Funds - HESI review questions 2023/2024 After a needlestick occurs while removing the cap from a sterile needle, which action should the nurse implement? - ANSWER Select another sterile needle A 20-year-old female client with a noticeable body odor has refused to shower for the last 3 days. She states, "I have been told that it is harmful to bathe during my period." Which action should the nurse take first? - ANSWER Teach the importance of personal hygiene during menstruation with the client After receiving written and verbal instructions from a clinic nurse about a newly prescribed medication, a client asks the nurse what to do if questions arise about the medication after getting home. How should the nurse respond? - ANSWER Encourage the client to call the clinic nurse or health care provider if any questions arise 1 / 3
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? - ANSWER 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? - ANSWER Maintain standard precautions By rolling contaminated gloves inside-out, the nurse is affecting which step in the chain of infection? - ANSWER Mode of transmission A client becomes angry while waiting for a supervised break to smoke a cigarette outside and states, "I want to go outside now and smoke. It takes forever to get anything done here!" Which intervention is best for the nurse to implement? - ANSWER Review the schedule of outdoor breaks with the client A client has a nasogastric tube connected to low intermittent suction. When administering medications through the nasogastric tube, which action should the 2 / 3
nurse do first? - ANSWER Turn off the intermittent suction device A client has a nursing diagnosis of Altered sleep patterns related to nocturia.Which client instruction is important for the nurse to provide? - ANSWER Decrease intake of fluids after evening meal A client in a long-term care facility reports to the nurse that he has not has a bowel movement in 2 days. Which intervention should the nurse implement first?
- ANSWER Asses the client's medical record to determine
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the client's normal bowel pattern A client's blood pressure reading is 156/94 mm Hg. Which action should the nurse take first? - ANSWER Compare the current reading with the client's previously documented blood pressure readings During a clinic visit, the mother of a 7-year-old reports to the nurse that her child is often awake until midnight playing and is then very difficult to awaken in the morning for school. Which assessment data should the nurse obtain in response to the mother's report? - ANSWER Description of the family's home environment