HESI (HESI)

The nurse teaches sterile technique to a family member of a client who is to be discharged with a large abdominal wound that requires a dressing change twice a day. The nurse concludes that further teaching is needed when the family member performs what action during a return demonstration? 1 Sets the sterile field on the client's linens at the foot of the bed 2 Touches the outer inch of the sterile field when placing it on a flat surface 3 Checks expiration dates on the sterile package...

A primigravida arrives at the observation unit of the maternity unit because thinks is in labor. The nurse applies the external fetal heart monitor and determines that the fetal heart rate is 140 beats/minute and the contractions are occurring irregularly every 10 to 15 minutes. What assessment finding confirms to the nurse that the client is not labor at this time? - Contractions decrease with walking. A primipara has delivered a stillborn fetus at 30 weeks gestation. To asses the parents ...

Client w/ COPD, oxygen 2/l. Nurse observes SOB w/23BPM - Assess the delivery mechanism of the oxygen tank, tubing, and cannula. Client w/ HF, SOB. Nurse to administer morphine sulfate IV - Withhold the morphine till client's dyspnea resolves. two medications at same time. Which property of drugs to watch out for? - Short half life ordered 15000 iu, on hand 25000 iu/ml - 0.6 mL 4 clients admitted to acute neuro unit. which client to be assigned a private room - bacterial meningitis An ol...

1. Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy? A) Eat a light diet for the rest of the day B) Rest for the next 24 hours since the preparation and the test is tiring. C) During waking hours drink at least 1 8-ounce glass of fluid every hour for the next 2 days D) Measure the urine output for the next day and immediately notify the health care provider if it should decrease. - The correct answer is D: Measure the urine output for...

The home care nurse is visiting an older client whose spouse died 6 months ago. Which behavior by the client indicates ineffective coping? 1. Neglecting personal grooming 2. Looking at old snapshots of family 3. Participating in a senior citizens' program 4. Visiting their spouse's grave once a month - 1. Neglecting personal grooming Rationale: Coping mechanisms are behaviors used to decrease stress and anxiety. In response to a death, ineffective coping is manifested by an extreme beh...

A client is prescribed phenobarbital sodium (Luminal) for a seizure disorder. The medication has a long half-life of 4 days. Based on this half-life, the medication will most likely be prescribed A. once a day. B. twice a day. C. three times a day. D. four times a day. - ANS: A Medication with long half-lives remain at their therapeutic levels between doses for long periods of time. Therefore, this medication can be administered once a day. A nurse educator is reviewing medication dosage...

A client who is taking an oral dose of tetracycline reports gastrointestinal upset. Which snack should the nurse instruct the client to take with the tetracycline? a. Fruit-flavored yogurt b. Toasted wheat bread and jelly c. Cold cereal with skim milk d. Cheese and crackers - B. The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which physiological function of the eye will not respond during the therapeutic period after administration of eye drops? a. Refr...