Samuel Merrit University Hesi Med Surg | Nurselytic

Questions 45

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Samuel Merrit University Hesi Med Surg Questions

Extract:


Question 1 of 5

The nurse observes the skin over a client's greater trochanter, as seen in the picture with pressure sores.What actions should the nurse implement?

Correct Answer: B

Rationale: Pressure redistribution is an important part of preventing and treating pressure sores.

Question 2 of 5

The nurse is preparing to give an emergency sedative injection to an agitated client.Which action by the nurse is inappropriate?

Correct Answer: A

Rationale: Placing a client in restraints without having a healthcare provider's order is inappropriate for a nurse to do.

Question 3 of 5

The nurse is using guided imagery with a client who is experiencing chronic pain.What should the nurse direct the client's attention on during the session?

Correct Answer: A

Rationale: Guided imagery involves creating a specific imagined reality for yourself. These techniques can be self-taught or guided by a professional. The more you're able to use your imagination and engage your senses, the greater the benefits.

Question 4 of 5

An older woman with end-stage heart disease is hospitalized for severe heart failure. She is alert and requests that no heroic measures be implemented if her breathing stops.What actions should the nurse take first?

Correct Answer: C

Rationale: The nurse should first discuss with the client her meaning of heroic measures. This will help the nurse to understand the client's wishes and preferences for her care.

Question 5 of 5

The charge nurse is assisting a nurse in the admission process for a patient with multiple chronic conditions.Which action taken by the nurse demonstrates a breach of confidentiality to the charge nurse?

Correct Answer: D

Rationale: Requesting military records by phone without the patient's consent would be a breach of confidentiality.

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