NUR208 / NUR 208 HESI Final Exam| Latest 2026–2027 Update | Questions & Answers | Grade A | 100% Correct (Verified Solutions) – Fortis

NUR208 / NUR 208 HESI Final Exam| Latest 2026–2027 Update | Questions & Answers | Grade A | 100% Correct (Verified Solutions) – Fortis 2026 / 2027 Academic Year Q: A client is searching the web for health information. The search engine being used is a crawler search. Please select all that are crawler search engines. Answer A. Ask Jeeves D. Bing E. Google Q: A client presents to the clinic for a visit and brings information about his or her condition that he or she got off the Internet. Which response by the nurse would be most appropriate? Answer "lets go over this information and see what it says" Q: A client receives his or her cholesterol test results and decides to make lifestyle changes to improve his or her numbers. The nurse would interpret this as: Answer health numeracy Q: A group of nurses is creating a website for the facility to provide client teaching. To ensure usability, who should the group have evaluate the site? Answer intended audience Q: A nurse is creating a client education sheet for a client diagnosed with heart failure. The nurse understands that this information should be written at which Flesch-Kincaid Grade Level? Answer 5th Q: A nurse is creating a written client education handout for several clients about diabetes. Which actions can the nurse take to improve the readability for the clients? Select all that apply. Answer A. use bullets to highlight key points D. avoid using medical jargon E. keep sentences short Q: To address health literacy when conducting oral client teaching, which actions should the nurse take? Select all that apply. Answer A. use eye contact B. have the Client explain what was said in his or her own words C. focus on about three essential areas Q: Which characteristic is associated with health literacy? Select all that apply. Answer D. greater predictor of health than age E. variable with the context and setting Q: What is an antecedent to health literacy? Answer literacy Q: What is the ability to obtain, process, and understand basic health information and services needed to make appropriate decisions? Answer health literacy Q: What is the ability of a consumer to interpret and act on all numerical information, such as graphical and probabilistic information needed to make effective health decisions? Answer health numeracy Q: What is the ability of all health organizations and providers to recognize the cultural beliefs, values, attitudes, traditions, language preferences, and health practices of diverse and vulnerable populations and to apply that knowledge to produce a positive health outcome? Answer cultural competency Q: A secure website that provides patients access to their EHR data is called a: Answer patient portal Q: Health literacy only applies to written content, not oral content. Answer false Q: Effective rules for oral communication include which of the following (select all that apply): Answer - use eye contact - speak slowly and use plain language - encourage questions - use the "teach-back" method Q: What is the wireless, short-ranged communication between two devices using low powered radio frequency? Answer bluetooth Q: what is a miniature computer that includes multiple software programs with internet capability? Answer smartphone Q: What is a network connection where a device does not need to be hard wired to the Internet but connects to it using a modem and router, which emits a signal through an antenna? Answer wi-fi Q: According to the text, which Smartphone has the largest market share? Answer android Q: Which of the following types of memory prevents stores all of the add-on applications and data files and requires a small amount of continuous batter power? Answer random-access memory(RAM) Q: Which of the following types of memory prevents the loss of applications and data after loosing battery power? Answer flash memory Q: which of the following types of memory that stores the operating and standard applications? Answer Read-only memory(ROM) Q: Which of the following are reference applications commonly used by nurses in the clinical setting? Select all that apply. Answer - immunization schedules for children and adult application - clinical reference resources application - drug database application - drug book and medical dictionary applications - review for national council licensure examination (NCLEX) for registered nurses application Q: computer devices are not used in nursing research Answer false Q: a password consideration includes the use of replacing letters of words with numbers or other keyboard characters such as replacing A with @ Answer true Q: What is the term used to identify a Wi-Fi-enabled area so that you can use your Wi-Fi enabled mobile device to connect to the Internet? Answer hot spot Q: which of the following is disadvantage of using mobile devices in nursing? Answer potential misuse through the camera, scanner app, and posting to social media Q: which keyboard do most smartphones use? Answer QWERTY keyboard Q: which of the following are factors that shorten battery life? Answer - multitasking - screen brightness - location services -increased memory Q: most mobile computers have liquid crystal display and use a touch screen for data input Answer true Q: the smartwatch does not have the same functions as a smartphone Answer false Q: according to Pew Research, what % of Americans own a smartphone? Answer 85% How many people in the US used a mobile health or fitness app monthly in 2020? Answer 87 million A nurse executive is composing an e-mail to a professional organization. In addition to the name, which information would the nurse include when signing an e-mail? Answer sendor's title A nurse has attended a conference sponsored by a professional nursing organization. During the conference, the nurse met several other professionals and wants to send each of them an e-mail thanking them for their insight and suggestions. When writing the e-mail, which step would be mostimportant for the nurse to keep in mind? Answer use correct spelling and grammar before sending A practicing nurse is looking for other employment opportunities and wanting to connect with other nurses about the different career paths available. Which site would be most appropriate for the nurse to use? Answer linkedin During a group discussion about social networking, a member asks, "What's the purpose of two-factor authentication?" Which information would be the most appropriate to include in the response? Answer "It helps prevent unauthorized users from getting into your account" which of the following are four main classifications of social media? Select all that apply. - networking sites - blogging - microblogging - content sharing Please match the following terms: Face book- a platform that allows users to create personal pages and groups and post messages, photos, and videos linkedin- professional networking site that allows business and professionals to connect ResearchGate- professional networking site for researchers and scientists by sharing research, post published papers, and collaborate with others What is on online weblog or discussion about thoughts or topics of interest? blog What are feeds that allow the user to receive electronic library searchers, news, and blogs sent to your e-mail account? RSS feeds What are brief web journaling via text messaging, Twitter, Snapchat and chat? microblogging Match the following terms and definitions of content sharing. video sharing- youtube photo sharing- flickr internet radio- pandora What is a popular, free, publically edited, online encyclopedia? wikipedia Social media can never be used in healthcare. false Inappropriate disclosure of patient information on social media may lead to investigation on the grounds the following grounds. Select all that apply. - unprofessional conduct - unethical conduct - breach of confidentiality - moral turpitude Which of the following are safety tips for using social networking sites? Select all that apply. - verify information about friends met on the internet - be aware of 'con artists' who are looking for victims - keep financial and private information secure - remember that social networking sites are like cyberspace billboards that advertise everything you post Posting negative comments about co-workers can constitute cyber and be detrimental to the cohesiveness of the healthcare team true A nurse has prepared a spreadsheet with times spent on various nursing activities. The data fill three columns and four rows. The nurse names a cell range that encompasses the first cell of the second column through the last cell of the third column. The nurse would express this cell range as: B1:C4 A nurse is enrolled in a class to learn how to use spreadsheet software. During one of the classes, the nurse asks, "What is the difference between a worksheet and a workbook?" Which response best answers this question? "A worksheet is a spreadsheet but a workbook has one or more worksheets" A nurse is preparing to insert a date for the current year into a spreadsheet to be used for calculation. Which format would be most appropriate for the nurse to use? 4/3 A nurse working on his personal computer is preparing a spreadsheet for his professional expenses. He plans to put data into the rectangles in the table. The nurse identifies these rectangles as cells When creating a spreadsheet, a nurse locks the cells of a spreadsheet to prevent the nurse from changing the cell value. The nurse is engaged in: data protection When preparing to use healthcare information databases for secondary data use, which step would be most important? removing any client-identifying information What is a vertical group of cells? column Which of the following are essential spreadsheet competencies for nurses? Select all that apply. - create charts - merge cells - use statistical functions - create formulas using words - create charts from data Place the rules for creating and using spreadsheets in order. 1. begin the spreadsheet development process with a clear purpose and carefully thought out design 2. use data validation tools with input and error messages for cells that might have repeating data 3. use conditional formatting tools to create assist users to interpret data 4. use charts to assist users to interpret aggregate data What is a mathematical equation that provides instructions to the computer for processing the data? formula When creating formulas, anything in parentheses is performed last. false What is a graphical presentation of a set of numbers? chart Match the following chart terms and definitions. x-axis - horizontal axis of a bar, line, or scatter graphic, most often used to represent amounts y-axis - vertical axis of a bar, line, or scatter graph, not often used to represent amounts legend - visual representation of each item in the data series data point - plot point of a number data - numbers without meaning Which of the following are elements of a database? Select all that apply. - tables - query - forms Which of the following are commonly used databases? Select all that apply. - library databases such as pubmed - web search engines such as google, bing, and yahoo - electronic data capture A client is admitted to the facility and needs a mental health evaluation, but there is no physician on duty. Which telehealth service would be most beneficial for the client? telemental A nurse is reading an article about the use of robotics and telehealth. Which outcome would the nurse expect research on this technology to reveal? improved client outcomes While talking with a client, a nurse determines that the client is participating in real-time telehealth based on the understanding that this involves: same-time interaction of the client and provider via video Please match the following terms. store and forward-telehealth that uses a digital camera , scanner, or other technology that generates electronic images to capture a still image electronically and then that image is sent to a specialist for interpretation synchronous Telehealth- Telehealth that permits two-way communication between healthcare and provider and a patient in real-time telenursing- allows nurses a chance to collaborate with patient and reduce the overall cost of healthcare telehomecare-monitoring and delivery of healthcare in the patients home rather than the providers work setting telemental health- use of Telehealth to deliver psychiatric healthcare e-intensive care- remote monitoring of critical care patients Which of the following are examples of portable monitoring devices? Select all that apply. - blood pressure cuff - weight scale - blood glucose meter For patients with chronic health conditions, telehealth can be a powerful self-management tool. true Automatic pill dispensers/reminders are not a type of telehomecare device false Which of the following are issues with telehealth? Select all the apply - reimbursement issues - safety of patient - medicolegal issues What is the electronic exchange of patient information between two sites for improving the patient's health status? telemedicine What is the use of robots? robotics The Telehomecare Expansion Project demonstrated a _______ to ________ reduction in emergency room visits 37%;48% Who developed a telemedicine system for use in combat zones and emergencies? North American treaty organization Based upon a recent study, where did nurses indicate that they learned telenursing skills? on the job training The evidence has shown that telehealth for psychotherapy can help patients with __________________________ post traumatic stress disorder How much did the use of iICU services reduce the average length of stay? more than half How did Wake Forest Baptist Medical Center use robots? stroke care Rural hospitals and clinics have not been able to use telehealth to augment trauma care. false What is the correct function/function to calculate the AVERAGE heart rate in Column F? =AVERAGE(F2:F30) Which of the following features should be included in a mobile health app for a patient use? - password protected log in - journal to record health measures such as blood pressure, blood glucose, exercise, sleep - allows patients to set personalized health goals - download and share health measures with a third-party Which of the following URLs requires two two actions (clicks or hoovers) to access on the Centers for Disease Control and Prevention website? Which of the following URLs is the homepage for the Centers for Disease Control and Prevention website? Which of the following is the correct function/formula to convert Yes/No in Column L to 1/0 in Column M? =IF(L2="yes",1,0) what is a horizontal group of cells row what is a vertical group of cells column Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human Which of the following functions/formulas is correct to add the numbers in column B of a spreadsheet? =SUM(B2:B52) Q: What is the ANA Policy Statement define nursing as? Answer responses, and advocacy in the care of individuals, families, communities, and populations. Q: In nursing, we treat ____________, including the family and community, not just the persron Answer whole person Q: ____________ treat the disease; nurses treat ________________________ Answer doctors; what happens because of those things Q: The nursing process is a ________ _________, _______ process. Answer problem solving, thinking Q: Nursing is the ______ and _____ of human responses to _______ or ________ health care problems. Answer diagnosis, treatment, actual, potential Q: ______ is the essence of nursing Answer caring Q: More than any other profession, nursing has "the distinction of being responsible for the __________ that clients receive in the health care system." Answer caring Q: What is nursing? Nursing is.... Answer caring an art a science holistic (take care of patient, family, and community) patient-centered adaptive a helping profession concerned with health promotion, health maintenance, and restoration Q: Who came up with the philosophy and science of caring? Answer Jean Watson Q: ____ is central to nursing. It is a _____ ideal, rather than a ______. It is difficult to _______. It is ____________. It is focused on the preservation of ______ _______ and _________. Answer Caring, moral, behavior, quantify, not inherited, human dignity, hummanity Q: What did Watson feel nursing is threatened by? Answer a procedure and skill oriented culture (technology) and the different levels of nursing Q: What were Jean Watson's 10 carative factors (intrinsic/unseen aspects of nursing)? What should all of these factors preserve? Answer altruistic values; sensitivity to others; a warm, genuine and empathetic helping-trust relationship; interpersonal teaching and learning; scientific problem solving; acceptance of own feelings; acceptance of other's feelings; providing a comfortable, private, and safe environment; assist patient with lower and higher order needs; phenomenology of existential psychology human dignity of the patient Q: means doing it for the right reason (love and joy of doing it) and not for ulterior motives (money, to make yourself feel better) Answer altruistic values Q: sense what others are feeling; considering the patients values Answer sensitivity to others Q: what is essential for good decision-making? Answer critical thinking and critical reasoning Q: an intellectual process that involves developing a rational, justifiable response to situations where there are no definite answers and where not all relevant information is available Answer critical thinking/clinical reasoning Q: Critical thinking requires _____, but is more than just the gathering and sorting of facts or concepts. It is the ability to use that in situations of _______, _______, and _____. Answer knowledge, ambiguity, uncertainty, risk Q: based on logic, think before acting, take time Answer rational/reflective Q: inspires questions, don't mindlessly follow rules (when doctor gives an order, you should look at it and see if it is appropriate for the patient) Answer constructively skeptical Q: think for yourself; not led by a group or accept beliefs of others Answer autonomous Q: creates an original idea; come up with new solutions for things Answer creative thinking Q: not biased or one-sided; seeks all views before taking a stand Answer fair thinking Q: try to find a course of action, draw a conclusion, or solve the problem; don't just take a stand and not look at other options to try to find some other way around it Answer focus on what to believe and do Q: ____________ problems can be analyzed and approached from more than one, often conflicting, points of view or frames of reference Answer multilogical Q: Multilogical problems require knowledge of ______________ to logically and systematically apply concepts to clinical problems. Answer more than one fact Q: What makes up our emotional intelligence? Answer how we manage ourselves (personal competence) and how we handle relationships (social competence) Q: _______ competence is how we manage ourselves. It consists of our _______, __________, and __________ Answer Personal, motivation, self-awareness, self-regulation Q: knowing one's internal states, preferences, resources, and intuitions Answer self-awareness Q: recognizing one's own emotions and their effects Answer emotional awareness Q: managing one's internal states, impulses, and resources Answer self-regulation Q: keeping disruptive emotions and impulses in check Answer self control Q: maintaining standards of honesty and integrity Answer trustworthiness Q: taking responsibility for personal performance Answer conscientiousness Q: _______ competence is how we handle relationships. It involves our _______, _______, and ________. Answer Social, empathy, social skills, communication Q: putting yourself in your patient's position and feeling what they are feeling Answer empathy Q: adeptness at inducing desirable responses in others Answer social skills Q: listening openly and sending convincing messages Answer communication Q: What does QSEN stand for? What is it's main concern? Answer Quality and Safety Education in Nursing patient centered care Q: set up in hospitals; protocols for giving medications, washing hands - put in place to keep from making mistakes and to keep the patient safe Answer safety systems Q: eliminating mistakes and saving lives from errors that can be prevented Answer 5 million lives Q: telling the patient to speak up when the nurse comes in and admitting when the nurse makes an error so it doesn't happen again Answer Speak Up Q: What are some of the roles of the nurse, present in every specialty? caregiver (primary role) Answer communicator (get and give information) counselor (for family and patient) advocate (doesn't blindly follow orders; RN is patient 1st line of defense) leader change agent (doesn't accept things not right or safe) teacher manager Q: __________ are dysfunctions in a body system or health pattern; it is also the ________. Answer Health Care Problems (HCP) medical diagnosis Q: HCP are _____ needs (lack of air, water, etc.). It can cause the patient to ______ in specific ways, and _____ takes care of these. Answer unmet, react, doctor Q: __________ are what the nurse treats; may or may not be related to a medical problem. Answer Human responses Q: ________ comes from the patient response. The response is what comes from the __________. Responses are reactions to a _______ (HCP), and the ______ takes care of these (weakness, discomfort, hopelessness, anxiety, pain, self care deficit). Answer nursing diagnosis, medical diagnosis, stimulus, nurse Q: Human responses are also how a patient reacts to a ______, ______, difficulty, _______, etc. and can have _______ or _______ response. stressor, problem, illness Answer actual or potential Q: Which of the following best describes the HCP best? Answer Thirst Low NA Anti-hypertensiveness fluid volume deficit congestive heart failure congestive heart failure Q: The nursing process is a "_____, _____ framework for planning and providing _______ nursing care to patients." Answer systematic, circular individualized a series of planned actions directed toward particular results or series of events that follow sequence to conclusion Answer process what are some characteristics of the nursing process? Answer cyclic or circular dynamic, always changing patient-centered interpersonal and collaborative universally used What are the five parts of the nursing process? Answer assessment, diagnosis, planning, interventions, evaluation data gathering (most important) Answer assessment clinical judgments (analysis) diagnosis what nurse will do to accomplish the goals interventions setting nursing goals and patient outcomes planning assessing if goals have been met evaluation What does NANDA stand for? North American Nursing Diagnosis Association clinical judgments or conclusions after gathering data; it is a label and a way for the RN to communicate with other RNs ND or NDx (fully written out diagnosis) NDS Nursing Diagnostic Statement; whole written out statement NDC Nursing Diagnostic Category; acute pain/first part only standardized classification of patient/client outcomes developed to evaluate the effects of nursing interventions nursing outcomes classification (NOC) can be either a collaborative problem or potential complication; nurses cannot independently treat it RC = Risk for Complications standardized classification of interventions that nurses perform Nursing Interventions Classification (NIC) first part of the nursing process and the most important; must be accurate in order to get enough data to make a clinical judgment assessment a way to communicate between nurses, for insurance, etc; it is basically putting a label on what we've seen the patient is experiencing so that we can take care of it diagnosis if the problem exists in the patient (they have data cues or symptoms) and it can be treated independently by the nurse (EX: Impaired Physical Mobility) Actual NDx if the problem does not exist (patient has no data cues or symptoms) and it can be independently prevented by the nurse (EX: HR Altered Respiratory Function) Risk NDx Risk for Complications (RC) can either be _________________ or ____________________ potential complications collaborative problems if the problem exists in the patient, but cannot be independently treated by nurses and is something the nurse primarily monitors for changes in status while carrying out the MDs orders **Don't need R/T, S/T actual collaborative problem if there is a potential for a problem or complication to arise, but it does not exist in the patient and it can not be independently prevented by the nurse and it is primarily something the nurse monitors for ouset potential complication To be an RC: Can be _______ but can't be ________ or __________ by a nurse Must follow ________ along with a few nursing interventions Primary interventions of the nurse is to _____________ in status or onset of problem diagnosed, treated, prevented independently MD orders monitor for change what we want to do or achieve in relation to our patient and NDC that we are dealing with at that particular time; choose what outcome you want the patient to have; involves formulating ______ and __________ Planning goals, outcome criteria If a problem does exist, we want to _____, _____, _____, or ______ for the better in some way reduce it, eliminate it, alleviate it, change it _________ are nurse centered, general, broad and long range; should be 2-3 words that are generally the opposite of the __________ nursing goals (ng) nursing diagnosis The ______ is what you, as the nurse, want to see happen to the patient concerning this problem sometime in the future Nursing Goal _____ should be specific, patient-centered, behavioral, measurable and short range It should be what you want to see the patient exhibit after ________ have helped achieve the nursing goal Should prove that ______ has been met Outcome criteria Interventions Nursing Goal What are the rules for writing OC's? be positive be specific and measurable use ranges for values or numbers that are reasonable should be criteria that proves NG has been met should be able to answer with yes or no should include a time frame should be reasonable to achieve What is included in the Outcome Criteria guide? Behavior, Measurement, Condition, Time Frame what are the various ways to prioritize (which is part of the planning phase)? what problem is more likely to harm/kill ABCs high, medium, low intensity patient preferences Maslow's hierarchy of needs how the nurse will achieve the nursing goal; active, useful, beneficial treatments, teaching/learning that will bring about the planned outcome criteria interventions Every intervention needs _____ rationale Different levels of nursing: _____ and know different things _______ is something BSN has to do; need to know who you can _________ to This doesn't mean they delegate _________; RN is still responsible for whatever happens Must delegate to appropriate type of person - they must be _____ taught delegation; delegate responsibility qualified tasks delegated to other personnel besides the RN nursing orders What are some examples of nursing orders? routine vital signs, baths, ambulation/activity what are some nursing actions? giving blood, inserting NG tubes, pulling sheaths after angiograms tasks that can only be delegated to a nurse at the same level; BSN nurse is always responsible, even when the task has been delegated Nursing Actions can decide to do these without MD orders (compress, inc. vital signs) Independent interventions must have an MD order to perform (meds, start an IV, labs) Dependent interventions collaborative; require discussion and/or help of other disciplines; work together with others (dietitian, PT) Interdependent interventions patient responses to interventions; identify expected outcomes (go to outcome criteria); assess the patient (are they performing or participating in the interventions); compare patient data with outcome criteria, and relate that outcome criteria to effectiveness of interventions; draw conclusions and modify careplan Evaluation ____________ is filled out using data collected during the complete assessment of the patient and the chart. Assessment tool What should be highlighted on the assessment tool? all abnormals, problems, and/or other data indicating the patient has a dysfunction or difficulty What are some problems with outcome criteria? no behavioral verbs used no data cue to back it up does not prove the goal is met is too vague and not measurable is more an intervention than a criteria ranges are not used for variable criteria time frame is not realistic Interventions should be ______ and designed to _______ the goal. Each should have a ______ to back it up with the source. active, achieve, rationale 3 days following surgery, male client observes his colostomy for the first time. he becomes upset and tells the nurse that it is much bigger than he expected. what is the best response by the RN - instruct client that the stoma will become smaller when the swelling diminishes best snack food is best for a client with myesthenia gravis who is at risk for altered nutritional status - chocolate pudding RN notices hispanic parents of a toddler offering only broth on the clear liquid tray. Gelatin, popsicles, juices, remain untouched. what explanation is most appropriate for this behavior - hot remedies restore balance after surgery after completing an assessment and determining that a client has a problem. which action should the RN perform next? - determine etiology of the problem on admin pt signs a living will that includes a DNR order. when client stops breathing, the RN performs CPR and revives the client. what legal issues could be brought on by the RN malpractice client with nursing dx of spiritual distress. which indicates to the nurse that a desired outcome measure has been met - accepts punishment from god is not related to illness which shows that a client understands low Na restriction food - skim milk, turkey salad, roll, and vanilla ice cream sub saharan afrinca widowed immigrant woman lives with her deceased husbands' brother and his family. ALl members speaks fluent English. Surgery recommended for the client. Best plan to obtain consent for surgery for this client - tell surgeon that the brother in law will decide after exmplanation of the proposed surgery is provded to him and the widow when evaluating a pt plan of care. RN determines desired outcome was not achieved. Which action should the RN implement FIRST - note which actions were NOT implemented - in order to determine why the original plan did not produce the desired outcome male client removed the covering from an ice pack applied to his knee. what actions should the RN take first? - observe appearance of the skin under the ice pack assessment data to collect that reflects total muscle mass in an adolescent - upper arm circumference client died, when the RN asks a family member about funeral arrangements. Family member refuses to discuss the issue. RN most appropriate action - remain w/ fam member w/o discuss funeral arrangement therapeutic communication - response should focus on the client (not the RN or facility) - determine whether the question pertains to the client or fam members - responses should be open ended and encourage the client to express how she feels - eliminate responses that are not honest [do not answer w/ dont worry, everything will be alright, your doctor knows best] - response should indicate acceptance of the client [dont tell the alcoholic to stop drinking, dont tell the depressed pt to not feel that way] - do not give your own opinion (dont insist the pt should follow advice) - select an open ended question (eg. how are you feeling today compared to yesterday? how did you feel when your fam. visited today? - look for responses that reflect, restate or paraphrase feelings - dont ask WHY a client feel the way he she does - do not use coercion pt with right sided weakness with altered nutrition. which member of interprofessional team should the RN consult? - OT data indicate the need to evaluate for altered nutrition? - conjunctival sac is pale - skin over sternum tents - lips are dry and cracked which intervention in plan of care provides most accurate info about nutritional status - weigh client once a week range for normal serum protein level - 6.4-8.3 breakfasts that are good sources of protein - scrambled eggs and sausage - egg, potatoe and onion omelet elderly client who requires frequent monitoring fell and fractured a hip. Which RN is at greatest risk for a malpractice judgement? - RN who transferred the client to the chair when the fall occurred elderly client w/ a fractured left hip is on strict bedrest? Which RN measure is essential for a client's nursing care? - glently lift the pt when moving into a desired position pt at radiology dep. at 0900 when prx for levofloxacin (Levaquin) 500 mg IV q24h is scheduled to be administered. pt returns to the unit at 1300. what is the best intervention for the RN to implement? - give the missed dose at 1300 and change the schedule to admin daily at 1300 nurse witnesses the signature of a client who has signed an informed consent. Which statements best explains this nursing responsibility client voluntarly signed the form best phrase to respond about death to 3 year olds - grandma died and makes us feel very sad pre school children and rxns to death - death is temporary and gradual - death can change places with one another - there is no understanding of the universality of death - RN should help parents understand the behavioral rxns of children - RN should encourage parents to remain near the child as much as poussible school age children and rxn to death - misdeeds or bad thoughts can cause death - death is devil or a monster - 9-10 yo: universal concep of death inevitable, universal and irreversible - honestly answer questionas about dyirng - interventions of helpin children maintain control over their bodies and increasing their understanding and allowing them to achieve independence adolescent rxns to death - mature understanding - most difficulty in coping with death - may feel alone in their struggle - answer questions honestly treating them as mature individuals death and dying symptoms - low HR and BP and RR - mottling of hands and feet - cyanosis - head turned toward the light - staring into distance - speaking to someone which action should the RN implement to help reduce anxiety during the admisiion process of a pt w/ his wife at the bedside - including the spouse and orienting them both to the room action contraindicate in a pt with an infect foot wound - assessing homans sing in bilateral extremeties [clotting dislodgement] once an IM injection has been inserted into the skin, what intervention should the RN implement - slowly inject the med into the muscle mass - follow facility policy regarding aspiration [small sterile gauze pad should be placed close to the insertion site BEFORE the injection not during] progessive relaxation activity. RN tells client in pain to identify an area where she can feel muscle tension. which instruction should RN provide next? tense the muscle fully [after relax the muscle fully the nurse overhears two other nurses discussing a pt pain management in the hallway. one nurse states that the pt is drug seeking and is prob already addicted to her pain med. what is the priority nursing intervention? arrange to continue the conversation in a more private location [nurse must be a client advocate, protecting the pt privacy is a priority] the RN does not believe that the pt is addicted to pain meds. the RN explains this to other nurses, providing them with accurate info. the RN response demonstrates what ethical principle? - veracity RN places a repositioning schedule, charge RN removes the schedules and states that it violates pt privacy. first RN action? - assure the charge nurse that written instruction in the clients rooms are effective and do not violate any client rights