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Exam (elaborations)

MODULE 5 HESI MANAGEMENT OF CARE

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MODULE 5 HESI MANAGEMENT OF CARE

Institution
HESI EXIT RN -756 QA, HESI EXIT RN
Course
HESI EXIT RN -756 QA, HESI EXIT RN










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Written for

Institution
HESI EXIT RN -756 QA, HESI EXIT RN
Course
HESI EXIT RN -756 QA, HESI EXIT RN

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Uploaded on
October 8, 2025
Number of pages
21
Written in
2025/2026
Type
Exam (elaborations)
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MODULE 5 HESI MANAGEMENT OF CARE


**giAgiclientgiwithgileukemiagiisgibeinggiconsideredgiforgiagibonegimarrowgitransplant.giThegihealthcaregiteamgiis
scussinggithegirisksgiandgibenefitsgiofgithisgitreatmentgiandgiothergipossiblegitreatmentsgiwithgithegigoalgiofgiinflic
nggithegileastgipossiblegiharmgiongithegiclient.giWhichgiprinciplegiofgihealthcaregiethicsgiisgithegiteamgipracticing

Nonmaleficence
Autonomy
Justice
Fidelitygi-gianswer--Nonmaleficence

Whichgiactiongibygitheginursegirepresentsgithegiethicalgiprinciplegiofgibeneficence?

Theginursegiupholdsgiagiclient'sgidecisiongitogirefusegichemotherapygiforgilunggicancer.
Theginursegifollowsgiagiplangiofgicaregidesignedgitogirelievegipaingiingiagiclientgiwithgicancer.
Theginursegiadministersgiangiimmunizationgitogiagichildgievengithoughgiitgimaygicausegidiscomfort.
Theginursegiprovidesgiequalgiamountsgiofgicaregitogiallgiassignedgiclientsgiongithegibasisgiofgiillnessgiacuity.gi-
gianswer--Theginursegiadministersgiangiimmunizationgitogiagichildgievengithoughgiitgimaygicausegidiscomfort.



Theginursinggiinstructorgiasksgiagistudentgitoginamegiangiexamplegiofgifalsegiimprisonment.giWhichgiofgithegifollo
nggisituationsgireflectsgiagiviolationgiofgithisgiclientgiright?

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Tellinggithegiclientgithatgihegiorgishegimayginotgileavegithegihospital
Performinggiagiproceduregiwithoutgiconsent
Threateninggitogigivegiagiclientgiagimedicationgiagainstgihisgiorgihergiwillgi-gianswer--
Tellinggithegiclientgithatgihegiorgishegimayginotgileavegithegihospital

Aginursegiandgiaginursinggiassistantgientergiagiclient'sgiroomgitogiprovidegicaregiandgifindgithegiclientgilyinggiongith
loor.giTheginursegishouldgifirst:

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Askgitheginursinggiassistantgitogicompletegiangiincidentgireport
Contactgithegiunitgisecretarygiongithegiintercomgiandgiaskgithatgithegiclient'sgiprimarygihealthgicaregiprovidergibe
alled
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Checkgithegiclient'sgilevelgiofgiconsciousnessgiandgivitalgisigns

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basedgipracticegiingithegideliverygiofgiclientgicare?

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Advisinggiagiclientgitogiagreegitogithegitreatmentgirecommendedgibygihergiprimarygihealthgicaregiprovider
Takinggiagirectalgitemperaturegifromgiagiclientgiforgiwhomgibleedinggiprecautionsgihavegibeengiinstituted
Encouraginggiagiclientgitogitakegiangiherbalgisubstancegitogitreatgihisgiinsomniagi-gianswer--
Donninggisterilegiglovesgitogichangegiangiabdominalgiwoundgidressing

,Thegiregisteredginursegihasgiacceptedgiaginewgipositiongiasgicasegimanagergiingiagihospital.giWhichgiofgithegifoll
winggiresponsibilitiesgiaregipartgiofgitheginurse'sginewgirole?giSelectgiallgithatgiapply.

Assessinggithegiclient'sgineedsgiforgihomegisuppliesgiandgiequipment
Prescribinggitreatmentsgispecificgitogithegiclient'sgineeds
Evaluatinggiandgiupdatinggithegiplangiofgicaregiasgineeded
Coordinatinggiconsultationsgiandgireferralsgitogifacilitategidischarge
Establishinggiagisafegiandgicost-effectivegiplangiofgicaregiwithgithegiclientgi-gianswer--
Evaluatinggiandgiupdatinggithegiplangiofgicaregiasgineededgi

Assessinggithegiclient'sgineedsgiforgihomegisuppliesgiandgiequipment

Coordinatinggiconsultationsgiandgireferralsgitogifacilitategidischargegi

Establishinggiagisafegiandgicost-effectivegiplangiofgicaregiwithgithegiclient

Theginursegimanagergiofgiagiqualitygiimprovementgiprogramgiasksgiaginursegiingithegineurologicalgiunitgitogicond
ctgiagiretrospectivegiaudit.giWhichgiofgithegifollowinggiactionsgishouldgithegiauditingginursegiplangitogiperformgiing
isgitypegiofgiaudit?

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ongimadegiduringgiagiclient'sgihospitalgistay
Checkinggithegicrashgicartgitogiensuregithatgiallgineededgisuppliesgiaregireadilygiavailablegishouldgiangiemergen
giarise

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thegishift
Reviewinggineurologicalgiassessmentgichecklistsgiforgiallgiclientsgiongithegiunitgitogiensuregithatgithesegiassess
entsgiaregibeinggiconductedgiasgiprescribedgi-gianswer--
Obtaininggithegiassignedgimedicalgirecordgifromgithegihospital'sgimedicalgirecordgiroomgitogireviewgidocument
ongimadegiduringgiagiclient'sgihospitalgistay

Aginursegipreparinggiagiclientgiforgiagibronchoscopyginotesgithatgithegiclientgiisgiwearinggiagigoldginecklace.giWha
shouldgitheginursegidogitogisafeguardgithegiclient'sginecklace?

Askgithegiclientgiwhethergitheginecklacegiisgigold
Askgithegiclientgitogiremovegitheginecklacegiandgiplacegiitgiingithegitopgidrawergiofgithegibedsidegitable
Askgithegiclientgiforgipermissiongitogilockgitheginecklacegiingithegihospitalgisafe
Askgithegiclientgitogisigngiagireleasegitogifreegithegihospitalgiofgiresponsibilitygiifgitheginecklacegiisgidamagedgiorgil
giduringgithegiproceduregi-gianswer--Askgithegiclientgiforgipermissiongitogilockgitheginecklacegiingithegihospitalgisa



Aginursegiprovidinggipreoperativegicaregitogiagiclientgiwhogiisgischeduledgiforgiagileftgimastectomygiandgiaxillaryg
mphginodegidissectionginotesgithatgithegiclientgiisgiwearinggiagiweddinggibandgiongihergileftgiringgifinger.giTheginu
egishould:

Tapegithegiweddinggibandgiingiplace
Explaingitogithegiclientgiwhygithegiweddinggibandgimustgibegiremoved
Askgithegiclientgitogisigngiagireleasegitogifreegithegihospitalgiofgiresponsibilitygiifgithegiweddinggibandgiisgilostgidurin
isurgery

Askgithegiclientgiwhethergishegiwouldgilikegitogiremovegithegiweddinggibandgiorgiweargiitgitogisurgerygi-gianswer--
Explaingitogithegiclientgiwhygithegiweddinggibandgimustgibegiremoved

**giAginursegipreparinggiagiclientgitogigogitogithegiradiologygidepartmentgiforgiagichestgix-
rayginotesgithatgithegiclientgiisgiwearinggiagireligiousgimedalgiongiagichaingiaroundgithegineck.giThegiclient,giagiCat

, lic,giexpressesgiagiconcerngiaboutgiremovinggithegimedal.giWhatgiisgithegimostgiappropriategiactiongiforgitheginu
egitogitake?

Askinggithegiclientgitogiremovegithegimedalgiuntilgithegix-raygihasgibeengicompleted
Askinggithegiclientgitogiplacegithegimedalgiingithegitopgidrawergiofgithegibedsidegistandgijustgibeforegileavinggiforgit
giradiologygidepartment

Assistinggithegiclientgiingipinninggithegimedalgiandgichaingitogithegiwaistbandgiofgithegiclient'sgipajamagibottoms
Tellinggithegiclientgithatgithegimedalgiandgichaingiwillgibegikeptgiatgitheginurses'gistationgiforgisafekeepinggiwhilegit
giclientgiisgiundergoinggithegix-raygi-gianswer--

Assistinggithegiclientgiingipinninggithegimedalgiandgichaingitogithegiwaistbandgiofgithegiclient'sgipajamagibottoms

**giAgiphysiciangiwritesgiagimedicationgiprescriptiongiingiagiclient'sgirecord.giWhilegitranscribinggithegiprescriptio
itheginurseginotesgithatgithegiprescribedgidosegiisgithreegitimesgihighergithangithegirecommendedgidose.giThegin

segicallsgithegiphysician,giwhogistatesgithatgithisgiisgithegidosegithatgithegiclientgitakesgiatgihomegiandgithatgiitgiisgia
eptablegiforgithisgiclient'sgicondition.giWhatgiisgithegiappropriategiactiongiforgitheginursegitogitake?

Contactgitheginursinggisupervisor
Askgitheginursegiassignedgitogicaregiforgithegiclientgitogiadministergithegimedication
Verifygithegiprescribedgidosegiwithgithegiclientgibeforegiadministeringgithegimedication
Continuegitogitranscribegithegiprescriptiongi-gianswer--Contactinggitheginursinggisupervisor

**giAginursegimonitoringgiagiclientgiwithgiagichestgitubeginotesgithatgitheregiisginogitidalinggiofgifluidgiingithegiwatergis
algichamber.giAftergifurthergiassessment,githeginursegisuspectsgithatgithegiclient'sgilunggihasgireexpandedgiand
otifiesgithegiphysician.giThegiphysiciangiverifiesgiwithgithegiusegiofgiagichestgix-
raygithatgithegilunggihasgireexpanded,githengicallsgitheginursegitogiasksgithatgithegichestgitubegibegiremoved.giThe
nursegishouldgifirst:

Explaingithegiproceduregitogithegiclient,githengiremovegithegichestgitube
Obtaingipetrolatum-impregnatedgigauzegiandgiaskgianotherginursegitogiassistgiingiremovinggithegichestgitube
Callgitheginursinggisupervisor
Informgithegiprimarygihealthgicaregiprovidergithatgiremovalgiofgiagichestgitubegiisginotgiaginursinggiproceduregi-
gianswer--Informgithegiphysiciangithatgiremovalgiofgiagichestgitubegiisginotgiaginursinggiprocedure



Aginursegicallsgiagiphysiciangitogireportgithatgiagiclientgiwithgicongestivegiheartgifailuregi(CHF)giisgiexhibitinggidys
eagiandgiworseninggiofgiwheezing.giThegiphysician,giwhogiisgiingiagihurrygibecausegiofgiagisituationgiingithegiemer
ncygidepartment,gigivesgitheginursegiagitelephonegiprescriptiongiforgifurosemidegi(Lasix)gibutgidoesginotgispecif
thegiroutegiofgiadministration.giWhatgiisgithegiappropriategiactiongiongithegipartgiofgitheginurse?

Theginursegicallsgiagiprimarygihealthgicaregiprovidergitogireportgithatgiagiclientgiwithgicongestivegiheartgifailuregi(C
F)giisgiexhibitinggidyspneagiandgiworseninggiofgiwheezing.giThegiprimarygihealthgicaregiprovider,giwhogiisgiingiag
rrygibecausegiofgiagisituationgiingithegiemergencygidepartment,gigivesgitheginursegiagitelephonegiprescriptiongifo
furosemidegibutgidoesginotgispecifygithegiroutegiofgiadministration.giWhatgiisgithegiappropriategiactiongiongithegip
tgiofgitheginurse?
Callgitheginursinggisupervisorgiforgiassistancegiingidetermininggithegiroutegiofgiadministration
Administergithegimedicationgioragi-gianswer--
Callinggithegiprimarygihealthgicaregiprovidergiwhogigavegithegitelephonegiprescriptiongitogiclarifygithegiprescript

Aginursegiisgiassistinggiagiprimarygihealthgicaregiprovidergiingiassessinggiagihospitalizedgiclient.giDuringgithegias
ssment,githegiprimarygihealthgicaregiprovidergiisgipagedgitogireportgitogithegirecoverygiroom.giThegiprimarygiheal
caregiprovidergileavesgithegiclient'sgibedsidegiaftergigivinggitheginursegiagiverbalgiprescriptiongitogichangegithegis
utiongiandgirategiofgithegiintravenousgi(IV)gifluidgibeinggiadministered.giWhatgiisgithegiappropriateginursinggiactio
iingithisgisituation?

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