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HESI 700 QUESTIONS AND WITH WELL VERIFIED ANSWERS

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HESI 700 QUESTIONS AND WITH WELL VERIFIED ANSWERS The nurse is assessing a middle-aged adult who is diagnosed with osteoarthritis. Which factor in this client's history is a contributor to osteoarthritis? - ANS Long distance runner since high school. The nurse manager is conducting an in-services education program on the fire evacuation of the newborn recovery. What intervention should the nurse manager disseminate to the staff? - ANS Evacuate each infant with mother via wheelchair A client with severe full-thickness burns is scheduled for an allografting procedure. Which information should the nurse provide the client - ANS Human source grafts require monitoring for signs of graft rejection an adult man reports that he recently experienced an episode of chest pressure and breathlessness when he was jogging in the neighborhood. He expresses concern because both of his deceased parents had heart disease and his father was a diabetic. He lives with his male partner, is a vegetarian, and takes atenolol which maintains his blood pressure at 138/74. Which risk factors should the nurse explore further with the client? Select all that apply - ANS History of hypertension. Family health history The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (LPN), and unlicensed assistant personnel (UAP). Which task should the charge nurse assign to the RN? - ANS Supervised a newly hired graduate nurse during an admission assessment The nurse is administering a 750 ml cleansing enema to an adult client. After approximately150 ml of enema has been informed, the client states, 'stop, I can't hold anymore." What action should the nurse take - ANS Clamp the tubing and instruct the client to breathe deeply before continuing. The nurse requests a meal tray for a client who follows Mormon beliefs and who is on a clear liquid diet following abdominal surgery. Which meal item should the nurse request for this client? (Select all that apply) - ANS Apple juice Chicken broth Following breakfast, the nurse is preparing to administer 0900 medications to clients on a medical floor. Which medication should be held until a later time? - ANS The mucosal barrier, sucralfate (Carafate), for a client diagnosed with peptic ulcer disease The father of a 4-year-old has been battling metastatic lung cancer for the past 2 years. After discussing the remaining options with his healthcare provider, the client requests that all treatment stop and that no heroic measures be taken to save his life. When the client is transferred to the palliative care unit, which action is most important for the nurse working on the palliative care unit to take in facilitating continuity of care? - ANS Obtains a detailed report from the nurse transferring the client. The healthcare provider prescribes oxycodone/ aspirin 1 tab PO every 4 h as needed for pain, for a client with polycystic kidney disease. Before administering this medication, which component of the prescription should the nurse question? - ANS Aspirin content. The nurse is making a home visit to a male client who is in the moderate stage of Alzheimer's diseases. The client's wife is exhausted and tells the nurse that the family plans to take turns caring for the client in their home, each keeping him for two weeks at a time. How should the nurse respond? - ANS Suggest enrolling the client in adult daycare instead of rotating among family A young adult male was admitted 36 hours ago for a head injury that occurred as the result of a motorcycle accident. In the last 4 hours, his urine output has increased to over 200 ml/H. Before reporting the finding to the healthcare provider, which intervention should the nurse implement? - ANS Evaluate the urine osmolality and the serum osmolality values. A male client has received a prescription for orlistat for weight and nutrition management. In addition to the medication, the client states he plans to take a multivitamin. What teaching should the nurse provide? - ANS Be sure to take the multivitamin and the medication at lea The nurse is assessing a middle-aged adult who is diagnosed with osteoarthritis. Which factor in this client's history is a contributor to osteoarthritis? - ANS Long distance runner since high school. The nurse manager is conducting an in-services education program on the fire evacuation of the newborn recovery. What intervention should the nurse manager disseminate to the staff? - ANS Evacuate each infant with mother via wheelchair A client with severe full-thickness burns is scheduled for an allografting procedure. Which information should the nurse provide the client - ANS Human source grafts require monitoring for signs of graft rejection an adult man reports that he recently experienced an episode of chest pressure and breathlessness when he was jogging in the neighborhood. He expresses concern because both of his deceased parents had heart disease and his father was a diabetic. He lives with his male partner, is a vegetarian, and takes atenolol which maintains his blood pressure at 138/74. Which risk factors should the nurse explore further with the client? Select all that apply - ANS History of hypertension. Family health history The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (LPN), and unlicensed assistant personnel (UAP). Which task should the charge nurse assign to the RN? - ANS Supervised a newly hired graduate nurse during an admission assessment The nurse is administering a 750 ml cleansing enema to an adult client. After approximately150 ml of enema has been informed, the client states, 'stop, I can't hold anymore." What action should the nurse take - ANS Clamp the tubing and instruct the client to breathe deeply before continuing. The nurse requests a meal tray for a client who follows Mormon beliefs and who is on a clear liquid diet following abdominal surgery. Which meal item should the nurse request for this client? (Select all that apply) - ANS Apple juice Chicken broth Following breakfast, the nurse is preparing to administer 0900 medications to clients on a medical floor. Which medication should be held until a later time? - ANS The mucosal barrier, sucralfate (Carafate), for a client diagnosed with peptic ulcer disease The father of a 4-year-old has been battling metastatic lung cancer for the past 2 years. After discussing the remaining options with his healthcare provider, the client requests that all treatment stop and that no heroic measures be taken to save his life. When the client is transferred to the palliative care unit, which action is most important for the nurse working on the palliative care unit to take in facilitating continuity of care? - ANS Obtains a detailed report from the nurse transferring the client. The healthcare provider prescribes oxycodone/ aspirin 1 tab PO every 4 h as needed for pain, for a client with polycystic kidney disease. Before administering this medication, which component of the prescription should the nurse question? - ANS Aspirin content. The nurse is making a home visit to a male client who is in the moderate stage of Alzheimer's diseases. The client's wife is exhausted and tells the nurse that the family plans to take turns caring for the client in their home, each keeping him for two weeks at a time. How should the nurse respond? - ANS Suggest enrolling the client in adult daycare instead of rotating among family A young adult male was admitted 36 hours ago for a head injury that occurred as the result of a motorcycle accident. In the last 4 hours, his urine output has increased to over 200 ml/H. Before reporting the finding to the healthcare provider, which intervention should the nurse implement? - ANS Evaluate the urine osmolality and the serum osmolality values. A male client has received a prescription for orlistat for weight and nutrition management. In addition to the medication, the client states he plans to take a multivitamin. What teaching should the nurse provide? - ANS Be sure to take the multivitamin and the medication at lea

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