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Nursing Fundamentals BSN 225 HESI Review Exam Questions and Complete Solutions Graded A+
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Nursing Fundamentals BSN 225 HESIReview Exam Questions and Complete
Solutions Graded A+
Client safety - Answer: The nurse should help the client lie back down & then explain to the spouse the
need for ambulation to reduce potential postoperative complications.
ROM exercises - Answer: Hinge Joints allow flexion & extension movements. The humeroulnuar joint at
the elbow & is performed by flexing the bicep to move the ulnar to the humerus & extending the triceps
to move the ulnar away from the humerus.
Clear liquid diet - Answer: A client who is on a clear liquid diet has coffee on the tray. Black coffee is
considered a clear liquid, but the nurse should remind the client that no milk or creamer can be added
to the coffee.
Braden risk assessment- turning - Answer: A score of 10 on the Braden risk assessment scale indicate
that the client should be turned frequently. This scale is a reliable tool used to measure the clients risk
for the development of pressure sores. Sores range from 6-23, with the lower scores indicating the
highest risk for pressure sore development.
Sleep- insomnia - Answer: Sleeping disturbances, such as insomnia, are most common in post-
menopausal women. A regular routine for bedtime & morning awakening can help set the carcadian
clock. Avoiding caffeine before the hours of sleep can help with sleep since coffee contains caffeine, a
stimulant. Alcohol should be avoided since it can cause fragmented sleep.
Pain Management - Answer: Until the health care professional responds, the nurse should provide
nonpharmacological pain modalities. Guided imagery & coaching in slow rhythmic breathing are
methods that can be effective in moderate pain management.
Conversion- PO- g/ml- 1000mg = 1 g. 1000 mg: X mL: 200 mg : 5 mL - Answer: 200X= 1000 (5). X=
5000/200 = 25 mL
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