NEW HESI LIVE REVIEW TEST BANK FOR THE NCLEX-RN EXAM 2022.

HESI Live Review Test Bank for the NCLEX-RN Exam 2022. A client reports to the nurse he has not had a BM in 2 days. Which intervention should the nurse implement first? A. instruct caregiver to offer a glass of prune juice B. notify HCP and request script for stool softener C. Assess clients med rec and see normal BM pattern D. Instruct caregiver to increase clients fluids to five 8 ounce glasses per day. - C!! Always assess first. You dont know enough to ask for stool softener A client who has COPD is resting in semi fowlers w/ O2 BNC 2L. The client develops dyspnea. What action does the nurse take first? A. Call HCP B. Obtain bedside pulse ox C. Raise HOB D. Assess clients vital signs - C!! B and D are the same-- that is a flag A client who has hyperparathyroidism is scheduled to receive a prescribed dose of oral phosphate. The RN notes that the clients serum calcium level is 12.5mg/dL. What action should to nurse take? A. hold the phosphate and notify the HCP B. review clients serum PTH C. Give PRN IV Ca D. Admin oral dose of PO4 - D! Ca and PO4 have an inverse relationship In completing a clients pre-op routine, the RN finds that the consent has not been signed. The clients begins to ask more questions about the surgical procedure. What action should the nurse take next? A. Witness the client's signature on the consent B. Answer the clients questions about the surgery C. Inform the HCP that the client has questions about the surgery. D. Reassure client that the surgeon will answer questions before anesthetic is administered. - C! The nurses role with surgical consent is to witness-- the HCP needs to answer questions. What foods do you avoid within 1 hour of taking iron? - dairy and caffeine Do you give injections to pt with edema? - NO living will - a client documents his or her wishes regarding future care in the event of terminal illness. durable power of attorney - a client appoints a representative (healthcare proxy) to make healthcare decisions. An awake and alert client with impending pulmonary edema is brought to the emergency department. The client provides the nurse with a copy of a living will that states that no invasive medical procedures should be used to keep her alive. the healthcare team is questioning whether the client should be intubated. What information should guide the teams decision? A. the living will removes the obligation to involve the client in any medical decision making. B. The client is awake and alert, which makes the living will irrelevant and nonbinding. C. Lifesaving measures do not need to be explained to the client because of the signed will. D. The family should be contacted to determine who has durable POA for healthcare for a client.