Which client is most likely to be at risk for spiritual distress?- Skildor

Question 1 of 5

Which client is most likely to be at risk for spiritual distress?

A. Roman Catholic woman considering an abortion B. Jewish man considering hospice care for his wife C. Seventh-day Adventist in need of a blood transfusion D. Muslim man in need of a total knee replacement

Correct Answer: A

Rationale: The correct answer is A. In Roman Catholicism, abortion is strictly prohibited, so a Roman Catholic woman considering this procedure may experience spiritual distress due to conflicts with her religious beliefs. This conflict can lead to emotional and psychological turmoil, affecting her spiritual well-being. It is essential for healthcare providers to recognize and address such conflicts with sensitivity and understanding to provide holistic care.

Question 2 of 5

How should the nurse prepare the body of a deceased adult for transfer to the mortuary?

A. Leave the body as is, no preparation needed B. Bathe the body and place ID tags on it C. Remove dentures before bathing the body D. Position the body with its head down and arms folded on its chest

Correct Answer: B

Rationale: When preparing the body of a deceased adult for transfer to the mortuary, it is essential to bathe the body and place identification tags on it. This process ensures proper identification and respectful care of the deceased individual.

Question 3 of 5

Which intervention is most important to include in the plan of care for a client at high risk for the development of postoperative thrombus formation?

A. Instruct the client in the use of the incentive spirometer. B. Elevate the head of the bed during all meals. C. Use aseptic technique when changing the dressing. D. Encourage frequent ambulation in the hallway.

Correct Answer: D

Rationale: Thrombus formation is a risk for clients who are immobile postoperatively. Encouraging frequent ambulation helps to prevent stasis in the lower extremities, reducing the risk of thrombus formation. This intervention promotes circulation and prevents blood clot formation, making it the most important intervention in this situation.

Question 4 of 5

When measuring vital signs, the healthcare provider observes that a client is using accessory neck muscles during respirations. What follow-up action should the healthcare provider take first?

A. Determine pulse pressure B. Auscultate heart sounds C. Measure oxygen saturation D. Check for neck vein distention

Correct Answer: C

Rationale: Observing a client using accessory neck muscles during respiration indicates respiratory distress. The priority action should be to measure oxygen saturation to assess the adequacy of oxygenation. This intervention provides crucial information about the client's respiratory status and helps guide further assessment and interventions.

Question 5 of 5

The healthcare provider is providing passive range of motion (ROM) exercises to the hip and knee for a client who is unconscious. After supporting the client's knee with one hand, what action should the healthcare provider take next?

A. Raise the bed to a comfortable working level. B. Bend the client's knee. C. Move the knee toward the chest as far as it will go. D. Cradle the client's heel.

Correct Answer: D

Rationale: When providing passive ROM exercises to the hip and knee for an unconscious client, it is essential to support the joints of the knee and ankle. The next action should be to cradle the client's heel and gently move the limb in a slow, smooth, firm, but gentle manner. This helps maintain joint mobility and prevent contractures.

HESI Quizlet Fundamentals

Skildor

HESI RN

HESI RN

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