NUR 160 HESI Questions & Correct Answers/ Graded A+

checking for cyanosis in a patient who has a darker skin tone : check the lips and mucous membranes to see if they are dusky in color how to accurately assess a client's baseline BP during a routine health exam : measure the pressure in each arm while the client sits with the arm supported at heart level. (seated or supine) advancing oral intake from NPO : ice chips or water first then advance to a clear liquid and up. best strategy to implement for the client's incontinence : establish a 2-hour voiding schedule. intervention to reduce incidence of UTI in a client with a indwelling catheter : cleanse perineum area with soap and water BID and PRN 2 upset client about a recommendation about a AKA states "If they want to cut off my leg, they should just shoot me instead." how do you respond : ask the client how the surgery might effect his lifestyle. (limp amputation alters he body image and changes a clients ADL, work & recreational activities which triggers grieving process for the client. determining the clients perceptions of the procedure's impact on his lifestyle, this is therapeutic & allows client to discuss his feelings. patient with cancer has been taking opioid analgesics for two years now & requires an increase in dose. client expresses fear of becoming addicted to these drugs : explain that prescribed opiates for cancer pain relief improves quality of life. (this is the main goal of pain management for clients with cancer to minimize pain and improve quality of life.) intervention to help a client cope e