A female client with chronic back pain has been taking muscle relaxants and analgesics to manage the discomfort, but is now experiencing an acute episode of pain that is not relieved by this medication regimen. The client tells the nurse that she does not want to have back surgery for a herniated intervertebral disk, and reports that she has found acupuncture effective in resolving past acute episodes. Which response is best for the nurse to provide?- Skildor

Question 1 of 5

A female client with chronic back pain has been taking muscle relaxants and analgesics to manage the discomfort, but is now experiencing an acute episode of pain that is not relieved by this medication regimen. The client tells the nurse that she does not want to have back surgery for a herniated intervertebral disk, and reports that she has found acupuncture effective in resolving past acute episodes. Which response is best for the nurse to provide?

A. Surgery removes the disk and is the only treatment that can totally resolve the pain B. The medication regimen you previously used should be re-evaluated for dose adjustment C. Massage and hot pack treatments are less invasive and can provide temporary relief D. Acupuncture is a complementary therapy that is often effective for management of pain

Correct Answer: D

Rationale: Acknowledging the effectiveness of acupuncture is important, as the client has reported its success in managing her pain previously.

Question 2 of 5

A female client's significant other has been at her bedside providing reassurances and support for the past 3 days, as desired by the client. The client's estranged husband arrives and demands that the significant other not be allowed to visit or be given condition updates. Which intervention should the nurse implement?

A. Obtain a prescription from the healthcare provider regarding visitation privileges B. Request a consultation with the ethics committee for resolution of the situation C. Encourage the client to speak with her husband regarding his disruptive behavior D. Communicate the client's wishes to all members of the multidisciplinary team

Correct Answer: B

Rationale: In a situation where a client's estranged husband demands to restrict the visitation of the significant other, it is essential to prioritize the client's wishes while addressing the conflict. Requesting a consultation with the ethics committee is appropriate as it allows for a comprehensive and impartial resolution, ensuring the client's autonomy and well-being are upheld.

Question 3 of 5

The healthcare provider is caring for a client who is experiencing fluid volume deficit (dehydration). Which intervention should the healthcare provider implement to assess the effectiveness of fluid replacement therapy?

A. Monitor daily weights B. Assess skin turgor C. Evaluate blood pressure trends D. Check urine specific gravity

Correct Answer: A

Rationale: Monitoring daily weights is an accurate method to assess the effectiveness of fluid replacement therapy because changes in weight reflect changes in fluid balance. Fluid volume deficit can be objectively evaluated by monitoring daily weights as it provides a more precise measurement of fluid status over time.

Question 4 of 5

The caregiver learns the use of a gait belt from the nurse for a woman with right-sided weakness. The caregiver demonstrates the skill. Which observation indicates that the caregiver has learned how to perform this procedure correctly?

A. Standing on the woman's strong side, the caregiver is ready to hold the gait belt if any evidence of weakness is observed. B. Standing on the woman's weak side, the caregiver provides security by holding the gait belt from the back. C. Standing behind the woman, the caregiver provides balance by holding both sides of the gait belt. D. Standing slightly in front and to the right of the woman, the caregiver guides her forward by gently pulling on the gait belt.

Correct Answer: B

Rationale: Standing on the weak side of the client and holding the gait belt from the back provides better security and support during ambulation, reducing the risk of falls. This positioning allows the caregiver to offer stability and assistance without interfering with the client's movement, ensuring safe ambulation for the client with right-sided weakness.

Question 5 of 5

In taking a client's history, the nurse asks about the stool characteristics. Which description should the nurse report to the health care provider as soon as possible?

A. Daily black, sticky stool B. Daily dark brown stool C. Firm brown stool every other day D. Soft light brown stool twice a day

Correct Answer: A

Rationale: Black sticky stool (melena) is a sign of gastrointestinal bleeding and should be reported to the health care provider promptly.

HESI Fundamentals Quizlet

Skildor

HESI RN

HESI RN

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