HESI / HESI Exit Q&A EXIT Q&A AND RATIONALE

HESI / HESI Exit Q&A EXIT Q&A AND RATIONALE A new mother asks the PN, "How do i know that my baby is getting enough breast milk?" Which explanation should the nurse give the new mother? - ANSWER-Weigh the baby before and after feeding total see if she has gained any weight as a result of the feeding. A client receiving care on a palliative care unit is unable to swallow and is becoming dehydrated, which is exhibited by inelastic skin turgor and dry mucous membranes. Which action should the PN implement to provide comfort? - ANSWER-Provide oral care frequently. Which findings can the practical nurse determine by palpating a client's skin? - ANSWER-Perspiration. warmth. When the PN plans daily care for a group of clients, which client should the PN see first due to the risk for complications? - ANSWER-A older client with a stroke who is febrile and confused. An elderly client was admitted to the hospital from a long-term facility because he has been vomiting for the past 2 days. Which assessment finding should the PN report to the healthcare provider? - ANSWER-tenting skin turgor. When initiating a 24-hr urine collection,what action should the PN take? - ANSWER-Instruct the client to discard the first voided specimen. A client with severe osteoarthritis who has a long Hx of taking diclofenac, a NSAID, presents to the ambulatory clinic to refill the medication. Which finding should the PN report to the healthcare provider? - ANSWER-Platelets 119,000/mm^3 An older client is being discharged to home following a hip pinning procedure for a fractured hip. The client uses crutches for ambulation. Which element should the PN emphasize when reinforcing precautions to prevent the risk forfalls in the home? - ANSWER-Scatter rugs. The PN is collecting a urine specimen for culture and sensitivity from a client who has an indwelling catheter. What technique should the PN implement to collect the sample? - ANSWER-Use a sterile syringe to aspirate a urine specimen from the port of the tubing close to the catheter. The PN finds a client who is assigned to another nurse bleeding from an IV site and the IV tubing and fluid are on the floor. The PN immediately applies a dressing to stop the bleeding. Which action should the PN take next? - ANSWER-Enter computer documentation of the findings and the application of a dressing. In providing care for a client with a NGT commented to intermittent suction, which tasks can be assigned to the UAP? - ANSWER-Replace the canister when full.