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?- Skildor

Question 1 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 2 of 5

The health care provider has changed a client's prescription from the PO to the IV route of administration. The nurse should anticipate which change in the pharmacokinetic properties of the medication?

A. The client will experience increased tolerance to the drug's effects and may need a higher dose. B. The onset of action of the drug will occur more rapidly, resulting in a more rapid effect. C. The medication will be more highly protein-bound, increasing the duration of action. D. The therapeutic index will be increased, placing the client at greater risk for toxicity.

Correct Answer: B

Rationale: Because the absorptive process is eliminated when medications are administered via the IV route, the onset of action is more rapid, resulting in a more immediate effect.

Question 3 of 5

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?

A. 13 ml/hour. B. 63 ml/hour. C. 80 ml/hour. D. 125 ml/hour.

Correct Answer: B

Rationale: The correct calculation involves dividing the total volume by the total time. In this case, 250 ml/4 hours = 63 ml/hour. The dose of KCl is not used in the calculation as the focus is on the rate of infusion over the specified time period.

Question 4 of 5

When assisting a client with right-sided hemiplegia to get into a wheelchair, how should the nurse position the wheelchair?

A. On the left side of the bed facing the foot of the bed. B. On the right side of the bed facing the head of the bed. C. Perpendicular to the bed on the right side. D. Facing the bed on the left side of the bed.

Correct Answer: A

Rationale: Positioning the wheelchair on the left side of the bed facing the foot of the bed is the correct approach when assisting a client with right-sided hemiplegia. Placing the wheelchair on the left side allows the client to stand on their unaffected foot and pivot to sit down safely. This positioning facilitates a smoother transfer and helps maintain the client's stability during the process.

Question 5 of 5

What action should the nurse implement to prepare a client for the potential side effects of a newly prescribed medication?

A. Assess the client for health alterations that may be impacted by the effects of the medication B. Teach the client how to administer the medication to promote the best absorption C. Administer a half dose and observe the client for side effects before administering a full dosage D. Encourage the client to drink plenty of fluids to promote effective drug distribution

Correct Answer: A

Rationale: Before initiating a new medication, the nurse should conduct a thorough assessment of the client to identify any pre-existing health conditions or risk factors that could be affected by the medication. This assessment helps in establishing a baseline for monitoring potential side effects and determining the medication's appropriateness for the client.

HESI Fundamentals Quizlet

Skildor

HESI RN

HESI RN

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