HESI FUNDAMENTALS
A client with cancer who has been taking opioid analgesics for two years now requires increased doses to obtain pain relief. he client expresses fear about becoming addicted to these drugs. What information should the practical nurse (PN) provide? - CORRECT ANSWER Prescribed opiates for cancer pain relief improve quality of life.A client's indwelling urinary catheter is removed at 9:30 AM. The practical nurse (PN) assesses the client every two hours for the desire to void. Which documented assessment requires further intervention by the PN? - CORRECT ANSWER 5:30 pm: unable to void.The healthcare provider prescribes a cleansing enema for an adult prior to bowel surgery. Which intervention(s) should the practical nurse implement to ensure 1 / 3
adequate bowel cleansing? (Select all that apply) - CORRECT ANSWER Place the client on the left side in Sim's position.Use enema fluid that is near 105 F (40.4 C).Instill 500 mL to 1,000 mL fluids slowly.Raise the enema container 20 inches above anus.Encourage the client to retain fluid 10 to 15 minutes.Which position is best for the practical nurse to place the client during administration of a rectal suppository for constipation? - CORRECT ANSWER Left Sim's position with upper leg flexed.The practical nurse (PN) is adding tap water to several medications for administration via feeding tube. Which preparation should the PN administer without delay? - CORRECT ANSWER Timed release capsule.Which action should the practical nurse (PN) take when drawing medication from an ampule? - CORRECT ANSWER Aspirate with a filter needle and syringe. 2 / 3
The practical nurse (PN) is preparing to reconstitute a drug from powder for for IM administration. Which step should the PN implement first? - CORRECT ANSWER Verify the drug with the medication administration record (MAR).Which action should the practical nurse (PN) implement when administering a subcutaneous injection to a client who weighs 325 pounds? - CORRECT ANSWER select a needle with a longer shaft.Which finding indicates to the practical nurse (PN) that an older client who is receiving intravenous therapy is experiencing fluid overload? - CORRECT ANSWER Crackles in the lung fields.
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