Fundamentals HESI d 2023 COMPLETE QUESTIONS AND ANSWERS ALREADY PASSED

Presence of yellow purulent drainage during a wound dressing change means - CORRECT ANS Indicative of infection and health care provider must be notified prior to any other actions A nurse cannot irrigate a wound without - CORRECT ANS a prescribed order 1 tablespoon is how many ml - CORRECT ANS 15 ml When administering oral meds through a gastrostomy tube - CORRECT ANS crush meds, dilute in water, let meds flow by gravity, and flush with 30 ml of water When caring for a patient with TB what should you do when you enter the client's room - CORRECT ANS apply a respirator prior to entering IM injection of 1.5 what location do you use - CORRECT ANS ventrogluteal because it is preferred site and free of major nerves and can hold large volumes Max ml to administer IM medication in deltoid - CORRECT ANS < 1 ml A client has brought in their own radio to a hospital room what do you do - CORRECT ANS Ask them not to use it until it can be checked by environmental services When evaluating outcomes of care look at - CORRECT ANS the goals established in nursing diagnosis When evaluating if the plan of care has been followed look at - CORRECT ANS the actions implemented in care When brushing teeth of an unconscious patient if they start to choke you should - CORRECT ANS suction Always instruct patients to prescribe topical medication when - CORRECT ANS after showering or bathing because damp skin absorbs better If a patient who is terminally ill asks for no more treatment and says they want to go home to die you should - CORRECT ANS contact the physician about patient's decision Patient with obstructive sleep apnea (chronic) has low PaO2 and high PCO2 what intervention should you implement - CORRECT ANS demonstrate how to use a positive airway pressure to device in order to prevent the airways from collapsing during sleep and maintains airflow through the night If patient is demonstrating sundowning behavior (confused) during evening shifts what should you do - CORRECT ANS stay with patient and reorient his location When ambulating down the hall your patient frequently stops to talk or adjusts clothing before walking again what is this a sign of - CORRECT ANS activity intolerance Normal serum potassium levels are - CORRECT ANS 3.5-5.0 What technique should be used to reposition a client with spinal injury or recovering from spinal surgery - CORRECT ANS logrolling with other staff members to assist To assess for residual urine the technique used it - CORRECT ANS a bladder scan