EVOLVE HESI FUNDAMENTALS REAL EXAM 2024.TEST BANK: 400 QUESTIONS WITH VERIFIED ANSWERS AND RATIONALES (RN HESI EVOLVE FUNDAMENTALS).

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EVOLVE HESI FUNDAMENTALS REAL EXAM
2024.TEST BANK: 400 QUESTIONS WITH
VERIFIED ANSWERS AND RATIONALES (RN
HESI EVOLVE FUNDAMENTALS).



The nurse is instructing a client with high cholesterol about diet and life style modificati
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on. What comment from the client indicates that the teaching has been effective?
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A. "If I exercise at least two times weekly for one hour, I will lower my cholesterol."
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B. "I need to avoid eating proteins, including red meat."
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C. "I will limit my intake of beef to 4 ounces per week."
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D. "My blood level of low density lipoproteins needs to increase." -
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answerLimiting saturated fat from animal food sources to no more than 4 ounces per w
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eek (C) is an important diet modification for lowering cholesterol. To be effective in red
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ucing cholesterol, the client should exercise 30 minutes per day, or at least 4 to 6 times pe
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r week (A). Red meat and all proteins do not need to be eliminated (B) to lower cholester
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ol, but should be restricted to lean cuts of red meat and smaller portions (2-
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ounce servings). The low density lipoproteins (D) need to decrease rather than increase.
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Correct Answer: C
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The UAPs working on a chronic neuro unit ask the nurse to help them determine the saf
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est way to transfer an elderly client with left-
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,sided weakness from the bed to the chair. What method describes the correct transfer pr
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ocedure for this client? b b b




A. Place the chair at a right angle to the bed on the client's left side before moving.
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B. Assist the client to a standing position, then place the right hand on the armrest.
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C. Have the client place the left foot next to the chair and pivot to the left before sitting.
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D. Move the chair parallel to the right side of the bed, and stand the client on the right fo
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ot. - answer(D) uses the client's stronger side, the right side, for weight-
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bearing during the transfer, and is the safest approach to take. (A, B, and C) are unsafe m
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ethods of transfer and include the use of poor body mechanics by the caregiver.
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Correct Answer: D b b




An unlicensed assistive personnel (UAP) places a client in a left lateral position prior to a
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dministering a soap suds enema. Which instruction should the nurse provide the UAP?
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A. Position the client on the right side of the bed in reverse Trendelenburg.
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B. Fill the enema container with 1000 ml of warm water and 5 ml of castile soap.
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, C. Reposition in a Sim's position with the client's weight on the anterior ilium.
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D. Raise the side rails on both sides of the bed and elevate the bed to waist level. -
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answerThe left sided Sims' position allows the enema solution to follow the anatomical
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course of the intestines and allows the best overall results, so the UAP should reposition
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the client in the Sims' position, which distributes the client's weight to the anterior ilium
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(C). (A) is inaccurate. (B and D) should be implemented once the client is positioned.
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Correct Answer: C b b




A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern shoul
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d the nurse have for planning care in terms of the client's beliefs?
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A. Autopsy of the body is prohibited.
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B. Blood transfusions are forbidden.
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C. Alcohol use in any form is not allowed.
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D. A vegetarian diet must be followed. -
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answerBlood transfusions are forbidden (B) in the Jehovah's Witness religion. Judaism
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prohibits (A). Buddhism forbids the use of (C) and drugs. Many of these sects are vegeta
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rian (D), but the direct impact on nursing care is (B).
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