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HESI RN FUNDAMENTALS TESTBANK Exam Questions and
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Answers latest update 2022/2023
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To assess the quality of an adult client’s pain, what approach should the nurse use?C
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A) Observe body language and movement.
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B)
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C) Ask the client to describe the pain.
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D) Identify effective pain relief measures.
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A client who has been diagnosed with terminal cancer tells the nurse, “The doctor
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told me I have cancer and do not have long to live.” Which response is best for
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A) “That’s correct, you do not have long to live” D
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B) “Would you like me to call your minister?”
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C) “Don't give up, you still have chemotherapy to try.”
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D) “Yes, your condition is serious.”
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When performing blood pressure measurement to assess for orthostatic sh
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hypotension, which action should the nurse implement first? C
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A) Apply the blood pressure cuff securely.
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B) Record the client’s pulse rate
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and rhythm. C) Position the
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client supine for a few minutes.
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D) Assist the client to stand at bedside.
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Female unlicensed assistive personnel (UAP) are assigned to take the vital signs
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of a client with pertussis for whom droplet precautions have been implemented.
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The UAP request a change in assignment, stating she has not yet been fitted for a
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HESI RN FUNDAMENTALS TESTBANK Exam Questions and
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HESI RN FUNDAMENTALS TESTBANK Exam Questions and
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particulate filter mask. What action should the nurse take? D
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When evaluating the effectiveness of a client’s nursing care, the nurse first
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reviews the expected outcomes identified in the plan of care. What action should
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the nurse take next?
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A) Modify the nursing interventions to achieve the client’s goals.
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B) Determine if the expected outcomes were realistic.
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C) Review related professional standards of care.
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D) Obtain current client data to compare with expected outcomes.
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A policy requiring the removal of acrylic nails by all nursing personnel was
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implemented six months ago. Which assessment measure best determines if the
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intended outcome of the policy is being achieved?
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A) Number of the staff-induced skin injuries.
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B) Client satisfaction survey.
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C) Rate of needlestick injuries by nurses.
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D) Healthcare-associated infection rates.
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A client with limited tolerance for activity needs to walk in the hallway with
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assistance. Which instructions should the nurse give to the unlicensed assistive
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personnel (UAP) who assisting with client’s care? (Select all that apply.)
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A) Instruct the client about signs of orthostatic hypertension
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B) Determine if the client needs to have a gait belt applied
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C) Measure the clients vital signs before the
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HESI RN FUNDAMENTALS TESTBANK Exam Questions and
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Answers latest update 2022/2023
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HESI RN FUNDAMENTALS TESTBANK Exam Questions and
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client walks.
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D) Offer to assist the client to void prior to
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E) Report the onset of any dizziness or light headedness.
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A client has begun a long-term maintenance therapy with lithium, which has
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a narrow therapeutic index. Which adverse effect is most important for nurse
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to include in the teaching plan?
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A) Dependence.
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B) Toxicity.
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Interaction.
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C)
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D) Tolerance.
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While interviewing a client, the nurse records the assessment in the electronic
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health record. Which statement is most accurate regarding electronic documentation
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during an interview?
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A) The
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interview process is enhanced with electronic documentation and allows the client to
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speak at a normal pace.
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B) Completing the electronic record during an interview is a legal obligation of the examining
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nurse.
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C) The nurse has limited ability to observe nonverbal
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communication while entering the assessment electronically.
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D) The client’s comfort level is increased when the nurse breaks eye contact to type notes
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HESI RN FUNDAMENTALS TESTBANK Exam Questions and
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HESI RN FUNDAMENTALS TESTBANK Exam Questions and
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A client who lives in an assisted living facility develops cognitive impairment
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following a stroke. Informed consent is needed to provide additional nursing
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services. Who should nurse contact?
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A) The client’s oldest living child, a lawyer, who is visiting from out of town.
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B) A daughter -in-law designated as the client’s Durable Power of Attorney (DPOA).
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C) The client’s youngest son, identified by family members as the family spokesperson.
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D) The client’s spouse who lives in the independent living unit of the facility.
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A client is in contact isolation due to stage IV coccyx wound infected with
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methicillin resistant staphylococcus aureus (MRSA). The nurse plans interventions
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to prevent multiple re-entries to the client’s room. In which order should the nurse
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perform the interventions?
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A) Change coccyx dressing, perform tracheostomy care, restart the IV.
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B) Perform tracheostomy care, change coccyx dressing, restart the IV.
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C) Restart the IV, perform tracheotomy care, change coccyx dressing.
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D) Change coccyx dressing, restart the IV, perform tracheostomy care.
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What self-care outcome is best for the nurse to use in evaluating a client’s recovery
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form a stroke that resulted in left- sided hemiparesis?
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A) Promote independence by allowing client to perform all self-care activities.
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B) Participates in self-care to optimal level of capacity.
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Client verbalizes importance of hygienic practices in the recovery process.
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C)
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HESI RN FUNDAMENTALS TESTBANK Exam Questions and
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Answers latest update 2022/2023
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HESI RN FUNDAMENTALS TESTBANK Exam Questions and
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Answers latest update 2022/2023
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To assess the quality of an adult client’s pain, what approach should the nurse use?C
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A) Observe body language and movement.
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Provide a numeric pain scale.
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B)
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C) Ask the client to describe the pain.
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D) Identify effective pain relief measures.
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A client who has been diagnosed with terminal cancer tells the nurse, “The doctor
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told me I have cancer and do not have long to live.” Which response is best for
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the nurse to provide?
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A) “That’s correct, you do not have long to live” D
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B) “Would you like me to call your minister?”
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C) “Don't give up, you still have chemotherapy to try.”
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D) “Yes, your condition is serious.”
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When performing blood pressure measurement to assess for orthostatic sh
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hypotension, which action should the nurse implement first? C
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A) Apply the blood pressure cuff securely.
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Sp
B) Record the client’s pulse rate
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and rhythm. C) Position the
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client supine for a few minutes.
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D) Assist the client to stand at bedside.
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Female unlicensed assistive personnel (UAP) are assigned to take the vital signs
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of a client with pertussis for whom droplet precautions have been implemented.
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The UAP request a change in assignment, stating she has not yet been fitted for a
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Sp
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HESI RN FUNDAMENTALS TESTBANK Exam Questions and
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Answers latest update 2022/2023
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HESI RN FUNDAMENTALS TESTBANK Exam Questions and
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Answers latest update 2022/2023
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particulate filter mask. What action should the nurse take? D
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Sp
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When evaluating the effectiveness of a client’s nursing care, the nurse first
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reviews the expected outcomes identified in the plan of care. What action should
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the nurse take next?
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A) Modify the nursing interventions to achieve the client’s goals.
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B) Determine if the expected outcomes were realistic.
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C) Review related professional standards of care.
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D) Obtain current client data to compare with expected outcomes.
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A policy requiring the removal of acrylic nails by all nursing personnel was
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implemented six months ago. Which assessment measure best determines if the
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intended outcome of the policy is being achieved?
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A) Number of the staff-induced skin injuries.
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B) Client satisfaction survey.
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C) Rate of needlestick injuries by nurses.
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D) Healthcare-associated infection rates.
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A client with limited tolerance for activity needs to walk in the hallway with
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assistance. Which instructions should the nurse give to the unlicensed assistive
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personnel (UAP) who assisting with client’s care? (Select all that apply.)
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A) Instruct the client about signs of orthostatic hypertension
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B) Determine if the client needs to have a gait belt applied
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C) Measure the clients vital signs before the
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HESI RN FUNDAMENTALS TESTBANK Exam Questions and
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Answers latest update 2022/2023
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HESI RN FUNDAMENTALS TESTBANK Exam Questions and
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client walks.
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D) Offer to assist the client to void prior to
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walking in the hall. ne
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E) Report the onset of any dizziness or light headedness.
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A client has begun a long-term maintenance therapy with lithium, which has
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a narrow therapeutic index. Which adverse effect is most important for nurse
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to include in the teaching plan?
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Sp
A) Dependence.
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B) Toxicity.
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Interaction.
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C)
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D) Tolerance.
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While interviewing a client, the nurse records the assessment in the electronic
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health record. Which statement is most accurate regarding electronic documentation
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during an interview?
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A) The
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interview process is enhanced with electronic documentation and allows the client to
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speak at a normal pace.
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B) Completing the electronic record during an interview is a legal obligation of the examining
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nurse.
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C) The nurse has limited ability to observe nonverbal
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communication while entering the assessment electronically.
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D) The client’s comfort level is increased when the nurse breaks eye contact to type notes
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into the record.
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HESI RN FUNDAMENTALS TESTBANK Exam Questions and
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Answers latest update 2022/2023
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HESI RN FUNDAMENTALS TESTBANK Exam Questions and
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Answers latest update 2022/2023
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A client who lives in an assisted living facility develops cognitive impairment
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following a stroke. Informed consent is needed to provide additional nursing
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services. Who should nurse contact?
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A) The client’s oldest living child, a lawyer, who is visiting from out of town.
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B) A daughter -in-law designated as the client’s Durable Power of Attorney (DPOA).
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C) The client’s youngest son, identified by family members as the family spokesperson.
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D) The client’s spouse who lives in the independent living unit of the facility.
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Sp
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A client is in contact isolation due to stage IV coccyx wound infected with
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methicillin resistant staphylococcus aureus (MRSA). The nurse plans interventions
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Sp
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to prevent multiple re-entries to the client’s room. In which order should the nurse
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perform the interventions?
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Sp
A) Change coccyx dressing, perform tracheostomy care, restart the IV.
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B) Perform tracheostomy care, change coccyx dressing, restart the IV.
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C) Restart the IV, perform tracheotomy care, change coccyx dressing.
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D) Change coccyx dressing, restart the IV, perform tracheostomy care.
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What self-care outcome is best for the nurse to use in evaluating a client’s recovery
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form a stroke that resulted in left- sided hemiparesis?
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A) Promote independence by allowing client to perform all self-care activities.
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B) Participates in self-care to optimal level of capacity.
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Client verbalizes importance of hygienic practices in the recovery process.
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C)
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HESI RN FUNDAMENTALS TESTBANK Exam Questions and
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Answers latest update 2022/2023
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