HESI RN FUNDAMENTALS Study guides, Class notes & Summaries

During a routine assessment, an obese 50-year-old client states, "I feel so unlovable because of my weight." Which is the best response by the nurse? A. Reassure the client that many obese people have concerns about sex. B. Remind the client that sexual relationships need not be affected by obesity. C. Determine the frequency of sexual intercourse. D. Ask the client to talk about specific concerns. - Answer Option D provides an opportunity for the client to verbalize concerns an...

Which area of the hands requires special attention before you begin a surgical hand scrub? A) The area under each fingernail B) The back of the hands C) The area between each finger D) The palm of each hand - Answer B When opening a sterile pack, which of the following actions would compromise the sterility of the instruments and supplies inside the pack? A) Opening the sterile pack just prior to the procedure B) Allowing movement of team members around the field C) Keeping steri...

While preparing to insert a rectal suppository in a male adult client, the nurse observes that the client is holding his breath while bearing down. What action should the nurse implement? - Answer Instruct the client to take slow deep breaths and stop bearing down. The nurse assesses an immobile, elderly male client and determines that his blood pressure is 138/60, his temperature is 95.8 F, and his output is 100 ml of concentrated urine during the last hour. He has wet-sounding lung sounds...

The nurse encounters resistance when inserting the tubing into a client's rectum for a tap water enema. What action should the nurse implement? - Answer Ask the client to relax and run a small amount of fluid into the rectum. The nurse is discussing dietary preferences with a client who adheres to a vegan diet. Which dietary supplement should the nurse encourage the client to include in the dietary plan? - Answer Vitamin B12. An older client who is able to stand but not to ambulate re...

What position should keep a dysphagia pt during eating? - Answer High Fowler's during eating keep elevated at least 1h after eating A UAP is going to fee a dysphagia pt ice tea. - Answer Need to add thickening agent to all liquids. No need to be at room temperature. Blanching occurs when the fingernail bed is compressed. - Answer Normal pt's functional ability related to nutrition? - Answer pt's ability to feed herself with hand . functional. How much calories does a ad...

The nurse is assessing a client with dark skin who is in Respiratory Distress. Which client response should the nurse evaluate to determine cyanosis in this particular client? A. Cyanosis in a client with dark skin is seen in the sclera B. Abnormal skin color changes in a client with dark skin cannot be determined C. The lips and mucus membranes of a client with dark skin are dusky in color D. Blanching the soles of the feet in a client with dark skin reveals cyanosis - Answer C. The li...

In assisting an older adult client prepare to take a tub bath, which nursing action is most important? - Answer Check the bath water temperature. By rolling contaminated gloves inside-out, the nurse is affecting which step in the chain of infection? - Answer Mode of transmission The nurse-manager of a skilled nursing (chronic care) unit is instructing UAPs on ways to prevent complications of immobility. Which intervention should be included in this instruction? - Answer Perform range...

A hospital nurse transcribing a health care providers prescriptions for a client is unable to read a prescribed dosage because the health care providers handwriting is unclear. Which action should the nurse take? 1. Calling the health care provider 2. Asking the client about the usual dosage of the medication 3. Calling the pharmacy to ask about the usual dosage of the prescribed medication 4. Contacting the nursing supervisor for clarification of the health care provider's prescriptions ...

A nurse assesses a client who had a myocardial infarction and is hypotensive. Which additional assessment finding should the nurse expect? a. Heart rate of 120 beats/min b. Cool, clammy skin c. Oxygen saturation of 90% d. Respiratory rate of 8 breaths/min" - Answer ANS: A A nurse assesses a client after administering a prescribed beta blocker. Which assessment should the nurse expect to find? a. Blood pressure increased from 98/42 mm Hg to 132/60 mm Hg b. Respiratory rate decreased f...

An older adult male comes into the hospital with a red painful rash and has been trying over the counter ointments that have not been working. What should the nurse do first? a. Put a mask on the patient b. Ask if he's been near children c. Put on a mask and gloves and continue to evaluate d. Do an assessment - Answer C. Put on a mask and gloves and continue to evaluate The computer documentation system shuts down while the nurse is entering the clients physical data. What should the nu...