Questions 9

HESI RN

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HESI Fundamentals Quizlet Questions

Question 1 of 5

During the admission assessment of a terminally ill male client, he states that he is an agnostic. What is the best nursing action in response to this statement?

Correct Answer: B

Rationale: Documenting the client's statement in the spiritual assessment is the best nursing action in response to his disclosure of being an agnostic. This respects the client's beliefs and preferences, ensuring that care is tailored to his individual needs. It also demonstrates a commitment to providing holistic and patient-centered care.

Question 2 of 5

Which intervention is most important when caring for a client with a chest tube?

Correct Answer: D

Rationale: The most crucial intervention when caring for a client with a chest tube is to ensure that the chest tube is connected to a water-seal drainage system (D). This system helps maintain proper lung expansion and prevents complications. Keeping the drainage system at chest level (A) is important to facilitate drainage, but not as critical as ensuring the connection to the drainage system. Clamping the chest tube (B) is unnecessary and can lead to serious issues. Stripping the chest tube (C) is an outdated practice and can cause harm rather than benefit.

Question 3 of 5

The caregiver learns the use of a gait belt from the nurse for a woman with right-sided weakness. The caregiver demonstrates the skill. Which observation indicates that the caregiver has learned how to perform this procedure correctly?

Correct Answer: B

Rationale: Standing on the weak side of the client and holding the gait belt from the back provides better security and support during ambulation, reducing the risk of falls. This positioning allows the caregiver to offer stability and assistance without interfering with the client's movement, ensuring safe ambulation for the client with right-sided weakness.

Question 4 of 5

A staff member is assigned to care for a close friend in the hospital setting. Which action should the staff member take first when given the assignment?

Correct Answer: B

Rationale: When faced with caring for a close friend in a professional setting, it is essential to maintain professional boundaries. The best course of action is to disclose the relationship to the charge nurse and request reassignment to prevent any potential conflicts of interest or compromised care.

Question 5 of 5

An older adult who recently began self-administration of insulin calls the nurse daily to review the steps that should be taken when giving an injection. The nurse has assessed the client's skills during two previous office visits and knows that the client is capable of giving the daily injection. Which response by the nurse is likely to be most helpful in encouraging the client to assume total responsibility for the daily injections?

Correct Answer: C

Rationale: Focusing on the client's demonstrated ability to self-administer the injection is likely to reinforce his level of competence without sounding punitive.

Similar Questions

An older adult who recently began self-administration of insulin calls the nurse daily to review the steps that should be taken when giving an injection. The nurse has assessed the client's skills during two previous office visits and knows that the client is capable of giving the daily injection. Which response by the nurse is likely to be most helpful in encouraging the client to assume total responsibility for the daily injections?
During the admission assessment of a terminally ill male client, he states that he is an agnostic. What is the best nursing action in response to this statement?
When is the first dose of Hepatitis B given?
A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over 4 hours. At what rate should the nurse set the client's intravenous infusion pump?
An adult has a coagulation time of 20 minutes. The nurse should observe the client for which of the following?

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