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An older female client living in a low-income apartment complex tells a home health nurse
that she is concerned about her 81-year-old neighbor, a widow whose son recently assumed
her financial affairs. Lately, her neighbor has become reclusive, but is occasionally seen
walking outside wearing only a robe and slippers. What response should the nurse offer?
Turn the client to talk to the health care provider before reporting suspicion of neglect to
the authorities.
provide the number for adult Protective Services so the client can report any suspicion
of elder abuse.
in preparing a nursing care plan for a client admitted with a diagnosis of Guillain-
Barre syndrome, which nursing problem has the highest priority.
Ineffective breathing pattern related to ascending
paralysis.
The mother of a school age child calls the school nurse to ask winter daughter can return
to school after treatment for a pediculosis capitus.
after the treatment kills all the live lice
a client with major depression who is taking fluoxetine caused the psychiatric clinic
reporting being more agitated, irritable and anxious than usual. Which intervention should
the nurse implement?
Instruct the client to seek medical attention immediately.
NUR 240Hesi practice 1 Q & As ALL ANSWERS 100%
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,NUR 240Hesi practice 1 Q & As ALL ANSWERS 100%
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After an unsuccessful resuscitation attempt, the nurse calls the family of the deceased. The
family wishes to see the body before it is taken to the Funeral Home. Which intervention
should the nurse take to prepare the body before the family member enters the room? Select
all that apply.
Place a small pillow under the head.
remove resuscitation equipment from the
room. Gently close the eyes
second after successful resuscitation, a client given propanol law and transferred to intensive
coronary care unit. On admission, magnesium sulfate 4 grams Ivy and 250 milliliters of G5W at
1 gram per hour period which assessment finding requires immediate intervention by the
nurse?
Respiratory rate of 10 breast per minute and pulse oximetry of 90%
the nurse is developing a teaching plan for a client with acute gastritis caused by
drinking contaminated water. The nurse should emphasize the need to report the onset
of which problem?
Bloody emesis
a client with multiple sclerosis is experiencing scotomas (blind spots), second which are
limiting peripheral vision. What intervention should the nurse include in the client's plan of
care?
alternate and eye patch from eye to eye every two hours.
NUR 240Hesi practice 1 Q & As ALL ANSWERS 100%
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,NUR 240Hesi practice 1 Q & As ALL ANSWERS 100%
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A client with diabetes mellitus tells the nurse that she uses cranberry juice to help
prevent urinary tract infections. What instructions should the nurse provide?
Drinking cranberry juice does not prevent infection.
the health care provider explains through an interpreter the risks and benefits of a scheduled
surgical procedure to a non-English speaking female client. The client gives verbal consent and
the health care provider leaves, instructing a nurse to witness the signature on the consent
form. The client and the interpreter then speak together in the foreign language for an
additional 2 minutes until the interpreter concludes, she says it is OK. what action should the
nurse take next?
Ask for a full explanation from the interpreter of the witness discussion.
NUR 240Hesi practice 1 Q & As ALL ANSWERS 100%
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second child with heart failure is taking digitalis. Which signs indicate to the nurse that the
child may be experiencing digitalis toxicity.
vomiting
the unlicensed assistive personnel reports that a client's blood pressure cannot be measured
because the client has casts on both arms and is unable to be turned to the prone position
for blood pressure measurement in the legs. What action should the nurse implement?
Demonstrate how to palpate the popliteal pulse with client supine and the knee flexed.
an older adult with known known cognitive impairment residing in a long-term care facility
suddenly comes disoriented and confused. There are no signs of extremity weakness or
other neurological changes. Which intervention should the nurse implement?
Assess the urine for cloudiness.
a public health nurse receives funding to initiate a primary prevention program in
the community. Which program best fits the nurse’s proposal?
Vitamin supplements for high-risk pregnant women
second is caring for newborn who arrives in a nursery following a precipitous birth on the way
to the hospital. Drug screen of the mother reveals the presence of cocaine metabolites. The
infant has a heart rate of 175 beats per minute, cries continuously, is irritable and is hyper
reactive to stimuli. Which intervention is most important for the nurse to include in the infant’s
plan of care?
Implement seizure precautions.
NUR 240Hesi practice 1 Q & As ALL ANSWERS 100%
CORRECTLY/VERIFIED SATISFACTION GUARANTEED
SUCCESS LATEST UPDATE 2021/2022 GRADED A+