HESI RN FUNDAMENTALS Study guides, Class notes & Summaries

normal WBC count - Answer 4,000-10,000 normal Creatinine - adult - Answer 0.7-1.3 mg/dL normal hemoglobin - Answer Male: 14-18 Female: 12-16 normal sodium levels - adult - Answer 135-145 correct deep breathing technique - Answer inhale deeply through nose and exhale through mouth (without pursed lips) The client is transferred to a stretcher and taken to the operating room. The nurse assists the client off the stretcher and onto the OR table. After general anesthesia is...

Which role does a nurse play when helping clients to identify and clarify health problems and to choose appropriate courses of action to solve those problems? - Answer Counselor As a counselor, the nurse helps clients identify and clarify health problems and choose appropriate courses of action to solve those problems. As an educator, the nurse teaches clients and their families to assume responsibility for their own health care. A nurse acts as a change agent within a family system or as a...

A nurse makes a home-care visit for a client who had total hip replacement surgery 1 week ago. During which of the five steps in the nursing process does the nurse determine whether outcomes of care are achieved? 1. Implementation 2. Evaluation 3. Planning 4. Analysis - Answer 1. During the implementation step of the nursing process, outcomes are not determined; instead, planned nursing care is delivered. 2. Evaluation occurs when actual outcomes are compared with expected outcomes t...

The nurse observes a newly admitted older adult female take short steps and walk very slowly while pushing a walker in front of her. What action should the nurse take in response to these observations? A) Complete a full fall risk assessment of the client. B) Teach the client to take longer steps at faster pace. C) Suggest that the the client use a wheelchair instead of a walker. D) Place client on bedrest until the healthcare provider is notified. - Answer A) Complete a full fall risk a...

A policy requiring the removal of acrylic nails by all nursing personnel was implemented 6 months ago. Which assessment measure best determines if the intended outcome of the policy is being achieved? a. Number of staff induced injury b. Client satisfaction survey c. Health care-associated infection rate. d. Rate of needle-stick injuries by nurse. - Answer c. Health care-associated infection rate. Which assessment data would provide the most accurate determination of proper placemen...

When turning an immobile bedridden client without assistance, which action by the nurse best ensures client safety? A. Securely grasp the client's arm and leg. B. Put bed rails up on the side of bed opposite from the nurse. C. Correctly position and use a turn sheet. D. Lower the head of the client's bed slowly. - Answer B. Rationale:Because the nurse can only stand on one side of the bed, bed rails should be up on the opposite side to ensure that the client does not fall out of...

A 35y/o client with cancer refuses to allow a nurse to insert an IV for scheduled chemo & states that she's ready to go home to die. What intervention should the nurse initiate? - Answer Evaluate the client's mental status for competence to refuse treatment Rationale: Competent clients have the right to refuse treatment. The nurse cannot document until the HCP is notified of the patient's wishes & a d/c RX is obtained. Advance directives & DNR are not necessary for competent client to r...

64.A low-sodium, low-protein diet is prescribed for a 45-year-old client with renal insufficiency and hypertension, who gained 3 pounds in the last month. The nurse determines that the client has been noncompliant with the diet, based on which report from the 24-hour dietary recall? (Select all that apply.) A. Snack of potato chips, and diet soda. B. Lunch of tuna fish sandwich, carrot sticks, fresh fruit, and coffee. C. Breakfast of eggs, bacon, toast, and coffee. D. Dinner of vegetable las...

An adult child of a dying client says to the nurse in the nursing home, "I am so upset because my parent is always angry at me." The nurse's best initial response is - Answer Your parent is: Working through acceptance of the situation." During the beginning phase of a therapeutic relationship, a clear understanding of participants' roles is important because the client: - Answer Needs to know what to expect from the relationship The nurse is assessing a group of older adults. Wh...

1. In comparing the American Nurses Association (ANA) and the International Council of Nurses (ICN) definitions of nursing, what component does the ICN mention that is not included in ANA's definition and is indicative of a more global focus? a. Advocacy b. Health promotion c. Shaping health policy d. Prevention of illness - Answer Answer: c The ICN's definition of nursing expands on the ANA's definition by providing for the concept of shaping health policy as a responsibility of nurs...