HESI RN
HESI Fundamentals Quizlet Questions
Question 1 of 5
The client has received a new diagnosis of heart failure, and the nurse is providing dietary management education. Which instruction should the nurse include?
Correct Answer: B
Rationale: Avoiding foods high in sodium (choice B) is essential for clients with heart failure to prevent fluid retention and decrease the strain on the heart. High sodium intake can lead to fluid buildup, exacerbating heart failure symptoms. Increasing potassium intake (choice A) can be harmful in heart failure if not monitored closely. Limiting fluid intake (choice C) may be necessary in some cases, but the specific amount should be individualized based on the client's condition. Increasing vitamin K intake (choice D) is not a primary concern in heart failure management.
Question 2 of 5
A 54-year-old male client and his wife were informed this morning that he has terminal cancer. Which nursing intervention is likely to be most beneficial?
Correct Answer: A
Rationale: During this difficult time of coping with terminal cancer diagnosis, involving the wife in the care process can help her feel more in control and connected. This can be beneficial for both the client and his wife, as it fosters a collaborative approach to care and ensures the wife's needs and preferences are considered.
Question 3 of 5
The nursing staff in the cardiovascular intensive care unit is creating a continuous quality improvement project on social media that addresses coronary artery disease (CAD). Which action should the nurse implement to protect client privacy?
Correct Answer: A
Rationale: In this scenario, the correct action to protect client privacy when creating a quality improvement project on social media addressing coronary artery disease (CAD) is to remove identifying information of the clients who participated, as option A suggests. This is crucial to maintain patient confidentiality and comply with HIPAA regulations. By removing identifying information, the nursing staff ensures that individuals' personal health information is not disclosed. Option B, recalling that authored content may be legally discoverable, is incorrect for this question as it pertains more to potential legal implications related to content creation rather than protecting client privacy in the context of a quality improvement project on social media. Option C, sharing material from credible, peer-reviewed sources only, and option D, respecting all copyright laws when adding website content, are also incorrect as they do not directly address the issue of protecting client privacy in the given scenario. Educationally, this question highlights the importance of upholding patient confidentiality and adhering to ethical standards when using social media platforms in healthcare settings. It underscores the significance of safeguarding personal health information and the legal and ethical responsibilities nurses have in protecting patient privacy.
Question 4 of 5
A female client's significant other has been at her bedside providing reassurances and support for the past 3 days, as desired by the client. The client's estranged husband arrives and demands that the significant other not be allowed to visit or be given condition updates. Which intervention should the nurse implement?
Correct Answer: B
Rationale: In a situation where a client's estranged husband demands to restrict the visitation of the significant other, it is essential to prioritize the client's wishes while addressing the conflict. Requesting a consultation with the ethics committee is appropriate as it allows for a comprehensive and impartial resolution, ensuring the client's autonomy and well-being are upheld.
Question 5 of 5
What action should the nurse implement to prepare a client for the potential side effects of a newly prescribed medication?
Correct Answer: A
Rationale: Before initiating a new medication, the nurse should conduct a thorough assessment of the client to identify any pre-existing health conditions or risk factors that could be affected by the medication. This assessment helps in establishing a baseline for monitoring potential side effects and determining the medication's appropriateness for the client.