Fundamentals of Nursing HESI

Question 1 of 5

A nurse on a medical-surgical unit is dividing care for four clients. The nurse should identify which of the following situations as an ethical dilemma?

A. A client who has a new colostomy refuses to take instructions from the ostomy therapist because she 'doesn't like him.' B. A surgeon who removed the wrong kidney during a surgical procedure refuses to take responsibility for her actions. C. The family of a client who has a terminal illness asks the provider not to tell the client the diagnosis. D. A client who has Crohn's disease reports that his prescription drug plan will not pay for his medications.

Question 2 of 5

The nurse plans to assist a male client out of bed for the first time since his surgery yesterday. His wife objects and tells the nurse to get out of the room because her husband is too ill to get out of bed.

A. Administer nasal oxygen at a rate of 5 L/min B. Help the client to lie back down in the bed C. Quickly pivot the client to the chair and elevate the legs D. Check the client's blood pressure and pulse deficit

Question 3 of 5

When evaluating care of an immobilized patient, which action will the nurse take?

A. Focus on whether the interdisciplinary team is satisfied with the care. B. Compare the patient's actual outcomes with the outcomes in the care plan. C. Involve primarily the patient's family and health care team to determine goal achievement. D. Use objective data solely in determining whether interventions have been successful.

Question 4 of 5

The nurse is providing discharge teaching to a client who has been prescribed warfarin (Coumadin). Which statement by the client indicates a need for further teaching?

A. I will avoid eating foods high in vitamin K. B. I will take my medication at the same time every day. C. I will use a soft toothbrush to prevent gum bleeding. D. I can take aspirin if I have a headache.

Question 5 of 5

What advice should the client be given if they are feeling dizzy upon standing after taking a diuretic for hypertension?

A. Avoid standing up too quickly. B. Increase fluid intake to stay hydrated. C. Eat more salt to help retain fluids. D. Wear compression stockings during the day.

Fundamentals of Nursing HESI

Skildor

HESI LPN

HESI LPN