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2024 Newest| HESI Fundamentals Exam| UPDATE| COMPLETE FREQUENTLY TESTED QUESTIONS WITH VERIFIED ANSWERS|GET IT 100% ACCURATE!! The home health nurse visits an elderly female client who had a brain attack three months ago and is now able to ambulate with t$17.99
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2024 Newest| HESI Fundamentals Exam| UPDATE| COMPLETE FREQUENTLY TESTED QUESTIONS WITH VERIFIED ANSWERS|GET IT 100% ACCURATE!! The home health nurse visits an elderly female client who had a brain attack three months ago and is now able to ambulate with t
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2024 Newest| HESI Fundamentals
Institution
2024 Newest| HESI Fundamentals
2024 Newest| HESI Fundamentals Exam| UPDATE|
COMPLETE FREQUENTLY TESTED QUESTIONS
WITH VERIFIED ANSWERS|GET IT 100%
ACCURATE!!
The home health nurse visits an elderly female client who had a brain
attack three months ago and is now able to ambulate with the assistance
of a quad cane. Whic
2024 Newest| HESI Fundamentals Exam| UPDATE|
COMPLETE FREQUENTLY TESTED QUESTIONS
WITH VERIFIED ANSWERS|GET IT 100%
ACCURATE!!
The home health nurse visits an elderly female client who had a brain
attack three months ago and is now able to ambulate with the assistance
of a quad cane. Which assessment finding has the greatest implications
for this client's case?
A. The client's pulse rate is 10 beats higher than it was at the last visit one
week ago
B. the client tells the nurse that she does not have much of an appetite
today
C. the husband, who is the caregiver, begins to weep when you ask how he
is doing
D. the nurse notes that there are numerous scatter rubs throughout the
house - ✔✔ANSW✔✔..D. the nurse notes that there are numerous
scatter rubs throughout the house
The nurse assess an immobile, elderly male client and determines that his
blood pressure is 138/60, his temperature is 95.8F, and his output is 100
mL of concentrated urine during the last hour. He has wet-sounding lung
,sounds, and increased respiratory secretions. Based on these
assessment findings, what nursing action is the most important for the
nurse to implement?
A. encourage additional additional fluid intake
B. provide the client with an additional blanket
C. turn the patient Q2
D. administer a PRN anti hypertensive prescription - ✔✔ANSW✔✔..C.
turn the patient Q2
The nurse formulates the nursing diagnosis of "ineffective health
maintenance related to lack of motivation" for a client with type 2
diabetes. Which finding supports this nursing diagnosis?
A. does not check capillary blood glucose as directed
B. cannot identify signs or symptoms of high and low blood glucose
C. occasionally forgets to take daily prescribed medication
D. eats anything and does not think diet makes a difference in health -
✔✔ANSW✔✔..D. eats anything and does not think diet makes a
difference in health
The nurse is completing the plan of care for a client who is admitted for
benign prostatic hypertrophy. Which data should the nurse document as a
subjective findings?
A. complains of inability to empty bladder
B. temperature of 99.80F and pulse of 108
C. post-voided residual volume of 750ml
, D. specimen collection for culture and sensitivity - ✔✔ANSW✔✔..A.
complains of inability to empty bladder
The nurse is preparing to irrigate a client's indwelling catheter using an
open technique. What action should the nurse take after applying gloves?
A. Draw up the irrigating solution into the syringe
B. use aseptic technique to instill the irrigating solution
C. empty the client's urinary catheter
D. secure the client's catheter to the drainage tubing - ✔✔ANSW✔✔..A.
Draw up the irrigating solution into the syringe
The nurse removes the dressing on a client's heel that is covering a
pressure sore one-inch in diameter and finds that there is straw-colored
drainage seeping from the wound. What description of this finding should
the nurse include in the client's record?
A. stage 1 pressure sore draining sero-anguineous drainage
B. one-inch pressure sore draining serous fluid
C. pressure sore draining serous fluid
D. pressure sore on heel with a small amount of purulent drainage -
✔✔ANSW✔✔..B. one-inch pressure sore draining serous fluid
The nurse working in the emergency department is assessing four client's
ability to tolerate pain. Which client is likely to tolerate a higher level of
pain.
A. A 23-year-old woman who sprained her knee while biking
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