HESI: NUR204 / NUR 204 (Latest
2024 / 2025 Update) Leadership and Management | Questions and Verified Answers 100% Correct | Grade A - Fortis
Question:
The nurse caring for a client with bacterial meningitis is preparing report for the oncoming nurse. It is most important to include which assessment finding in the report?
Answer:
Increasing pulse pressure
Question:
The nursing supervisor sends an unlicensed assistive personnel (UAP) to a medical unit to replace an absent UAP. When delegating the task of obtaining client's blood sugar levels using a glucometer, which action is most important for the nurse to implement?
Answer:
Observe the UAP obtain a fingerstick glucose level using the glucometer
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Question:
A healthcare provider notifies the nurse that new prescriptions have been written for a client. Which is the first action the nurse should implement?
Answer:
Read all of the new prescriptions for the client written by the provider.
Question:
The practical nurse reports that a client with a deep vein thrombosis (DVT) was mistakenly given heparin in addition to the prescribed warfarin. Which priority action should the nurse take?
Answer:
Monitor for signs of bleeding
Question:
The nurse watches an unlicensed assistive personnel (UAP) bring soap, washcloths, and a basin into the room of a male client who had a suprapubic catheter inserted earlier that day. Which action should the nurse implement?
Answer:
Tell the UAP that the nurse will perform the client's catheter care after the UAP assists with his personal care.
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Question:
Four clients are scheduled to receive IV infusions, but there are only three IV pumps available. Which prescribed infusion can most safely be administered without an IV infusion pump?
Answer:
Ceftriaxone in 5% dextrose in water prescribed for pneumonia
Question:
During an evening shift on a medical unit, the only nurse on the unit is busy with an unstable client. The unit clerk, who is also both a certified medication aide and an unlicensed assistive personnel (UAP), reports to the nurse that a healthcare provider is on the telephone and wishes to prescribe a PRN dose of an oral over-the-counter laxative for a client who is constipated. What instruction should the nurse provide the unit clerk?
Answer:
Tell the healthcare provider the nurse will return the phone call as soon as possible
Question:
An older woman with a long history of hypertension is transferred from a long-term care facility to the hospital intensive care unit because of an exacerbation of heart failure (HF). She has a signed and witnessed "do not resuscitate" from in her record. Which action should the nurse take?
Answer:
Confirm current resuscitation wishes with client and family.
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