While caring for a client with full thickness burns covering 40% of the body, the nurse observes purulent drainage from the wounds. Before reporting the finding, what is the best lab value to evaluate? - CORRECT ANSWER Neutrophil count- The patient is experiencing infection, so a nurse should review the neutrophil count before contacting the HCP. An older woman who experienced a cerebrovascular accident (CVA) has difficulty with visual perception and she only eats half of the food on her...

1. A client who is in hospice care complains of increasing amounts of pain. The healthcare provider prescribes an analgesic every four hours as needed. Which action should the LPN/LVN implement? - Give an around-the-clock schedule for administration of analgesics. 2. When assessing a client with wrist restraints, the nurse observes that the fingers on the right hand are blue. What action should the LPN implement first? - Loosen the right wrist restraint. 3. The LPN/LVN is assessing the nu...

An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the client's nursing care? A. Massage any reddened areas for at least five minutes. B. Encourage active range of motion exercises on extremities. C. Position the client laterally, prone, and dorsally in sequence. D. Gently lift the client when moving into a desired position. D. Gently lift the client when moving into a desired position. To avoid shearing forces when repositioning, the ...

The nurse observes that a male client has removed the covering from an ice pack applied to his knee. What action should the nurse take first? a. observe the appearance of the skin under the ice pack b. instruct the client regarding the need for the covering c. reapply the covering after filling with fresh ice d. ask the client how long the ice was applied to the skin - Answer: a. observe the appearance of the skin under the ice pack Rationale: the first action taken by the nurse should be...

The nurse encounters resistance when inserting the tubing into a client's rectum for a tap water enema. What action should the nurse implement? Ask the client to relax and run a small amount of fluid into the rectum. The nurse is discussing dietary preferences with a client who adheres to a vegan diet. Which dietary supplement should the nurse encourage the client to include in the dietary plan? Vitamin B12. An older client who is able to stand but not to ambulate receives a prescriptio...

1. Which assessment should the practical nurse (PN) make to best evaluate a client's fluid status? - Daily body weight 2. The practical nurse (PN) is changing a postoperative dressing for a client with a horizontal lower abdominal incision. What method should the PN use to remove the tape from the dressing? - Remove all four sides by moving to the center of the incision. 3. A male client ho is 2 days postoperative for exploratory abdominal surgery is ambulating in the hall with the prac...

1. During the initial physical assessment of a newly admitted client with a pressure ulcer, a LPN observes that the client's skin is dry and scaly. The nurse applies emollients and reinforces the dressing on the pressure ulcer. Legally, were the nurse's actions adequate? - The nurse provided supportive nursing care for the well-being of the client. 2. A visitor comes to the nursing station and tells the nurse that a client and his relative had a fight and that the client is now lying un...

HESI EXIT V2 EXAM 160 C0 Rrectly Answered Questions Latest 2022 1. The nurse knows that which statement by the mother indicates that the mother understands safety precautions with her four month-old infant and her 4 year-old child? A) "I strap the infant car seat on the front seat to face backwards." B) "I place my infant in the middle of the living room floor on a blanket to play with my 4 year old while I make supper in the kitchen." C) "My sleeping baby lies so cute in the crib with...

2019 HESI EXIT V2 QUESTIONS AND ANSWERS GRADED A REAL EXAM 1. The nurse knows that which statement by the mother indicates that the mother understands safety precautions with her four month-old infant and her 4 year-old child? A) "I strap the infant car seat on the front seat to face backwards." B) "I place my infant in the middle of the living room floor on a blanket to play with my 4 year old while I make supper in the kitchen." C) "My sleeping baby lies so cute in the crib with the...