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Urinary catheterization is prescribed for a postoperative female client who has been unable to void for 8 hours. The nurse inserts the catheter, but no urine is seen in the tubing. Which action will the nurse take next? A. Clamp the catheter and recheck it in 60 minutes. B. Pull the catheter back 3 inches and redirect upward. C. Leave the catheter in place and reattempt with another catheter. D. Notify the health care provider of a possible obstruction. - Answer: C It is likely that the fir...

A 35 year old female client with cancer refuses to allow the nurse to insert an IV for a scheduled chemotherapy treatment, and states that she is ready to go home and die. What intervention should the nurse initiate? A. evaluate the client's mental status for competence to refuse treatment B. review the client's medical record for an advance directive C. determine if a DNR prescription has been obtained D. document that the client is being discharged against medical advice answers- A. eva...

The nurse observes that a male client has removed the covering from an ice park applied to his knee. What action should the nurse take first? A. Observe the appearance of the skin under the ice pack. B. Instruct the client regarding the need for the covering. C. Reapply the covering after filling with fresh ice. D. Ask the client how long the ice was applied to the skin. - answersObserve the appearance of the skin under the ice pack (The first action taken by the nurse should be to assess t...

1. Older female client can't sleep at night. Nurse recommends SATA A. Take afternoon nap B. Ask HCP for prescription of mild sedative at bedtime C. Establish regular time for getting up and going to bed D. Drink whiskey, water and honey before bed E. Avoid drinking caffeine before bedtime - AnswersAns: C, E 2. The nurse has been alerted by the EMR when scanning the dispensed medication that the dosage is two times higher than the prescribed dose. The nurse should: A. Report mismatch o...

An adult is now alert and oriented following abdominal surgery. What position is most appropriate for the client? A. Semi-Fowler's B. Prone C. Supine D. Sim's - answersA This position allows for greater thoracic expansion and puts less pressure on the suture line Following a craniotomy, the nurse positioned a client in low fowler's for which reason? A. To promote comfort B. To promote drainage from operation site C. To promote thoracic expansion D. To prevent circulatory overload ...

A female nurse who sometimes tries to save time by putting medications in her uniform pocket to deliver to clients, confides that after arriving home she found a hydrocodone (Vicodin) tablet in her pocket. Which possible outcome of this situation should be the nurse's greatest concern? A.) Accused of diversion. B.) Reported for stealing. C.) Reported for a HIPAA violation. D.) Accused of unprofessional conduct. - answersA Rationale: Even if this is only one incident, the nurse may be s...

1. What is the rationale for using the nursing process in planning care for clients? A. As a scientific process to identify nursing diagnoses of a clients' healthcare problems. B. To establish nursing theory that incorporates the biopsychosocial nature of humans. C. As a tool to organize thinking and clinical decision making about clients' healthcare needs. D. To promote the management of client care in collaboration with other healthcare professionals. - answersC (The nursing process is a...

Exam (elaborations) HESI NCLEX-RN Fundamentals, Question well done, 2023/2024 2 Exam (elaborations) HESI Fundamentals, question well elaborated 2023/2024 3 Exam (elaborations) Hesi Fundamentals Practice Test Question well answered 2023/2024 4 Exam (elaborations) HESI – Fundamentals question well done 2023/2024 5 Exam (elaborations) ATI Nursing Car

The nurse is assessing several clients prior to surgery. Which factor in a client's history poses the greatest threat for complications to occur during surgery? - answersTaking anticoagulants for the past year Rationale: Anticoagulants (B) increase the risk for bleeding during surgery, which can pose a threat for developing surgical complications. The healthcare provider should be informed that the client is taking such drugs. Urinary catheterization is prescribed for a postoperative femal...

A 35y/o client with cancer refuses to allow a nurse to insert an IV for scheduled chemo & states that she's ready to go home to die. What intervention should the nurse initiate? - answersEvaluate the client's mental status for competence to refuse treatment Rationale: Competent clients have the right to refuse treatment. The nurse cannot document until the HCP is notified of the patient's wishes & a d/c RX is obtained. Advance directives & DNR are not necessary for competent client to refu...