All HESI FUNDAMENTAL EXAM TEST BANK UPDATED VERSION WITH RATIONALE CONTAINING QUESTIONS AND ANSWERS WITH RATIONALES, ...

Multiple Choices Question 1 An elderly client wi a fractured left hip is on strict bedrest. Which nursing measure is essential to the client's nursi g care A. Massage any r dd ned reas for at least e minutes. B. Encourage act ve r nge of motion xercises on ext mities. C. Position the client laterally, prone, and dorsally in seq ce. D. Gently lift the client when movi g into a desired position - To void shearing forces when repositioning, the clien sho be lifte gently across a surf ce Redd ed areas should not be massaged (A) since th s m increase the damage to al eady trau atized skin. To control pain and muscle spasms, acti e r nge of mo on (B) m y be li e he affected leg. The position described in (C) is contrain icated for ent with a fractured left hip. Correct Answer: D The nurse is administering medications through a nasogastric tube (NGT) which is connected to suction. After ensuring correct tube placement, what action should the nurse take next? A. Clamp the tube for 20 minutes. B. Flush the tube with water. C. Administer the medications as prescribed. D. Crush the tablets and dissolve in sterile water. - The NGT should be flushed before, after and in between each medication administered (B). Once all medications are administered, the NGT should be clamped for 20 minutes (A). (C and D) may be implemented only after the tubing has been flushed. Correct Answer: B A client who is in hospice care complains of increasing amounts of pain. The healthcare provider prescribes an analgesic every four hours as needed. Which action should the nurse implement? A. Give an around-the-clock schedule for administration of analgesics. B. Administer analgesic medication as needed when the pain is severe. C. Provide medication to keep the client sedated and unaware of stimuli. D. Offer a medication-free period so that the client can do daily activities. - The most effective management of pain is achieved using an around-the-clock schedule that provides analgesic medications on a regular basis (A) and in a timely manner. Analgesics are less effective if pain persists until it is severe, so an analgesic medication should be administered before the client's pain peaks (B). Providing comfort is a priority for the client who is dying, but sedation that impairs the client's ability to interact and experience the time before life ends should be minimized (C). Offering a medication-free period allows the serum drug level to fall, which is not an effective method to manage chronic pain (D).