2024 Evolve Fundamentals HESI Latest with Questions and 100% verified Answers complete Solutions
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Course
Evolve Fundamentals HESI
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Evolve Fundamentals HESI
A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a
fracture resulting from a fall. In reviewing hip precautions with the client, which
instruction should the nurse include in this client's teaching plan?
A. "In 8 weeks you will be able to bend at the waist to...
2024 Evolve Fundamentals HESI Latest with Questions and 100% verified Answers complete Solutions A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a fracture resulting from a fall. In reviewing hip precautions with the client, which instruction should the nurse include in this client's teaching plan? A. "In 8 weeks you will be able to bend at the waist to reach items on the floor." B. "Place a pillow between your knees while lying in bed to prevent hip dislocation." C. "It is safe to use a walker to get out of bed, but you need assistance when walking." D. "Take pain medication 30 minutes after your physical therapy sessions." - correct answers --The client's affected hip joint following a hemiarthroplasty (partial hip replacement) is at risk of dislocation for 6 months to a year following the procedure. H ip precautions to prevent dislocation include placing a pillow between the knees to maintain abduction of the hips (B). Clients should be instructed to avoid bending at the waist (A), to seek assistance for both standing and walking until they are stable o n a walker or cane (C), and to take pain medication 20 to 30 minutes prior to physical therapy sessions, rather than waiting until the pain level is high after their therapy. Correct Answer: B A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a fracture resulting from a fall. In reviewing hip precautions with the client, which instruction should the nurse include in this client's teaching plan? - correct answers --
Place a pillow between your knees while lying in bed to prevent hip dislocation. A child is being treated with oral ampicillin for otitis media. What should be included in the discharge instructions that the nurse provides to the parents of the client? - correct answers --Complete the entire course of antibiotic therapy. A Chinese male client who moves into an assisted living community is concerned that the community will not be able to meet his dietary preferences. What should the practical nurse include in the diet for this client based on his cultural group? a. dairy products b. vegetables c. pork and beef d. cakes and pies - correct answers --b. vegetables a Chinese diet includes generous amounts of rice and vegetables which are often included in every meal A client becomes anxious after being scheduled for a colostomy. What is the most effective way for the nurse to help the client? - correct answers --Encourage the client to express feelings. A client being treated for influenza A (H1N1) is scheduled for a computed tomography (CT) scan. To ensure client and visitor safety during transport, the nurse should take which precaution? - correct answers --Place a surgical mask on the client. A client develops a vitamin K deficiency due to intestinal malabsorption. What intervention should the practical nurse implement in the plan of care? a. monitor for signs of hematuria, melena, ecchymosis b. increase intake of leafy green vegetables c. drink orange juice with a prescribed daily iron supplement d. monitor for cardiac irregularities - correct answers --a. monitor for signs of hematuria, melena, ecchymosis A client has been diagnosed with type 1 diabetes mellitus. When providing instructions on sharps disposal, the nurse should instruct the client to place the syringes in what? - correct answers --A plastic liquid detergent bottle with a screw -top lid A client is admitted with right upper quadrant pain after eating. What should the practical nurse ask the client about the meal's content that precipitated the pain? a. protein source b. refined carbohydrates c. saturated fat content d. fresh, raw vegetables - correct answers --c. saturated fat content A client is being admitted to a medical unit with a diagnosis of pulmonary tuberculosis. The nurse should assign the client to which type of room? - correct answers --Negative -
airflow room A client is dying. Hesitatingly, his wife says to the nurse, "I'd like to tell him how much I love him, but I don't want to upset him." Which is the best response by the nurse? - correct answers --"You should share your feelings with him while you can." A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to the unit at 1300. What is the best intervention for the nurse to implement? A. Contact the healthcare provider and complete a medication variance form. B. Administer the Levaquin at 1300 and resume the 0900 schedule in the morning. C. Notify the charge nurse and complete an incident report to explain the missed dose. D. Give the missed dose at 1300 and change the schedule to administer daily at 1300. - correct answers --To ensure that a therapeutic level of medication is maintained, the nurse should administer the missed dose as soon as possible, and revise the administ ration schedule accordingly to prevent dangerously increasing the level of the medication in the bloodstream (D). The nurse should document the reason for the late dose, but (A and C) are not warranted. (B) could result in increased blood levels of the drug. Correct Answer: D A client is in the radiology department at 0900 when the prescription levofloxacin (Levaquin) 500 mg IV q24h is scheduled to be administered. The client returns to the unit at 1300. What is the best intervention for the nurse to implement? - correct answer s--Give the missed dose at 1300 and change the schedule to administer daily at 1300. A client is receiving a cephalosporin antibiotic IV and complains of pain and irritation at the infusion site. The nurse observes erythema, swelling, and a red streak along the vessel above the IV access site. Which action should the nurse take at this tim e? A. Administer the medication more rapidly using the same IV site. B. Initiate an alternate site for the IV infusion of the medication. C. Notify the healthcare provider before administering the next dose. D. Give the client a PRN dose of aspirin while the medication infuses. - correct answers -
-A cephalosporin antibiotic that is administered IV may cause vessel irritation. Rotating the infusion site minimizes the risk of thrombophlebitis, so an alternate inf usion site should be initiated (B) before administering the next dose. Rapid administration (A) of intravenous cephalosporins can potentiate vessel irritation and increase the risk of thrombophlebitis. (C) is not necessary to initiate an alternative IV sit e. Although aspirin has antiinflammatory actions, (D) is not indicated. Correct Answer: B A client is receiving a cephalosporin antibiotic IV and complains of pain and irritation at the infusion site. The nurse observes erythema, swelling, and a red streak along the vessel above the IV access site. Which action should the nurse take at this tim e? - correct answers --Initiate an alternate site for the IV infusion of the medication. A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives from the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the IVPB dose over 20 minutes. For how many ml/hr should the infusion pump be set to deliver the secondary infusion? - correct answers --150 A client tells the nurse, "I am so worried about the results of the biopsy they took today." The nurse overhears the nursing assistant reply, "Don't worry. I'm sure everything will come out all right." What does the nurse conclude about the nursing assista nt's answer? - correct answers --It gives false reassurance. A client who arrives at the urgent care clinic reporting diarrhea, eve r, abdominal pain and nausea and tells the practical nurse the symptoms began after eating a can of beans. What is the likely cause of this type of foodbourne illness? a. clostridium botulinum b. salmonella typhi c. listeria monocytogenes d. campylobacter jejuni - correct answers --a. clostridium botulinum A client who has been NPO for 3 days is receiving an infusion of D5W 0.45 normal saline (NS) with potassium chloride (KCl) 20 mEq at 83 mL/hour. The client's eight -hour urine output is 400 mL blood urea nitrogen (BUN) is 15 mg/dL, lungs are clear bilateral ly, serum glucose is 120 mg/dL, and the serum potassium is 3.7 mEq/L. Which action is most important for the nurse to implement? A. Notify healthcare provider and request to change the IV infusion to hypertonic D 10W. B. Decrease in the infusion rate of the current IV and report to the healthcare provider. C. Document in the medical record that these normal findings are expected outcomes. D. Obtain potassium chloride 20 mEq in anticipation of a prescription to add to present IV. - correct answers --The results are all within normal range (C). No changes are needed (A, B, and D). Correct Answer: C A client who is 5' 5" tall and weighs 200 pounds is scheduled for surgery the next day. What question is most important for the nurse to include during the preoperative assessment? A. "What is your daily calorie consumption?" B. "What vitamin and mineral supplements do you take?: C. "Do you feel that you are overweight?" D. "Will a clear liquid diet be okay after surgery?" - correct answers --Vitamin and mineral supplements (B) may impact medications used during the operative period. (A and C) are appropriate questions for long -term dietary counseling. The nature of the surgery and anesthesia will determine the need for a clear liquid diet (D), rather than the client's preference. Correct Answer: B A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the nurse have for planning care in terms of the client's beliefs? A. Autopsy of the body is prohibited. B. Blood transfusions are forbidden. C. Alcohol use in any form is not allowed.
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