ALL HESI FUNDAMENTAL EXAMS 2023-2024/TEST BANK/CORRECTLY ANSWERED QUESTIONS/GRADED
... [Show More] A+
An.elderly.client.with.a.fractured.left.hip.is.on.strict.bedrest..Which.nursing.measure.is.e
ssential.to.the.client's.nursing.care?
A. Massage.any.reddened.areas.for.at.least.five.minutes.
B. Encourage.active.range.of.motion.exercises.on.extremities.
C. Position.the.client.laterally,.prone,.and.dorsally.in.sequence.
D. Gently.lift.the.client.when.moving.into.a.desired.position..-
.To.avoid.shearing.forces.when.repositioning,.the.client.should.be.lifted.gently.across.a.
surface.(D)..Reddened.areas.should.not.be.massaged.(A).since.this.may.increase.the.da
mage.to.already.traumatized.skin..To.control.pain.and.muscle.spasms,.active.range.of.
motion.(B).may.be.limited.on.the.affected.leg..The.position.described.in.(C).is.contrain
dicated.for.a.client.with.a.fractured.left.hip.
Correct.Answer:.D
The.nurse.is.administering.medications.through.a.nasogastric.tube.(NGT).which.is.
connected.to.suction..After.ensuring.correct.tube.placement,.what.action.should.the.
nurse.take.next?
A. Clamp.the.tube.for.20.minutes.
B. Flush.the.tube.with.water.
C. Administer.the.medications.as.prescribed.
D. Crush.the.tablets.and.dissolve.in.sterile.water..-
.The.NGT.should.be.flushed.before,.after.and.in.between.each.medication.administere
d.(B)..Once.all.medications.are.administered,.the.NGT.should.be.clamped.for.20.minu
tes.(A)..(C.and.D).may.be.implemented.only.after.the.tubing.has.been.flushed.
Correct.Answer:.B
A.client.who.is.in.hospice.care.complains.of.increasing.amounts.of.pain..The.healthcare.p
rovider.prescribes.an.analgesic.every.four.hours.as.needed..Which.action.should.the.nurs
e.implement?
A. Give.an.around-the-clock.schedule.for.administration.of.analgesics.
B. Administer.analgesic.medication.as.needed.when.the.pain.is.severe.
C. Provide.medication.to.keep.the.client.sedated.and.unaware.of.stimuli.
D. Offer.a.medication-free.period.so.that.the.client.can.do.daily.activities..-
.The.most.effective.management.of.pain.is.achieved.using.an.around-theclock.schedule.that.provides.analgesic.medications.on.a.regular.basis.(A).and.in.a.timel
y.manner..Analgesics.are.less.effective.if.pain.persists.until.it.is.severe,.so.an.analgesic.
medication.should.be.administered.before.the.client's.pain.peaks.(B)..Providing.comfort
.is.a.priority.for.the.client.who.is.dying,.but.sedation.that.impairs.the.client's.ability.to.i
nteract.and.experience.the.time.before.life.ends.should.be.minimized.(C)..Offering.a.m
edicationfree.period.allows.the.serum.drug.level.to.fall,.which.is.not.an.effective.method.to.man
age.chronic.pain.(D).
Correct.Answer:.A [Show Less]