Nurs 310 HESI Review – Accurate Answers To All
Questions
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Terms in this set (50)
A 75-year-old client who has a history Determine who is legally empowered to make
of end stage renal failure and decisions.
advanced lung cancer, recently had a
stroke. Two days ago the healthcare
provider discontinued the client's
dialysis treatments, stating that death
is inevitable, but the client is
disoriented and will not sign a DNR
directive. What is the priority nursing
intervention?
Review the client's most recent
laboratory reports.
Refer the client and family members
for hospice care.
Notify the hospital ethics committee
of the client situation.
Determine who is legally empowered
to make decisions.
,A male client with an infected wound Combination of plant proteins to provide essential
tells the nurse that he follows a amino acids.
macrobiotic diet. Which type of foods A macrobiotic diet is high in whole-grain cereals,
should the nurse recommend that the vegetables, sea vegetables, beans, and vegetarian
client select from the hospital menu? soups, and the client needs essential amino acids to
provide complete proteins to heal the infected
wound. Although a macrobiotic diet contains no
Low fat and low sodium foods. source of animal protein, essential amino acids
should be obtained by combining plant (incomplete)
Combination of plant proteins to proteins to provide complete (all essential amino
provide essential amino acids. acids) proteins (B) for anabolic processes. (A, C, and
D) do not provide the client with food choices
Limited complex carbohydrates and consistent with a macrobiotic diet and protein needs.
fiber.
Increased amount of vitamin C and
beta carotene rich foods.
The nurse is administering an Reposition the client's arm.
intermittent infusion of an antibiotic to If the client's elbow is bent, the IV may be unable to
a client whose intravenous (IV) access infuse, resulting in an obstruction alarm, so the nurse
is an antecubital saline lock. After the should first attempt to reposition the client's arm to
nurse opens the roller clamp on the IV alleviate any obstruction
tubing, the alarm on the infusion
pump indicates an obstruction. What
action should the nurse take first?
Check for a blood return.
Reposition the client's arm.
Remove the IV site dressing.
Flush the lock with saline.
, What action should the nurse Position prone with a small pillow below the
implement to prevent the formation of diaphragm.
a sacral ulcer for a client who is
immobile?
Maintain in a lateral position using
protective wrist and vest devices.
Position prone with a small pillow
below the diaphragm.
Raise the head and knee gatch when
lying in a supine position.
Transfer into a wheelchair close to the
nurse's station for observation.
What intervention should the nurse Check capillary refill of toes on lower extremity with
include in the plan of care for a client Unna's paste boot.
who is being treated with an Unna's
paste boot for leg ulcers due to
chronic venous insufficiency?
Check capillary refill of toes on lower
extremity with Unna's paste boot.
Apply dressing to wound area before
applying the Unna's paste boot.
Wrap the leg from the knee down
towards the foot.
Remove the Unna's paste boot q8h to
assess wound healing.
Questions
Save
Terms in this set (50)
A 75-year-old client who has a history Determine who is legally empowered to make
of end stage renal failure and decisions.
advanced lung cancer, recently had a
stroke. Two days ago the healthcare
provider discontinued the client's
dialysis treatments, stating that death
is inevitable, but the client is
disoriented and will not sign a DNR
directive. What is the priority nursing
intervention?
Review the client's most recent
laboratory reports.
Refer the client and family members
for hospice care.
Notify the hospital ethics committee
of the client situation.
Determine who is legally empowered
to make decisions.
,A male client with an infected wound Combination of plant proteins to provide essential
tells the nurse that he follows a amino acids.
macrobiotic diet. Which type of foods A macrobiotic diet is high in whole-grain cereals,
should the nurse recommend that the vegetables, sea vegetables, beans, and vegetarian
client select from the hospital menu? soups, and the client needs essential amino acids to
provide complete proteins to heal the infected
wound. Although a macrobiotic diet contains no
Low fat and low sodium foods. source of animal protein, essential amino acids
should be obtained by combining plant (incomplete)
Combination of plant proteins to proteins to provide complete (all essential amino
provide essential amino acids. acids) proteins (B) for anabolic processes. (A, C, and
D) do not provide the client with food choices
Limited complex carbohydrates and consistent with a macrobiotic diet and protein needs.
fiber.
Increased amount of vitamin C and
beta carotene rich foods.
The nurse is administering an Reposition the client's arm.
intermittent infusion of an antibiotic to If the client's elbow is bent, the IV may be unable to
a client whose intravenous (IV) access infuse, resulting in an obstruction alarm, so the nurse
is an antecubital saline lock. After the should first attempt to reposition the client's arm to
nurse opens the roller clamp on the IV alleviate any obstruction
tubing, the alarm on the infusion
pump indicates an obstruction. What
action should the nurse take first?
Check for a blood return.
Reposition the client's arm.
Remove the IV site dressing.
Flush the lock with saline.
, What action should the nurse Position prone with a small pillow below the
implement to prevent the formation of diaphragm.
a sacral ulcer for a client who is
immobile?
Maintain in a lateral position using
protective wrist and vest devices.
Position prone with a small pillow
below the diaphragm.
Raise the head and knee gatch when
lying in a supine position.
Transfer into a wheelchair close to the
nurse's station for observation.
What intervention should the nurse Check capillary refill of toes on lower extremity with
include in the plan of care for a client Unna's paste boot.
who is being treated with an Unna's
paste boot for leg ulcers due to
chronic venous insufficiency?
Check capillary refill of toes on lower
extremity with Unna's paste boot.
Apply dressing to wound area before
applying the Unna's paste boot.
Wrap the leg from the knee down
towards the foot.
Remove the Unna's paste boot q8h to
assess wound healing.
