should the nurse take? - ANSWERSAdminister a prescribed analgesia for pain.