Nurse Cay inspects a client's back and notices small hemorrhagic spots. The nurse documents that the client has:
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 2 of 34
A nurse administering an opioid analgesic will base the dosage and timing on which of the following?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 3 of 34
Family members of a dying patient are in the room with the patient. As the patient nears death, what should the nurse tell the family?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 4 of 34
During the client's medical records review, what condition can put the client at risk for developing hypokalemia?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 5 of 34
A nurse implements a back massage as an intervention to relieve pain. What theory is the motivation for this intervention?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 6 of 34
A man is diagnosed with terminal kidney failure. His wife demonstrates loss and grief behaviors. What type of loss is the wife experiencing?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 7 of 34
The nurse is assessing a client with fibromyalgia who reports disturbed sleep and fatigue. What additional symptom does the nurse anticipate?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 8 of 34
The nurse in charge identifies a patient's responses to actual or potential health problems during which step of the nursing process?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 9 of 34
What independent nursing action can be used to facilitate sleep in hospitalized patients who are on bedrest?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 10 of 34
A client with chronic pain asks the nurse why the pain medication causes dry mouth. What would be the basis of the nurse's response?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 11 of 34
A postoperative patient has not voided for 8 hours (since surgery). He is restless and complains of abdominal pain. How and what would the nurse assess before administering pain medications?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 12 of 34
A client with chronic pain tells the nurse that the pain medication causes drowsiness. What would be the nurse's best response?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 13 of 34
A student is preparing for her first patient care assignment. She wakes up at 4:00 a.m. with a pounding pulse and diarrhea. What type of adaptive response to stress is she experiencing?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 14 of 34
A nurse providing palliative care for a dying man and his family knows that the goal of palliative care is:
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 15 of 34
What is the name given to the evaluative and affective component of the selfconcept?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 16 of 34
A nurse teaches a young couple to put their newborn on his back to sleep. What is the rationale for this information?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 17 of 34
A nurse caring for critically ill patients uses interventions to help patients maintain a sense of self. Which of the following are recommended interventions?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 18 of 34
A nurse is preparing to teach a patient about care at home. On entering the room, she finds the patient pacing around the room, hyperventilating, and complaining of nausea. Based on these manifestations of severe anxiety, what would the nurse do?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 19 of 34
After the nurse reviewed the client's lab results, the client's serum phosphorus (phosphate) level was found to be at 1.8 mg/dL (0.58 mmol/L) level. What condition is most likely to cause the serum phosphorus level?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 20 of 34
After undergoing abdominal perineal excision for a colon tumor, a 55-year-old male patient is admitted for colostomy placement. The nurse will evaluate the newly inserted colostomy. Which of the following assessments indicates a functional colostomy?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 21 of 34
A female client is readmitted to the facility with a warm, tender, reddened area on her right calf. Which contributing factor would the nurse recognize as most important?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 22 of 34
What is a common trigger for fibromyalgia pain?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 23 of 34
Which of the following statements is an example of the effect of aging, illness, or trauma on self-concept?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 24 of 34
A nurse is teaching an alert patient how to use a PCA system in the home. How will she explain to the patient what he must do to self-manage pain?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 25 of 34
A patients bed partner reports the patient often has irregular snoring and silence followed by a snort. Does this warrant further assessment?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 26 of 34
A client with chronic pain asks the nurse why the pain medication causes constipation. What would be the basis of the nurse's response?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 27 of 34
A nurse is talking to a patient who has been told he has a terminal illness and is responding in an angry manner. What statement by the nurse would best facilitate better patient outcomes?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 28 of 34
Which intervention is most appropriate for end-of-life comfort care?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 29 of 34
Which of the following groups of nurses experience the highest levels of stress in the work setting?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 30 of 34
The best way to communicate information about your resident to other members of the care team is:
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 31 of 34
A client with arthritis tells the nurse that applying heat to the joints helps relieve the pain. What would be the basis for the nurse's follow-up teaching?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 32 of 34
A client with a fractured arm asks the nurse why the pain gets worse at night. What would be the basis of the nurse's response?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 33 of 34
Which of the following patients would be classified as having chronic pain?
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
HESI RN · Client Comfort
Question 34 of 34
Nurse Berri inspects a client's pupil size and determines that it's 2 mm in the left eye and 3 mm in the right eye. Unequal pupils are known as:
Select an option. Use Strike to cross one out.
Rationale
Did you know the question?
End of free preview
You have finished the first five questions. Sign in to continue this set and save your progress.