HESI RN Fundamentals II | Nurselytic

Questions 58

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HESI RN Fundamentals II Questions

Extract:


Question 1 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.

Extract:

History and Physical
The client is a 64-year-old female with a 3-day history of cough and chest pain. She recently began to have difficulty breathing. Cardiac causes of chest pain were ruled out with laboratory tests. The client will be admitted for presumed pneumonia. The client has a history of type 2 diabetes mellitus. She takes insulin glargine 12 units in the morning and 10 units in the evening.
Nurses' Notes
0700
Insulin glargine 12 units given SUBQ.
0900
Azithromycin 1 gm given PO.
1900
Insulin glargine 10 units given SUBQ.
2000
Insulin glargine 10 units given SUBQ.
Imaging Studies
Chest x-ray consolidation in right lower lobe consistent with pneumonia
The primary nurse went on break at 1845. The covering nurse gave insulin glargine and decided to manually document the dose but forgot to enter it into the electronic health record. The primary nurse came back from break and gave a second dose of insulin because of being unaware the covering nurse gave the ordered dose.


Question 2 of 5

What medication error prevention techniques would have helped to avoid this error?

Correct Answer: C,E

Rationale: Immediate documentation and identifiers prevent errors.

Extract:


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 preparing to administer lorazepam 1.5 mg IV to an anxious preoperative client. The medication is available in a 2 mg/mL vial. Which action should the nurse perform with the remainder of the medication?

Correct Answer: A

Rationale: Witnessed disposal ensures accountability.

Question 5 of 5

An older adult female client tells the clinic nurse about frequently awakening during the night and not being able to go back to sleep. What action(s) should the nurse suggest to the client to help improve sleep?

Correct Answer: A,B

Rationale: Caffeine avoidance and sleep schedule improve sleep quality.

Similar Questions

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The nurse is preparing to give an emergency sedative injection to an agitated client. Which action by the nurse comprises a tort?
The nurse is assessing a client who reports a 3 day history of vomiting and diarrhea and experiencing difficulty in tolerating oral fluids. Which urine specific gravity value would the nurse expect to see on initial testing?
The nurse is assessing a client who is having pain of the right upper abdominal area. To assess the quality of the client's abdominal pain, which approach should the nurse use?

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