LATEST| ACCURATE & GRADED A+
.
What client statement indicates to the nurse that the client requires assistance with
bathing?
"I don't understand why I'm so weak and tired"
.
How should a nurse handle linens that are soiled with incontinent feces?
place an isolation hamper in the client's room and discard the linens in it
When caring for an immobile client, what nursing diagnosis has the highest priority?
impaired gas exchange
.
The nurse assesses an immobile, elderly male client and determines that his blood
pressure is 138/60, his temperature is 95.8F, and his output is 100 mL of
concentrated urine during the last hour. He has wet-sounding lung sounds and
increased respiratory secretions. Based on these assessment findings, what nursing
action is the most important for the nurse to implement?
turn the patient Q2
.
The home health nurse visits an elderly female client who had a brain attack three
months ago and is now able to ambulate with the assistance of a quad cane. Which
assessment finding has the greatest implications for this client's case?
, COMPLETE HESI NGN Exit EXAM
LATEST| ACCURATE & GRADED A+
AD. The nurse notes that there are numerous scatter rubs throughout the house
The nurse removes the dressing on a client's heel that is covering a pressure sore
one inch in diameter and finds that there is straw-colored drainage seeping from the
wound. What description of this finding should the nurse include in the client's
record?
B. one-inch pressure sore draining serous fluid
A medication is prescribed to be given QID. What schedule should the nurse use to
administer this prescription?
B. 0800, 1200, 1600, 2000
The nurse working in the emergency department is assessing four client's ability to
tolerate pain. Which client is likely to tolerate a higher level of pain?
B. a 55-year-old woman who has had moderate lower back pain for three months
.
A 4-year-old boy who is scheduled for a tonsillectomy and adenoidectomy asks the
nurse, "Will it hurt to have my tonsils and adenoids taken out?" Which response is
best for the nurse to provide?
d. "It may hurt but we'll give you medicine to help you feel better"
A low-sodium, low-protein diet is prescribed for a 45-year-old client with renal
insufficiency and hypertension, who gained 3 pounds in the last month. The nurse
determines that the client has been non compliant with the diet, based on which
report from the 24-hour dietary recall? (select all that apply)
A. bedtime snack of crackers and milk