An older adult who recently began self-administration of insulin calls the nurse daily to review the steps that should be taken when giving an injection. The nurse has assessed the client's skills during two previous office visits and knows that the client is capable of giving the daily injection. Which response by the nurse is likely to be most helpful in encouraging the client to assume total responsibility for the daily injections?- Skildor

Question 1 of 5

An older adult who recently began self-administration of insulin calls the nurse daily to review the steps that should be taken when giving an injection. The nurse has assessed the client's skills during two previous office visits and knows that the client is capable of giving the daily injection. Which response by the nurse is likely to be most helpful in encouraging the client to assume total responsibility for the daily injections?

A. I know you are capable of giving yourself the insulin. B. Giving yourself the injection seems to make you nervous. C. When I watched you give yourself the injection, you did it correctly. D. Tell me what you want me to do to help you give yourself the injection at home.

Correct Answer: C

Rationale: Focusing on the client's demonstrated ability to self-administer the injection is likely to reinforce his level of competence without sounding punitive.

Question 2 of 5

A 54-year-old male client and his wife were informed this morning that he has terminal cancer. Which nursing intervention is likely to be most beneficial?

A. Ask the wife how she would like to participate in the client's care. B. Provide the wife with information about hospice. C. Encourage the wife to visit during and after painful treatments are completed. D. Refer the wife to a support group for family members of those dying of cancer.

Correct Answer: A

Rationale: During this difficult time of coping with terminal cancer diagnosis, involving the wife in the care process can help her feel more in control and connected. This can be beneficial for both the client and his wife, as it fosters a collaborative approach to care and ensures the wife's needs and preferences are considered.

Question 3 of 5

A staff member is assigned to care for a close friend in the hospital setting. Which action should the staff member take first when given the assignment?

A. Notify the friend that all medical information will be kept confidential. B. Explain the relationship to the charge nurse and ask for reassignment. C. Approach the client and ask if the assignment is uncomfortable. D. Accept the assignment but protect the client's confidentiality.

Correct Answer: B

Rationale: When faced with caring for a close friend in a professional setting, it is essential to maintain professional boundaries. The best course of action is to disclose the relationship to the charge nurse and request reassignment to prevent any potential conflicts of interest or compromised care.

Question 4 of 5

A client with a diagnosis of chronic obstructive pulmonary disease (COPD) is receiving oxygen via nasal cannula at 4 liters per minute. Which assessment finding indicates a need for immediate action?

A. The client's respiratory rate is 14 breaths per minute. B. The client's oxygen saturation is 92%. C. The client reports shortness of breath. D. The client's respiratory rate is 24 breaths per minute.

Correct Answer: C

Rationale: A report of shortness of breath (C) indicates that the client is not tolerating the oxygen therapy well and may need an adjustment. Shortness of breath is a critical symptom in a client with COPD, as it signifies potential respiratory distress. A respiratory rate of 14 (A), oxygen saturation of 92% (B), and respiratory rate of 24 (D) are not as immediately concerning as they may still fall within acceptable ranges for a client with COPD.

Question 5 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.

HESI Fundamentals Quizlet

Skildor

HESI RN

HESI RN

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