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HESI Exit RN V4 Questions and Verified Rationalized Answers, 100% Passing Score Guarantee The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child? A) Make certain the child $9.99   Add to cart

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HESI Exit RN V4 Questions and Verified Rationalized Answers, 100% Passing Score Guarantee The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child? A) Make certain the child

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HESI Exit RN V4 Questions and Verified Rationalized Answers, 100% Passing Score Guarantee The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child? A) Make certain the child is maintained in correct body alignment....

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  • November 1, 2024
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  • HESI Exit RN V4 Queerified Rationaliz
  • HESI Exit RN V4 Queerified Rationaliz
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ProfessorJaneM
HESI Exit RN V4 Questions and
Verified Rationalized Answers, 100%
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The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which
nursing intervention is appropriate for this child?

A) Make certain the child is maintained in correct body alignment.

B) Be sure the traction weights touch the end of the bed.

C) Adjust the head and foot of the bed for the child's comfort

D) Release the traction for 15-20 minutes every 6 hours PRN. - Answer A: Make
certain the child is maintained in correct body alignment.

,First-time parents bring their 5 day-old infant to the pediatrician's office because
they are extremely concerned about its breathing pattern. The nurse assesses the
baby and finds that the breath sounds are clear with equal chest expansion. The
respiratory rate is 38-42 breaths per minute with occasional periods of apnea
lasting 10 seconds in length. What is the correct analysis of these findings?



A) The pediatrician must examine the baby

B) Emergency equipment should be available

C) This breathing pattern is normal

D) A future referral may be indicated - Answer C: This breathing pattern is normal



A client is admitted with the diagnosis of meningitis. Which finding would the
nurse expect in assessing this client?



A) Hyperextension of the neck with passive shoulder flexion

B) Flexion of the hip and knees with passive flexion of the neck

C) Flexion of the legs with rebound tenderness

D) Hyper flexion of the neck with rebound flexion of the legs - Answer B: Flexion
of the hip and knees with passive flexion of the neck



Clients taking which of the following drugs are at risk for depression?

,A) Steroids

B) Diuretics

C) Folic acid

D) Aspirin - Answer A: Steroids



When a client is having a general tonic clonic seizure, the nurse should

A) Hold the client's arms at their side

B) Place the client on their side

C) Insert a padded tongue blade in client's mouth

D) Elevate the head of the bed - Answer B: Place the client on their side

After talking with her partner, a client voluntarily admitted herself to the
substance abuse unit. After the second day on the unit the client states to the
nurse, "My husband told me to get treatment or he would divorce me. I don't
believe I really need treatment but I don't want my husband to leave me." Which
response by the nurse would assist the client?



A) "In early recovery, it's quite common to have mixed feelings, but unmotivated
people can't get well."

B) "In early recovery, it's quite common to have mixed feelings, but I didn't know
you had been pressured to come."

, C) "In early recovery it's quite common to have mixed feelings - Answer D: "In
early recovery, it's quite common to have mixed feelings. Let's discuss the
benefits of sobriety for you."



A neonate born 12 hours ago to a methadone maintained woman is exhibiting a
hyperactive MORO reflex and slight tremors. The newborn passes loose, watery
stool. Which of these is a nursing priority?



A) Hold the infant at frequent intervals.

B) Assess for neonatal withdrawal syndrome

C) Offer fluids to prevent dehydration

D) Administer paregoric to stop diarrhea - Answer B: Assess for neonatal
withdrawal syndrome



The nurse is caring for a post myocardial infarction client in an intensive care unit.
It is noted that urinary output has dropped from 60 -70 ml per hour to 30 ml per
hour. This change is most likely due to



A) Dehydration

B) Diminished blood volume

C) Decreased cardiac output

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