Exam (elaborations)

HESI Fundamentals V.2 Questions and Verified Rationalized Answers, 100% Guarantee Pass The nurse observes a newly admitted older adult female take short steps and walk very slowly while pushing a walker in front of her. What action should the nurse tak

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HESI Fundamentals V.2 Quest

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hesi fundamentals v2 questions and verified rati

Institution HESI Fundamentals V.2 Quest
Course HESI Fundamentals V.2 Quest

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HESI Fundamentals V.2 Questions and
Verified Rationalized Answers, 100%
Guarantee Pass

The nurse observes a newly admitted older adult female take short steps and
walk very slowly while pushing a walker in front of her. What action should the
nurse take in response to these observations?

A) Complete a full fall risk assessment of the client.

B) Teach the client to take longer steps at faster pace.

C) Suggest that the the client use a wheelchair instead of a walker.

D) Place client on bedrest until the healthcare provider is notified. - Answer A)
Complete a full fall risk assessment of the client.

,A 65-year-old client who attends an adult daycare program and is wheelchair-
mobile has redness in the sacral area. Which instruction is most important for the
nurse to provide?

A) Take a vitamin supplement tablet once a day.

B) Change positions in the chair at least every hour.

C) Increase daily intake of water or other oral fluids.

D) Purchase a newer model wheelchair. - Answer B) Change positions in the chair
at least every hour.

After a needle stick occurs while removing the cap from a sterile needle, which
action should the nurse implement?

A) Complete an incident report.

B) Select another sterile needle.

C) Disinfect the needle with an alcohol swab.

D) Notify the supervisor of the department immediately. - Answer B) Select
another sterile needle.

,After the nurse tells an older client that an IV line needs to be inserted, the client
becomes very apprehensive, loudly verbalizing a dislike for all health care
providers and nurses. How should the nurse respond?

A) Ask the client to remain quiet so the procedure can be performed safely.

B) Concentrate on completing the insertion as efficiently as possible.

C) Calmly reassure the client that the discomfort will be temporary.

D) Tell the client a joke as a means of distraction from the procedure. - Answer C)
Calmly reassure the client that the discomfort will be temporary.

Based on the nursing diagnosis of risk for infection, which intervention is best for
the nurse to implement when providing care for an older incontinent client?

A) Maintain standard precautions.

B) Initiate contact isolation measures.

C) Insert an indwelling urinary catheter.

D) Instruct client in the use of adult diapers. - Answer A) Maintain standard
precautions.

, A client has a nasogastric tube connected to low intermittent suction. When
administering medications through the nasogastric tube, which action should the
nurse do first?

A) Clamp the nasogastric tube.

B) Confirm placement of the tube.

C) Use a syringe to instill the medications.

D) Turn off the intermittent suction device. - Answer D) Turn off the intermittent
suction device.

A client in a long-term care facility reports to the nurse that he has not had a
bowel movement in 2 days. Which intervention should the nurse implement first?

A) Instruct the caregiver to offer a glass of warm prune juice at mealtimes.

B) Notify the health care provider and request a prescription for a large-volume
enema.

C) Assess the client's medical record to determine the client's normal bowel
pattern.

D) Instruct the caregiver to increase the client's fluids to five 8-ounce glasses per
day. - Answer C) Assess the client's medical record to determine the client's
normal bowel pattern.

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Exam (elaborations)

HESI Fundamentals V.2 Questions and Verified Rationalized Answers, 100% Guarantee Pass The nurse observes a newly admitted older adult female take short steps and walk very slowly while pushing a walker in front of her. What action should the nurse tak

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