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A client is comatose upon arrival to the emergency department after falling a roof. The client flexes with painful stimuli, and the nurse determines the client's Glasgow Coma Scale (GCS) is 6. Which intervention should the nurse prepare to implement to maintain the client's airway? - ANSWER ...

The nurse is providing teaching to a client with type 2 diabetes mellitus about important points for disease and symptom management. Which statement by the client indicates understanding? A Using salt, herbs, and spices will improve the flavor of foods. B Get an eye examination with an ophthalmo...

A morbidly obese client is scheduled for gastric bypass surgery. The client completes the required preoperative nutritional counseling and signs the operative permit. To promote effective discharge planning, which intervention is most important for the nurse to implement? - ANSWER Discuss smal...

Which information is a priority for the RN to reinforce to an older client after intravenous pylegraphy? - ANSWER Measure the urine output for the next day and immediately notify the health care provider if it should decrease. A client has altered renal function and is being treated at home. ...

The LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery. The nurse plans to do which to enable the client to best tolerate the ambulation? - ANSWER Premedicate the client with an analgesic before ambulating. A client is wearing a continuous cardiac monitor, which b...

a male client admitted the morning of his scheduled surgery tells the PN that he drank water last night. What intervention will the PN implement first? - ANSWER Determine the amount of water and exact time it was taken A client receives ondansetron prior to chemotherapy treatment.How should...

A fully oriented person is - ANSWER Oriented to person, place, time, & situation (oriented x4). A person who is only oriented to one of these elements is at risk for injury. The PN should provide instructions to the UAP about additional support to the client. Orthostatic falls - ANSWER...

If the patient appears nervous, tense, and apprehensive, this should be reported to the surgeon. - ANSWER What symptoms may indicate improper control of the thyroid gland and may predispose the patient to the postoperative complication of "thyroid crisis"? A tracheostomy set. - ANSWER ...

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 ...

A morbidly obese client is scheduled for gastric bypass surgery. The client completes the required preoperative nutritional counseling and signs the operative permit. To promote effective discharge planning, which intervention is most important for the nurse to implement? - CORRECT ANSWER Disc...

A morbidly obese client is scheduled for gastric bypass surgery. The client completes the required preoperative nutritional counseling and signs the operative permit. To promote effective discharge planning, which intervention is most important for the nurse to implement? - ANSWER Discuss sma...

HESI EXIT V2 160 COMPLETE QUESTIONS AND ANSWERS ALREADY PASSED AND GRADED A+ 1. A primipara with a breech presentation is in the transition phase pf labor. The nurse visualizes the perineum and sees the umbilical cord extruding from the introitus. In which position should the nurse place the ...

1. The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child? A) Make certain the child is maintained in correct body alignment. B) Be sure the traction weights touch the end of the bed. C) Adjust the head and foot of ...

A male client with stomach cancer returns to the unit following a total gastrectomy. He has a nasogastric tube to suction and is receiving Lactated Ringer's solution at 75 mL/hour IV. One hour after admission to the unit, the nurse notes 300 mL of blood in the suction canister, the client's heart ...