HESI A2 NEW FILE TESTED- 2023 CRITICAL THINKING
1.The nurse is instructing a client with high cholesterol about diet and life style modification.
What
... [Show More] comment from the client indicates that the teaching has been effective?
I will limit my intake of beef to 4 ounces per week.
2. The UAPs working on a chronic neuro unit ask the nurse to help them determine the safest way to transfer an elderly client with left-sided weakness from the bed to the chair. What method describes the correct transfer procedure for this client?
Move the chair parallel to the right side of the bed, and stand the client on the right foot.
3. An unlicensed assistive personnel (UAP) places a client in a left lateral position prior to administering a soap suds enema. Which instruction should the nurse provide the UAP?
Reposition in a Sim's position with the client's weight on the anterior ilium.
4. A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the nurse have for planning care in terms of the client's beliefs?
Blood transfusions are forbidden.
5. The nurse observes that a male client has removed the covering from an ice pack applied to his knee. What action should the nurse take first?
Observe the appearance of the skin under the ice pack.
6. A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but feels fine now. What action is best for the nurse to take?
After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.
7. A male client being discharged with a prescription for the bronchodilator theophylline tells the nurse that he understands he is to take three doses of the medication each day. Since, at the time of discharge, timed-release capsules are not available, which dosing schedule should the nurse advise the client to follow?
8 a.m., 4 p.m., and midnight.
8. A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over 4 hours. At what rate should the nurse set the client's intravenous infusion pump?
To calculate this problem correctly, remember that the dose of KCl is not used in the calculation. 250 ml/4 hours = 63 ml/hour.
9. An obese male client discusses with the nurse his plans to begin a long-term weight loss regimen. In addition to dietary changes, he plans to begin an intensive aerobic exercise program 3 to 4 times a week and to take stress management classes. After praising the client for his decision, which instruction is most important for the nurse to provide?
Be sure to have a complete physical examination before beginning your planned exercise program.
10. The nurse is teaching a client proper use of an inhaler. When should the client administer the inhaler-delivered medication to demonstrate correct use of the inhaler?
During the inhalation.
11. Which action is most important for the nurse to implement when donning sterile gloves?
Keep gloved hands above the elbows.
12. A client with chronic renal failure selects a scrambled egg for his breakfast. What action should the nurse take?
Commend the client for selecting [Show Less]