An older client presents to the emergency department with abdominal pain due to constipation. The nurse is providing a list of high-fiber foods to the client that the healthcare provider has recommended. Which action should the nurse implement when reviewing the list of foods? - Answer Turn on o...
Exit HESI 366 v2 Final Review Exam Questions Fully Answered.
An older client presents to the emergency department with abdominal pain due to constipation. The nurse is providing a list of high-fiber foods to the client that the healthcare provider has recommended. Which action should the nurse implement when reviewing the list of foods? - Answer Turn on overhead
lights while giving instructions
The nurse leading a care team on a medical unit is assigning client care to a practical nurse (PN) and a unlicensed assistive personnel (UAP). Which activity should the nurse delegate to the UAP? - Answer Anchor an inserted urinary catheter and place with tape
A client with persistent low back pain has received a prescription for electronic stimulator (TENS) unit. After the nurse applies the electrodes and turns on the power, the client reports feeling a tingling sensation. How should the nurse respond? - Answer Determine if the sensation feels uncomfortable
The nurse enters a male client's room to administer oral medications and finds an unlicensed assistive personnel (UAP) providing personal care to the client. The client is lying in a supine position, and his condition has obviously deteriorated. He is weak, pale, and diaphoretic. What is the priority nurse action? - Answer Advise the UAP to stop providing care so the nurse can assess the client's condition
In formulating the nursing care plan for a client diagnosed with Parkinson's disease, which nursing problem has the highest priority? - Answer Impaired physical mobility relative to muscle rigidity
The nurse is caring for a client who has a history of excessive saliva production and is scheduled for a surgical procedure. Which medication should the nurse anticipate being prescribed the healthcare provider? - Answer Diphenhydramine
A client with diabetes mellitus tells the nurse that she uses cranberry juice to help prevent UTI. - Answer Advise patient that cranberry juice does not prevent infection
The nurse is developing a plan of care for a client with cardiomyopathy. Which intervention should the nurse include to reduce cardiac workload? - Answer Provide a bedside commode for toileting The nurse is caring for a client who has been admitted with recurring headaches. To assess the quality of the client's pain - Answer Ask the client to describe pain
A client receiving mesalamine 800 mg by mouth three times a day. Which assessment should the nurse perform to assess the effectiveness of the medication? - Answer Bowel sounds
The nurse is assessing an adolescent female diagnosed with anorexia nervosa who is admitted to the unit with severe malnutrition and electrolyte imbalance. Which pathological process results from the adolescent's consistent maladaptive behavior? - Answer Amenorrhea
A client with type 2 diabetes mellitus and hypertension is admitted with cellulitis of the right leg due to an embedded thorn from gardening. The client is receiving an intravenous infusion for antibiotic administration and is on bed rest with the right leg elevated on a pillow. Which finding should the nurse identify may indicate an emerging situation? - Answer Headache
A young adult who is hit with a baseball bat on the temporal area of the left skull in consvious when admitted to the ED and is transferred to the Neurological Unit to be monitored for signs of a closed head injury. Which assessment finding is idicative of a develpping epidural hemoatoma? - Answer Altered consciousness within the first 24 hours after injury
A client with diabetes insipidus has a average urinary output of 500 ml of dilute urine every hour for the last 4 hours. Which laboratory test is most important for the nurse to monitor? - Answer Urine specific gravity
A client who is a veteran comes to the emergency department appearing tense, anxious and having difficulty concentrating on the questions the nurse is asking during the health history. Which statement is most important for the nurse to document? - Answer I can't forgive myself for leaving my buddy behind
A client with chronic renal insufficiency is preparing for discharge from the hospital. Which information is
most important for the nurse to include in the client's discharge teaching? - Answer Strategies to promote independent self care
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TestSolver9. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
