HESI RN Fundamentals II | Nurselytic

Questions 58

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HESI RN Fundamentals II Questions

Extract:

History and Physical
Client was involved in a multi-car collision six days ago. Sustained a liver laceration, right rib fracture and right femur fracture. The liver laceration was repaired. An intermedullary rod was placed to repair the femur fracture. Client is progressing.
Orders
Post-op day 2
• Physical therapy evaluation


Question 1 of 5

Complete the diagram by dragging from the choices area to specify which type of exercises the client needs, two actions the nurse should take to facilitate the exercises, and two parameters the nurse should monitor to assess the client's progress.

Correct Answer: Condition: Isometric exercises; Actions: Support the extremity during exercise routine, Teach family how to participate in exercise program; Parameters: Pain level, Ability to perform activities of daily living

Rationale: Isometric exercises minimize stress; support and family aid compliance.

Extract:


Question 2 of 5

A client who is paraplegic is admitted with a foul smelling drainage from a sacral ulcer. The client is suspected to have a methicillin resistant Staphylococcus aureus (MRSA) infection. Which nursing intervention(s) should the nurse include in the plan of care?

Correct Answer: B,D,E

Rationale: Contact precautions, culture, and WBC monitoring manage MRSA.

Question 3 of 5

The nurse is assessing a client who was recently diagnosed with Parkinson's disease and is taking carbidopa-levodopa. The client is concerned that the medication is not working. Which intervention should the nurse implement first?

Correct Answer: D

Rationale: Clarifying concerns guides intervention.

Question 4 of 5

The nurse is caring for a client with a history of neuropathy who reports increasing numbness and tingling in the lower extremities. Which problem should the nurse determine is the priority for promoting foot care at this time?

Correct Answer: B

Rationale: Numbness increases risk of skin breakdown.

Question 5 of 5

A client receives a prescription for dextromethorphan 30 mg every 6 to 8 hours PO as needed for cough. The bottle is labeled 'Dextromethorphan for Oral Suspension, USP 30 mg per 15 mL.' How many tablespoons should the nurse instruct the client to take with each dose? (Enter numerical value only.)

Correct Answer: 1

Rationale: 30 mg = 15 mL = 1 tablespoon.

Similar Questions

What medication error prevention techniques would have helped to avoid this error?
An unlicensed assistive personnel (UAP) is assigned to feed a client who has received a prescription to institute droplet precautions for a bacterial meningitis infection. The UAP requests a change in assignment, reporting having not yet been fitted for a particulate filter mask. Which action should the nurse take?
A nurse stops at a motor vehicle collision to provide help for a victim who is trapped in an overturned running vehicle. The nurse turns off the engine key, and asks the client to wiggle the fingers because the client's head is impinged on the roof and the neck is bent to the left shoulder. After Emergency Medical Services (EMS) arrive, the nurse reports that the victim is conscious, but is not able to talk, and then the nurse leaves the scene. Which legal action can be taken in this situation?
The nurse observes an unlicensed assistive personnel (UAP) feeding a client who had a cerebral vascular accident (CVA) and is at risk for aspiration. Which action by the UAP should the nurse recognize indicates the need for additional teaching?
The nurse observes a newly employed unlicensed assistive personnel (UAP) checking the temperature of an adult client using a tympanic thermometer. The UAP pulls the client's auricle up and back and prepares to insert the thermometer. Which action should the nurse implement?

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