BSN 266 HESI TEST BANK QUESTIONS AND ANSWERS
The nurse is preparing a client for surgery who C. Notify the healthcare provider of the client's medication history
was admitted to the emergency center
following a motor vehicle collision. The client
has an open fracture of the femur and is
bleeding moderately from the bone protrusion
site. During the preoperative assessment, the
nurse determines that the client currently
receives heparin sodium 5,000 units
subcutaneously daily. What is the priority
nursing action?
A. Observe the heparin injection sites for signs
of bruising
B. Ensure that the potential for bleeding is
explained to the client
C. Notify the healthcare provider of the client's
medication history
D. Have the client sign the surgical and
transfusion permits
, The nurse is preparing to obtain a rapid D. Move the client to a private room, keep the door closed, and initiate droplet precautions.
COVID-19 test for a client who was exposed to
the virus eight days ago. The client is
experiencing fever, cough, and shortness of
breath. Which action is the most important for
the nurse to take?
A. Counsel family members to monitor for
illness symptoms for 2 weeks after last contact
with patient
B. Assist the client to recall everyone possibly
exposed since onset of symptoms
C. Start an intravenous infusion for antiviral
drug to be administered for positive COVID-19
test results.
D. Move the client to a private room, keep the
door closed, and initiate droplet precautions.
The nurse is preparing a client for surgery who C. Notify the healthcare provider of the client's medication history
was admitted to the emergency center
following a motor vehicle collision. The client
has an open fracture of the femur and is
bleeding moderately from the bone protrusion
site. During the preoperative assessment, the
nurse determines that the client currently
receives heparin sodium 5,000 units
subcutaneously daily. What is the priority
nursing action?
A. Observe the heparin injection sites for signs
of bruising
B. Ensure that the potential for bleeding is
explained to the client
C. Notify the healthcare provider of the client's
medication history
D. Have the client sign the surgical and
transfusion permits
, The nurse is preparing to obtain a rapid D. Move the client to a private room, keep the door closed, and initiate droplet precautions.
COVID-19 test for a client who was exposed to
the virus eight days ago. The client is
experiencing fever, cough, and shortness of
breath. Which action is the most important for
the nurse to take?
A. Counsel family members to monitor for
illness symptoms for 2 weeks after last contact
with patient
B. Assist the client to recall everyone possibly
exposed since onset of symptoms
C. Start an intravenous infusion for antiviral
drug to be administered for positive COVID-19
test results.
D. Move the client to a private room, keep the
door closed, and initiate droplet precautions.
