Geri Final Exam HESI Questions and Answers

Geri Final Exam HESI The practical nurse (PN) is assigned the care of an older client with venous stasis ulcers. A primary foal in the client's plan of care is to decrease swelling in the extremities. What should the PN do to meet this goal? - Answer- Elevate the legs of the pillow An older women asks the practical nurse (PN0 how she can decrease her chances of getting cystitis. What information should the PN provide? - Answer- Void and empty bladder completely q2 to 3 hours The home health practical nurse (PN) is changing an older client's wet to dry dressing. Which observation should the PN evaluate as a therapeutic response with the removal of the dry dressing? - Answer- Debridement and removal of slough and eschar The home health practical nurse (PN) visits an older woman with heart failure (HF) who is on complete bed rest. Which intervention is most important for the practical nurse (PN) to suggest to the client to prevent complications related to immobility? - Answer- Perform leg exercises while in bed. The practical nurse (PN) is caring for an older female with Raynaud's phenomenon. Which exposure should the PN instruct the client to avoid? - Answer- Cold climates The practical nurse (PN) is giving medications through a gastric tube (GT) to an older client who is a resident in a long-term care facility. The PN interrupts the continuous GT feeding. In which sequence should the PN impalement these actions for administration of crushed medications? - Answer- 1. Crush the medication into a power or fine granules 2. Dissolve each crushed medication in a medicine cup 3. Flush the feeding tube of feeding solution 4. Administer each medication separately 5. Flush GT to clear medication from the tubing 6. Reconnect the gastric feeding tube A family member brings their aging father to the clinic because he has been alert and oriented during the day but agitated and disoriented in the evening. The registered nurse (RN) reviews the client's list of current medications with the client and family. Which action taken by the RN is most important? - Answer- Multiple medications can contribute to sundowner-like symptoms The healthcare provider prescribes a new medication, atrovastatin (lipitor), for an older client who arrives at the clinic for an annual physical examination. What common side effect should the practical nurse (PN) advise the client to observe for with this medication? - Answer- headaches