Evolve HESI Fundamentals Practice Qs
sd sd sd sd sd
Questions And Answers Verified A+
sd sd sd sd
catheterizationsdissdprescribedsdforsdasdpostoperativesdfemalesdclientsdwhosdhassdbeensdunablesd
tosdvoidsdforsd8sdhours.sdThesdnursesdinsertssdthesdcatheter,sdbutsdnosdurinesdissdseensdinsdthesdtubi
ng.sdWhichsdactionsdwillsdthesdnursesdtakesdnext?
A.sdClampsdthesdcathetersdandsdrechecksditsdinsd60sdminutes.
B.sdPullsdthesdcathetersdbacksd3sdinchessdandsdredirectsdupward.
C.sdLeavesdthesdcathetersdinsdplacesdandsdreattemptsdwithsdanothersdcatheter.
D.sdNotifysdthesdhealthsdcaresdprovidersdofsdasdpossiblesdobstruction.sd-sdcorrectsdanswers-
Answer:sdC
Itsdissdlikelysdthatsdthesdfirstsdcathetersdissdinsdthesdvagina,sdrathersdthansdthesdbladder.sdLeavingsdth
esdfirstsdcathetersdinsdplacesdwillsdhelpsdlocatesdthesdmeatussdwhensdattemptingsdthesdsecondsdcat
heterizationsd(C).sdThesdclientsdshouldsdhavesdatsdleastsd240sdmLsdofsdurinesdaftersd8sdhours.sd(A)sd
doessdnotsdresolvesdthesdproblem.sd(B)sdwillsdnotsdchangesdthesdlocationsdofsdthesdcathetersdunles
ssditsdissdcompletelysdremoved,sdinsdwhichsdcasesdasdnewsdcathetersdmustsdbesdused.sdTheresdissdn
osdevidencesdofsdasdurinarysdtractsdobstructionsdifsdthesdcathetersdcouldsdbesdeasilysdinsertedsd(D).
Thesdnursesdissdteachingsdansdobesesdclient,sdnewlysddiagnosedsdwithsdarteriosclerosis,sdaboutsd
reducingsdthesdrisksdofsdasdheartsdattacksdorsdstroke.sdWhichsdhealthsdpromotionsdbrochuresdissdm
ostsdimportantsdforsdthesdnursesdtosdprovidesdtosdthissdclient?
A.sd"MonitoringsdYoursdBloodsdPressuresdatsdHome"
B.sd"SmokingsdCessationsdassdasdLifelongsdCommitment"
C.sd"DecreasingsdCholesterolsdLevelssdThroughsdDiet"
D.sd"StresssdManagementsdforsdasdHealthiersdYou"sd-sdcorrectsdanswers-Answer:sdC
Asdhealthsdpromotionsdbrochuresdaboutsddecreasingsdcholesterolsd(C)sdissdmostsdimportantsdtosd
providesdthissdclient,sdbecausesdthesdmostsdsignificantsdrisksdfactorsdcontributingsdtosddevelopm
entsdofsdarteriosclerosissdissdexcesssddietarysdfat,sdparticularlysdsaturatedsdfatsdandsdcholesterol.
sd(A)sddoessdnotsdaddresssdthesdunderlyingsdcausessdofsdarteriosclerosis.sd(BsdandsdD)sdaresdalsos
dimportantsdfactorssdforsdreversingsdarteriosclerosissdbutsdaresdnotsdassdimportantsdassdloweringsd
cholesterolsd(C).
Tensdminutessdaftersdsigningsdansdoperativesdpermitsdforsdasdfracturedsdhip,sdansdoldersdclientsdsta
tes,sd"Thesdalienssdwillsdbesdcomingsdtosdgetsdmesdsoon!"sdandsdfallssdasleep.sdWhichsdactionsdsho
uldsdthesdnursesdimplementsdnext?
A.sdMakesdthesdclientsdcomfortablesdandsdallowsdthesdclientsdtosdsleep.
B.sdAssesssdthesdclient'ssdneurologicsdstatus.
C.sdNotifysdthesdsurgeonsdaboutsdthesdcomment.
D.sdAsksdthesdclient'ssdfamilysdtosdco-signsdthesdoperativesdpermit.sd-sdcorrectsdanswers-
Answer:sdB
Thissdstatementsdmaysdindicatesdthatsdthesdclientsdissdconfused.sdInformedsdconsentsdmustsdbesd
providedsdbysdasdmentallysdcompetentsdindividual,sdsosdthesdnursesdshouldsdfurthersdassesssdthe
sdclient'ssdneurologicsdstatussd(B)sdtosdbesdsuresdthatsdthesdclientsdunderstandssdandsdcansdlegallys
dprovidesdconsentsdforsdsurgery.sd(A)sddoessdnotsdprovidesdsufficientsdfollow-
,up.sdIfsdthesdnursesddeterminessdthatsdthesdclientsdissdconfused,sdthesdsurgeonsdmustsdbesdnotified
sd(C)sdandsdpermissionsdobtainedsdfromsdthesdnextsdofsdkinsd(D).
Thesdnurse-
managersdofsdasdskilledsdnursingsd(chronicsdcare)sdunitsdissdinstructingsdUAPssdonsdwayssdtosdpre
ventsdcomplicationssdofsdimmobility.sdWhichsdinterventionsdshouldsdbesdincludedsdinsdthissdinstru
ction?
A.sdPerformsdrange-of-motionsdexercisessdtosdpreventsdcontractures.
B.sdDecreasesdthesdclient'ssdfluidsdintakesdtosdpreventsddiarrhea.
C.sdMassagesdthesdclient'ssdlegssdtosdreducesdembolismsdoccurrence.
D.sdTurnsdthesdclientsdfromsdsidesdtosdbacksdeverysdshift.sd-sdcorrectsdanswers-Answer:sdA
Performingsdrange-of-
motionsdexercisessd(A)sdissdbeneficialsdinsdreducingsdcontracturessdaroundsdjoints.sd(B,sdC,sdands
dD)sdaresdallsdpotentiallysdharmfulsdpracticessdthatsdplacesdthesdimmobilesdclientsdatsdrisksdofsdcom
plications.
Thesdnursesdissdassistingsdasdclientsdtosdthesdbathroom.sdWhensdthesdclientsdissd5sdfeetsdfromsdthesd
bathroomsddoor,sdhesdstates,sd"Isdfeelsdfaint."sdBeforesdthesdnursesdcansdgetsdthesdclientsdtosdasdcha
ir,sdthesdclientsdstartssdtosdfall.sdWhichsdissdthesdprioritysdactionsdforsdthesdnursesdtosdtake?
A.sdChecksdthesdclient'ssdcarotidsdpulse.
B.sdEncouragesdthesdclientsdtosdgetsdtosdthesdtoilet.
C.sdInsdasdloudsdvoice,sdcallsdforsdhelp.
D.sdGentlysdlowersdthesdclientsdtosdthesdfloor.sd-sdcorrectsdanswers-Answer:sdD
(D)sdissdthesdmostsdprudentsdinterventionsdandsdissdthesdprioritysdnursingsdactionsdtosdpreventsdinju
rysdtosdthesdclientsdandsdthesdnurse.sdLoweringsdthesdclientsdtosdthesdfloorsdshouldsdbesddonesdwhen
sdthesdclientsdcannotsdsupportsdhissdownsdweight.sdThesdclientsdshouldsdbesdplacedsdinsdasdbedsdorsd
chairsdonlysdwhensdsufficientsdhelpsdissdavailablesdtosdpreventsdinjury.sd(A)sdissdimportantsdbutsdsh
ouldsdbesddonesdaftersdthesdclientsdissdinsdasdsafesdposition.sdBecausesdthesdclientsdissdnotsdsupporti
ngsdhimself,sd(B)sdissdimpractical.sd(C)sdissdlikelysdtosdcausesdchaossdonsdthesdunitsdandsdmightsdala
rmsdthesdothersdclients.
Asdfemalesdnursesdissdassignedsdtosdcaresdforsdasdclosesdfriend,sdwhosdsays,sd"Isdamsdworriedsdthats
dfriendssdwillsdfindsdoutsdaboutsdmysddiagnosis."sdThesdnursesdtellssdhersdfriendsdthatsdlegallysdshesd
mustsdprotectsdasdclient'ssdconfidentiality.sdWhichsdresourcesddescribessdthesdnurse'ssdlegalsdre
sponsibilities?
A.sdCodesdofsdEthicssdforsdNurses
B.sdStatesdNursesdPracticesdAct
C.sdPatient'ssdBillsdofsdRights
D.sdANAsdStandardssdofsdPracticesd-sdcorrectsdanswers-Answer:sdB
ThesdStatesdNursesdPracticesdActsd(B)sdcontainssdlegalsdrequirementssdforsdthesdprotectionsdofsdc
lientsdconfidentialitysdandsdthesdconsequencessdforsdbreachessdinsdconfidentiality.sd(A)sdoutlines
sdethicalsdstandardssdforsdnursingsdcaresdbutsddoessdnotsdincludesdlegalsdguidelines.sd(CsdandsdD)s
ddescribesdexpectationssdforsdnursingsdpracticesdbutsddosdnotsdaddresssdlegalsdimplications.
Thesdnursesdissdteachingsdasdclientsdhowsdtosdperformsdprogressivesdmusclesdrelaxationsdtechniq
uessdtosdrelievesdinsomnia.sdAsdweeksdlatersdthesdclientsdreportssdthatsdhesdissdstillsdunablesdtosdsle
ep,sddespitesdfollowingsdthesdsamesdroutinesdeverysdnight.sdWhichsdactionsdshouldsdthesdnursesdt
akesdfirst?
A.sdInstructsdthesdclientsdtosdaddsdregularsdexercisesdassdasddailysdroutine.
B.sdDeterminesdifsdthesdclientsdhassdbeensdkeepingsdasdsleepsddiary.
, C.sdEncouragesdthesdclientsdtosdcontinuesdthesdroutinesduntilsdsleepsdissdachieved.
D.sdAsksdthesdclientsdtosddescribesdthesdroutinesdthatsdthesdclientsdissdcurrentlysdfollowing.sd-
sdcorrectsdanswers-Answer:sdD
Thesdnursesdshouldsdfirstsdevaluatesdwhethersdthesdclientsdhassdbeensdadheringsdtosdthesdoriginals
dinstructionssd(D).sdAsdverbalsdreportsdofsdthesdclient'ssdroutinesdwillsdprovidesdmoresdspecificsdinfo
rmationsdthansdthesdclient'ssdwrittensddiarysd(B).sdThesdnursesdcansdthensddeterminesdwhichsdcha
ngessdneedsdtosdbesdmadesd(A).sdThesdroutinesdpracticedsdbysdthesdclientsdissdclearlysdunsuccessf
ul,sdsosdencouragementsdalonesdissdinsufficientsd(C).
Asd65-year-oldsdclientsdwhosdattendssdansdadultsddaycaresdprogramsdandsdissdwheelchair-
mobilesdhassdrednesssdinsdthesdsacralsdarea.sdWhichsdinstructionsdissdmostsdimportantsdforsdthesdn
ursesdtosdprovide?
A.sdTakesdasdvitaminsdsupplementsdtabletsdoncesdasdday.
B.sdChangesdpositionssdinsdthesdchairsdatsdleastsdeverysdhour.
C.sdIncreasesddailysdintakesdofsdwatersdorsdothersdoralsdfluids.
D.sdPurchasesdasdnewersdmodelsdwheelchair.sd-sdcorrectsdanswers-Answer:sdB
Thesdmostsdimportantsdteachingsdissdtosdchangesdpositionssdfrequentlysd(B)sdbecausesdpressure
sdissdthesdmostsdsignificantsdfactorsdrelatedsdtosdthesddevelopmentsdofsdpressuresdulcers.sdIncreas
edsdvitaminsdandsdfluidsdintakesd(AsdandsdC)sdmaysdalsosdbesdbeneficialsdpromotesdhealingsdandsdr
educesdfurthersdrisk.sd(D)sdissdansdinterventionsdofsdlastsdresortsdbecausesdthissdwillsdbesdverysdexp
ensivesdforsdthesdclient.
Whensdturningsdansdimmobilesdbedriddensdclientsdwithoutsdassistance,sdwhichsdactionsdbysdthesd
nursesdbestsdensuressdclientsdsafety?
A.sdSecurelysdgraspsdthesdclient'ssdarmsdandsdleg.
B.sdPutsdbedsdrailssdupsdonsdthesdsidesdofsdbedsdoppositesdfromsdthesdnurse.
C.sdCorrectlysdpositionsdandsdusesdasdturnsdsheet.
D.sdLowersdthesdheadsdofsdthesdclient'ssdbedsdslowly.sd-sdcorrectsdanswers-Answer:sdB
Becausesdthesdnursesdcansdonlysdstandsdonsdonesdsidesdofsdthesdbed,sdbedsdrailssdshouldsdbesdupsd
onsdthesdoppositesdsidesdtosdensuresdthatsdthesdclientsddoessdnotsdfallsdoutsdofsdbedsd(B).sd(A)sdcansd
causesdclientsdinjurysdtosdthesdskinsdorsdjoint.sd(CsdandsdD)sdaresdusefulsdtechniquessdwhilesdturnin
gsdasdclientsdbutsdhavesdlesssdprioritysdinsdtermssdofsdsafetysdthansdusesdofsdthesdbedsdrails.
Asdfemalesdclientsdwithsdfrequentsdurinarysdtractsdinfectionssd(UTIs)sdaskssdthesdnursesdtosdexplai
nsdhersdfriend'ssdadvicesdaboutsddrinkingsdasdglasssdofsdjuicesddailysdtosdpreventsdfuturesdUTIs.sdW
hichsdresponsesdissdbestsdforsdthesdnursesdprovide?
A.sdOrangesdjuicesdhassdvitaminsdCsdthatsddeterssdbacterialsdgrowth.
B.sdApplesdjuicesdissdthesdmostsdusefulsdinsdacidifyingsdthesdurine.
C.sdCranberrysdjuicesdstopssdpathogens'sdadherencesdtosdthesdbladder.
D.sdGrapefruitsdjuicesdincreasessdabsorptionsdofsdmostsdantibiotics.sd-sdcorrectsdanswers-
Answer:sdC
Cranberrysdjuicesd(C)sdmaintainssdurinarysdtractsdhealthsdbysdreducingsdthesdadherencesdofsdEsc
herichiasdcolisdbacteriasdtosdcellssdwithinsdthesdbladder.sd(A,sdB,sdandsdD)sdhavesdnotsdbeensdshow
nsdtosdbesdassdeffectivesdassdcranberrysdjuicesd(C)sdinsdpreventingsdUTIs.
Thesdnursesdissdawaresdthatsdmalnutritionsdissdasdcommonsdproblemsdamongsdclientssdservedsdby
sdasdcommunitysdhealthsdclinicsdforsdthesdhomeless.sdWhichsdlaboratorysdvaluesdissdthesdmostsdreli
ablesdindicatorsdofsdchronicsdproteinsdmalnutrition?
A.sdLowsdserumsdalbuminsdlevel
B.sdLowsdserumsdtransferrinsdlevel
sd sd sd sd sd
Questions And Answers Verified A+
sd sd sd sd
catheterizationsdissdprescribedsdforsdasdpostoperativesdfemalesdclientsdwhosdhassdbeensdunablesd
tosdvoidsdforsd8sdhours.sdThesdnursesdinsertssdthesdcatheter,sdbutsdnosdurinesdissdseensdinsdthesdtubi
ng.sdWhichsdactionsdwillsdthesdnursesdtakesdnext?
A.sdClampsdthesdcathetersdandsdrechecksditsdinsd60sdminutes.
B.sdPullsdthesdcathetersdbacksd3sdinchessdandsdredirectsdupward.
C.sdLeavesdthesdcathetersdinsdplacesdandsdreattemptsdwithsdanothersdcatheter.
D.sdNotifysdthesdhealthsdcaresdprovidersdofsdasdpossiblesdobstruction.sd-sdcorrectsdanswers-
Answer:sdC
Itsdissdlikelysdthatsdthesdfirstsdcathetersdissdinsdthesdvagina,sdrathersdthansdthesdbladder.sdLeavingsdth
esdfirstsdcathetersdinsdplacesdwillsdhelpsdlocatesdthesdmeatussdwhensdattemptingsdthesdsecondsdcat
heterizationsd(C).sdThesdclientsdshouldsdhavesdatsdleastsd240sdmLsdofsdurinesdaftersd8sdhours.sd(A)sd
doessdnotsdresolvesdthesdproblem.sd(B)sdwillsdnotsdchangesdthesdlocationsdofsdthesdcathetersdunles
ssditsdissdcompletelysdremoved,sdinsdwhichsdcasesdasdnewsdcathetersdmustsdbesdused.sdTheresdissdn
osdevidencesdofsdasdurinarysdtractsdobstructionsdifsdthesdcathetersdcouldsdbesdeasilysdinsertedsd(D).
Thesdnursesdissdteachingsdansdobesesdclient,sdnewlysddiagnosedsdwithsdarteriosclerosis,sdaboutsd
reducingsdthesdrisksdofsdasdheartsdattacksdorsdstroke.sdWhichsdhealthsdpromotionsdbrochuresdissdm
ostsdimportantsdforsdthesdnursesdtosdprovidesdtosdthissdclient?
A.sd"MonitoringsdYoursdBloodsdPressuresdatsdHome"
B.sd"SmokingsdCessationsdassdasdLifelongsdCommitment"
C.sd"DecreasingsdCholesterolsdLevelssdThroughsdDiet"
D.sd"StresssdManagementsdforsdasdHealthiersdYou"sd-sdcorrectsdanswers-Answer:sdC
Asdhealthsdpromotionsdbrochuresdaboutsddecreasingsdcholesterolsd(C)sdissdmostsdimportantsdtosd
providesdthissdclient,sdbecausesdthesdmostsdsignificantsdrisksdfactorsdcontributingsdtosddevelopm
entsdofsdarteriosclerosissdissdexcesssddietarysdfat,sdparticularlysdsaturatedsdfatsdandsdcholesterol.
sd(A)sddoessdnotsdaddresssdthesdunderlyingsdcausessdofsdarteriosclerosis.sd(BsdandsdD)sdaresdalsos
dimportantsdfactorssdforsdreversingsdarteriosclerosissdbutsdaresdnotsdassdimportantsdassdloweringsd
cholesterolsd(C).
Tensdminutessdaftersdsigningsdansdoperativesdpermitsdforsdasdfracturedsdhip,sdansdoldersdclientsdsta
tes,sd"Thesdalienssdwillsdbesdcomingsdtosdgetsdmesdsoon!"sdandsdfallssdasleep.sdWhichsdactionsdsho
uldsdthesdnursesdimplementsdnext?
A.sdMakesdthesdclientsdcomfortablesdandsdallowsdthesdclientsdtosdsleep.
B.sdAssesssdthesdclient'ssdneurologicsdstatus.
C.sdNotifysdthesdsurgeonsdaboutsdthesdcomment.
D.sdAsksdthesdclient'ssdfamilysdtosdco-signsdthesdoperativesdpermit.sd-sdcorrectsdanswers-
Answer:sdB
Thissdstatementsdmaysdindicatesdthatsdthesdclientsdissdconfused.sdInformedsdconsentsdmustsdbesd
providedsdbysdasdmentallysdcompetentsdindividual,sdsosdthesdnursesdshouldsdfurthersdassesssdthe
sdclient'ssdneurologicsdstatussd(B)sdtosdbesdsuresdthatsdthesdclientsdunderstandssdandsdcansdlegallys
dprovidesdconsentsdforsdsurgery.sd(A)sddoessdnotsdprovidesdsufficientsdfollow-
,up.sdIfsdthesdnursesddeterminessdthatsdthesdclientsdissdconfused,sdthesdsurgeonsdmustsdbesdnotified
sd(C)sdandsdpermissionsdobtainedsdfromsdthesdnextsdofsdkinsd(D).
Thesdnurse-
managersdofsdasdskilledsdnursingsd(chronicsdcare)sdunitsdissdinstructingsdUAPssdonsdwayssdtosdpre
ventsdcomplicationssdofsdimmobility.sdWhichsdinterventionsdshouldsdbesdincludedsdinsdthissdinstru
ction?
A.sdPerformsdrange-of-motionsdexercisessdtosdpreventsdcontractures.
B.sdDecreasesdthesdclient'ssdfluidsdintakesdtosdpreventsddiarrhea.
C.sdMassagesdthesdclient'ssdlegssdtosdreducesdembolismsdoccurrence.
D.sdTurnsdthesdclientsdfromsdsidesdtosdbacksdeverysdshift.sd-sdcorrectsdanswers-Answer:sdA
Performingsdrange-of-
motionsdexercisessd(A)sdissdbeneficialsdinsdreducingsdcontracturessdaroundsdjoints.sd(B,sdC,sdands
dD)sdaresdallsdpotentiallysdharmfulsdpracticessdthatsdplacesdthesdimmobilesdclientsdatsdrisksdofsdcom
plications.
Thesdnursesdissdassistingsdasdclientsdtosdthesdbathroom.sdWhensdthesdclientsdissd5sdfeetsdfromsdthesd
bathroomsddoor,sdhesdstates,sd"Isdfeelsdfaint."sdBeforesdthesdnursesdcansdgetsdthesdclientsdtosdasdcha
ir,sdthesdclientsdstartssdtosdfall.sdWhichsdissdthesdprioritysdactionsdforsdthesdnursesdtosdtake?
A.sdChecksdthesdclient'ssdcarotidsdpulse.
B.sdEncouragesdthesdclientsdtosdgetsdtosdthesdtoilet.
C.sdInsdasdloudsdvoice,sdcallsdforsdhelp.
D.sdGentlysdlowersdthesdclientsdtosdthesdfloor.sd-sdcorrectsdanswers-Answer:sdD
(D)sdissdthesdmostsdprudentsdinterventionsdandsdissdthesdprioritysdnursingsdactionsdtosdpreventsdinju
rysdtosdthesdclientsdandsdthesdnurse.sdLoweringsdthesdclientsdtosdthesdfloorsdshouldsdbesddonesdwhen
sdthesdclientsdcannotsdsupportsdhissdownsdweight.sdThesdclientsdshouldsdbesdplacedsdinsdasdbedsdorsd
chairsdonlysdwhensdsufficientsdhelpsdissdavailablesdtosdpreventsdinjury.sd(A)sdissdimportantsdbutsdsh
ouldsdbesddonesdaftersdthesdclientsdissdinsdasdsafesdposition.sdBecausesdthesdclientsdissdnotsdsupporti
ngsdhimself,sd(B)sdissdimpractical.sd(C)sdissdlikelysdtosdcausesdchaossdonsdthesdunitsdandsdmightsdala
rmsdthesdothersdclients.
Asdfemalesdnursesdissdassignedsdtosdcaresdforsdasdclosesdfriend,sdwhosdsays,sd"Isdamsdworriedsdthats
dfriendssdwillsdfindsdoutsdaboutsdmysddiagnosis."sdThesdnursesdtellssdhersdfriendsdthatsdlegallysdshesd
mustsdprotectsdasdclient'ssdconfidentiality.sdWhichsdresourcesddescribessdthesdnurse'ssdlegalsdre
sponsibilities?
A.sdCodesdofsdEthicssdforsdNurses
B.sdStatesdNursesdPracticesdAct
C.sdPatient'ssdBillsdofsdRights
D.sdANAsdStandardssdofsdPracticesd-sdcorrectsdanswers-Answer:sdB
ThesdStatesdNursesdPracticesdActsd(B)sdcontainssdlegalsdrequirementssdforsdthesdprotectionsdofsdc
lientsdconfidentialitysdandsdthesdconsequencessdforsdbreachessdinsdconfidentiality.sd(A)sdoutlines
sdethicalsdstandardssdforsdnursingsdcaresdbutsddoessdnotsdincludesdlegalsdguidelines.sd(CsdandsdD)s
ddescribesdexpectationssdforsdnursingsdpracticesdbutsddosdnotsdaddresssdlegalsdimplications.
Thesdnursesdissdteachingsdasdclientsdhowsdtosdperformsdprogressivesdmusclesdrelaxationsdtechniq
uessdtosdrelievesdinsomnia.sdAsdweeksdlatersdthesdclientsdreportssdthatsdhesdissdstillsdunablesdtosdsle
ep,sddespitesdfollowingsdthesdsamesdroutinesdeverysdnight.sdWhichsdactionsdshouldsdthesdnursesdt
akesdfirst?
A.sdInstructsdthesdclientsdtosdaddsdregularsdexercisesdassdasddailysdroutine.
B.sdDeterminesdifsdthesdclientsdhassdbeensdkeepingsdasdsleepsddiary.
, C.sdEncouragesdthesdclientsdtosdcontinuesdthesdroutinesduntilsdsleepsdissdachieved.
D.sdAsksdthesdclientsdtosddescribesdthesdroutinesdthatsdthesdclientsdissdcurrentlysdfollowing.sd-
sdcorrectsdanswers-Answer:sdD
Thesdnursesdshouldsdfirstsdevaluatesdwhethersdthesdclientsdhassdbeensdadheringsdtosdthesdoriginals
dinstructionssd(D).sdAsdverbalsdreportsdofsdthesdclient'ssdroutinesdwillsdprovidesdmoresdspecificsdinfo
rmationsdthansdthesdclient'ssdwrittensddiarysd(B).sdThesdnursesdcansdthensddeterminesdwhichsdcha
ngessdneedsdtosdbesdmadesd(A).sdThesdroutinesdpracticedsdbysdthesdclientsdissdclearlysdunsuccessf
ul,sdsosdencouragementsdalonesdissdinsufficientsd(C).
Asd65-year-oldsdclientsdwhosdattendssdansdadultsddaycaresdprogramsdandsdissdwheelchair-
mobilesdhassdrednesssdinsdthesdsacralsdarea.sdWhichsdinstructionsdissdmostsdimportantsdforsdthesdn
ursesdtosdprovide?
A.sdTakesdasdvitaminsdsupplementsdtabletsdoncesdasdday.
B.sdChangesdpositionssdinsdthesdchairsdatsdleastsdeverysdhour.
C.sdIncreasesddailysdintakesdofsdwatersdorsdothersdoralsdfluids.
D.sdPurchasesdasdnewersdmodelsdwheelchair.sd-sdcorrectsdanswers-Answer:sdB
Thesdmostsdimportantsdteachingsdissdtosdchangesdpositionssdfrequentlysd(B)sdbecausesdpressure
sdissdthesdmostsdsignificantsdfactorsdrelatedsdtosdthesddevelopmentsdofsdpressuresdulcers.sdIncreas
edsdvitaminsdandsdfluidsdintakesd(AsdandsdC)sdmaysdalsosdbesdbeneficialsdpromotesdhealingsdandsdr
educesdfurthersdrisk.sd(D)sdissdansdinterventionsdofsdlastsdresortsdbecausesdthissdwillsdbesdverysdexp
ensivesdforsdthesdclient.
Whensdturningsdansdimmobilesdbedriddensdclientsdwithoutsdassistance,sdwhichsdactionsdbysdthesd
nursesdbestsdensuressdclientsdsafety?
A.sdSecurelysdgraspsdthesdclient'ssdarmsdandsdleg.
B.sdPutsdbedsdrailssdupsdonsdthesdsidesdofsdbedsdoppositesdfromsdthesdnurse.
C.sdCorrectlysdpositionsdandsdusesdasdturnsdsheet.
D.sdLowersdthesdheadsdofsdthesdclient'ssdbedsdslowly.sd-sdcorrectsdanswers-Answer:sdB
Becausesdthesdnursesdcansdonlysdstandsdonsdonesdsidesdofsdthesdbed,sdbedsdrailssdshouldsdbesdupsd
onsdthesdoppositesdsidesdtosdensuresdthatsdthesdclientsddoessdnotsdfallsdoutsdofsdbedsd(B).sd(A)sdcansd
causesdclientsdinjurysdtosdthesdskinsdorsdjoint.sd(CsdandsdD)sdaresdusefulsdtechniquessdwhilesdturnin
gsdasdclientsdbutsdhavesdlesssdprioritysdinsdtermssdofsdsafetysdthansdusesdofsdthesdbedsdrails.
Asdfemalesdclientsdwithsdfrequentsdurinarysdtractsdinfectionssd(UTIs)sdaskssdthesdnursesdtosdexplai
nsdhersdfriend'ssdadvicesdaboutsddrinkingsdasdglasssdofsdjuicesddailysdtosdpreventsdfuturesdUTIs.sdW
hichsdresponsesdissdbestsdforsdthesdnursesdprovide?
A.sdOrangesdjuicesdhassdvitaminsdCsdthatsddeterssdbacterialsdgrowth.
B.sdApplesdjuicesdissdthesdmostsdusefulsdinsdacidifyingsdthesdurine.
C.sdCranberrysdjuicesdstopssdpathogens'sdadherencesdtosdthesdbladder.
D.sdGrapefruitsdjuicesdincreasessdabsorptionsdofsdmostsdantibiotics.sd-sdcorrectsdanswers-
Answer:sdC
Cranberrysdjuicesd(C)sdmaintainssdurinarysdtractsdhealthsdbysdreducingsdthesdadherencesdofsdEsc
herichiasdcolisdbacteriasdtosdcellssdwithinsdthesdbladder.sd(A,sdB,sdandsdD)sdhavesdnotsdbeensdshow
nsdtosdbesdassdeffectivesdassdcranberrysdjuicesd(C)sdinsdpreventingsdUTIs.
Thesdnursesdissdawaresdthatsdmalnutritionsdissdasdcommonsdproblemsdamongsdclientssdservedsdby
sdasdcommunitysdhealthsdclinicsdforsdthesdhomeless.sdWhichsdlaboratorysdvaluesdissdthesdmostsdreli
ablesdindicatorsdofsdchronicsdproteinsdmalnutrition?
A.sdLowsdserumsdalbuminsdlevel
B.sdLowsdserumsdtransferrinsdlevel
