HESI Fundamentals Exam A policy required the removal of acrylic nails by all nursing personnel was implemented 6 months ago. Which assessment measure best determines if the intended outcome of the policy is being achieved?(ANS- health care-associated infection rate
The nurse is preparing to assist a newly admitted client with person hygiene measures. The client... the client's gag reflex. Which action should the nurse include?(ANS- place tongue blade on back half of tongue
The nurse explains to an older adult male the procedure for collecting a 24-hr urine specimen for creatinine clearance.(ANS- empty the urinal contents into the 24-hr collection container
A 54 yo male client and his wife were informed this morning that he has terminal cancer. Which nursing intervention is most appropriate for the wife?(ANS- refer her to support group for family members of those dying of cancer
A client who has a body mass index (BMI) of 30 is requesting information on the initial approach to a weight loss plan. Which action should the nurse recommend?(ANS- keep a record of food and drinks consumed daily
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The nurse assesses a client who has a nasal cannula delivering oxygen at 2L/min.To assess for skin damage related to the cannula, which areas should the nurse observe?(ANS- top of the ear around the nostrils over the checks
The nurse observes an unlicensed assistive personnel (UAP) who is providing a total bed bath for a confused and lethargic client. The UAP is soaking the clients foot in a basin of warm water placed on the bed. What action should the nurse take? (ANS- remind the UAP to dry between the clients toes completely
The nurse in the emergency department observes a colleague viewing the electronic health record of a client who holds an elected position in the community.The client is not a part of the colleagues assignment. Which action should the nurse implement?(ANS- communicate the colleagues action to the unit. charge nurse
At 0100 on a male clients second postoperative night, the client states he is unable to sleep and plans to read until feeling sleepy. What action should the nurse implement?(ANS- bring the client a prescribed PRN sedative-hypnotic
The nursing staff in the cardiovascular intensive care unit are creating a continuous quality improvement project on social media that addresses coronary artery disease. Which action should the nurse implement to protect client privacy?(ANS- remove identifying information of the clients who participated
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