HESI PN FUNDAMENTALS PROCTORED EXAM
VERSION 8
Redness at coccyx and patient is immobile
- Assess for blanching
Patient has IV catheter for right mastectomy, which veins do you select?
- Cephalic vein left distal forearm
Colorectal cancer prevention guidelines for patient teaching
- Reduce intake of red meat
Applying catheter to a patient who is uncircumsized
- Roll the foreskin down, apply condom and then and roll back up afterwards
- Place adhesive tape directly on the top If patient have an Artificial eye
- Teach patient to apply pressure below the eye to apply traction to retreat upper and
lower lids to insert the artificial eye
If patient is on restraint
- Remove one restraint at a time
- Gloves, glown, wash hands with soap and water
PPE for C-Diff
59. POINT GAIT
- Bear weight on both legs
- Elbows should be 30% flexed
- Client should move each leg alternatively with opposite crutch
- How to walk with it?the type of order
If you enter a client room and after securing the patient, you want to?
- Pull the alarm
- *RACE*
IF SOMEONE PUT IN EYE DROP
- Make sure they press in corner of the eye
- a nurse is assessing a client who is immobile and notices a red area over the client’s coccyx. Which of the following
actions should the nurse take?Change the clients position every 4 hours Apply petroleum base ointment in the red area Assess the red area for blanching 1 / 2
Use friction when cleansing the client’s skin
- a nurse is preparing to insert an iv catheter for a client following a right mastectomy. Which of the following veins
should the nurse select when initiating an IV therapy?The radial vein on the left wrist The cephalic vein in the left distal forearm The basilic vein in the right antecubital fossa The cephalic vein on the back of the right hand
- a nurse is teaching a client who had an enucleation about care of an artificial eye. Which of the following
information should the include in the teaching? (select all that apply) Store the artificial eye in the label container filled with 0.9% sodium chloride irrigation remove from the artificial eye by retracting the upper eyelid Apply pressure just below artificial eye to break the suction Clear the artificial eye with hydrogen peroxide before storing Retract the upper and lower lids to reinsert the artificial eye
- a nurse is preparing to insert an IV catheter for an older adult client who has fragile skin. Which of the following
actions should the nurse take?Stabilize the vein by applying traction above the insertion site Engorge the vein by placing the arm in the dependent position Use friction at the insertion site to increase venous distention Leave the tourniquet on for 30 to 60 seconds after initial insertion
HEALTH CARE FINANCING MECHANISMS
- Medicare: For clients greater than 65 years of age or those with permanent disabilities
- Medicaid: For clients who have low incomes
LEGAL RESPONSIBILITIES
- Advanced Directives purpose is to communicate a client’s wishes regarding end of life
- Living will is a legal document that expresses the client’s wishes regarding med
- Durable power of attorney: in which client designate a healthcare proxy to make
- / 2
care should the client be unable to do so
treatment