QUESTIONS AND ANSWERS BEST RATED A+ GUARANTE q q q q q q
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A health care provider prescribes 500 mg of an antibiotic intravenous piggyback (
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IVPB) every12 hours. The vial of antibiotic contains 1 g and indicates that the addi
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tion of 2.5 mL of sterilewater will yield 3 mL of reconstituted solution. How many
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milliliters of the antibiotic should beadded to the 50 mL IVPB bag? Record your an
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swer using one decimal place. mL
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1.5
The nurse is caring for a non-
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ambulatory client with a reddened sacrum that is unrelieved byrepositioning. Wh
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at nursing diagnosis should be included on the client's plan of care?
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Risk for pressure ulcer
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Risk for impaired skin integrity
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Impaired skin integrity, related to infrequent turning and repositio
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ning Impaired skin integrity, related to the effects of pressure and
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A client has a pressure ulcer that is full thickness with necrosis into the subcutan
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eous tissuedown to the underlying fascia. The nurse should document the asses
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sment finding as whichstage of pressure ulcer?
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Stage I Sta q q
ge II Stage
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III Unstag
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eable
NURSING MISC HESI FUNDAMENTALS PRACTICE EXAM q q q q q q
QUESTIONS AND ANSWERS BEST RATED A+ GUARANTE q q q q q q
ED SUCCESS q
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,NURSING MISC HESI FUNDAMENTALS PRACTICE EXAM q q q q q q
QUESTIONS AND ANSWERS BEST RATED A+ GUARANTE q q q q q q
ED SUCCESS q q
A pressure ulcer with necrotic tissue is unstageable. The necrotic tissue must be remove
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d before thewound can be staged. A stage I pressure ulcer is defined as an area of persi
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stent redness with no break in skin integrity. A stage II pressure ulcer is a partial-
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thickness wound with skin loss involving the epidermis, dermis, or both; the ulcer is supe
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rficial and may present as an abrasion, blister, or shallow crater. A stage III pressure ulc
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er involves full thickness tissue loss with visible subcutaneousfat. Bone, tendon, and mu
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scle are not exposed.
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A client is being admitted for a total hip replacement. When is it necessary for the
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nurse toensure that a medication reconciliation is completed? Select all that appl
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y.
After reporting severe pa
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in On admission to the h
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ospital
Upon entering the operating room
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Before transfer to a rehabilitation f
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acility
At time of scheduling for the surgical procedure
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Medication reconciliation involves the creation of a list of all medications the client is taki
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ng and comparing it to the health care provider's prescriptions on admission or when the
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re is a transfer to adifferent setting or service, or discharge. A change in status does not r
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equire medication reconciliation. A medication reconciliation should be completed long
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NURSING MISC HESI FUNDAMENTALS PRACTICE EXAM q q q q q q
QUESTIONS AND ANSWERS BEST RATED A+ GUARANTE q q q q q q
ED SUCCESS q
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,NURSING MISC HESI FUNDAMENTALS PRACTICE EXAM q q q q q q
QUESTIONS AND ANSWERS BEST RATED A+ GUARANTE q q q q q q
ED SUCCESS q q
before entering the operating room. Total hip replacement is elective surgery, and sche
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duling takes place before admission; medication reconciliation takes place when the clie
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nt is admitted.
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A client is taking lithium sodium (Lithium). The nurse should notify the health care
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provider forwhich of the following laboratory values?
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White blood cell (WBC) count of 15,000
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mm3Negative protein in the urine
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Blood urea nitrogen (BUN) of 20 m
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g/dLProthrombin of 12.0 seconds
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White cell counts can increase with this drug. The expected range of the WBC count is 5
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000 to 10,000 mm3 for a healthy adult. Urinalysis, BUN, and prothrombin are not necess
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ary and these arenormal values.
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Often when a family member is dying, the client and the family are at different sta
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ges ofgrieving. During which stage of a client's grieving is the family likely to req
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uire more emotional nursing care than the client?
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Ange
rDeni
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al
NURSING MISC HESI FUNDAMENTALS PRACTICE EXAM q q q q q q
QUESTIONS AND ANSWERS BEST RATED A+ GUARANTE q q q q q q
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, NURSING MISC HESI FUNDAMENTALS PRACTICE EXAM q q q q q q
QUESTIONS AND ANSWERS BEST RATED A+ GUARANTE q q q q q q
ED SUCCESS q q
Depressio
nAccepta
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In the stage of acceptance, the client frequently detaches from the environment and ma
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y become indifferent to family members. In addition, the family may take longer to accep
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t the inevitable death than does the client. Although the family may not understand the a
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nger, dealing with the resultant behavior may serve as a diversion. Denial often is exhibit
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ed by the client and family members at thesame time. During depression, the family ofte
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n is able to offer emotional support, which meets theirneeds.
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The client asks the nurse to recommend foods that might be included in a diet for
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diverticulardisease. Which foods would be appropriate to include in the teaching
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plan? Select all that apply. q q q q
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blesNuts and seeds q q q
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tsMilk and eg
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gs
With diverticular disease the patient should avoid foods that may obstruct the diverticuli.
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NURSING MISC HESI FUNDAMENTALS PRACTICE EXAM q q q q q q
QUESTIONS AND ANSWERS BEST RATED A+ GUARANTE q q q q q q
ED SUCCESS q
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