Introduction to Nursing Chapter 1 Quizlet

HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 1 of 73

Which of the following words is most closely associated with the term ethics?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 2 of 73

The nurse is caring for a client who has disturbed sleep patterns. Which measures should the nurse implement to promote sleep? Select all that apply.

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 3 of 73

What action facilitates venous blood flow during a sponge bath?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 4 of 73

A postoperative client has just been admitted to the postanesthesia care unit (PACU). What assessment by the PACU nurse takes priority?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 5 of 73

Which of the following clients may give consent to participate in a clinical trial?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 6 of 73

The nurse is preparing the client for an abdominal paracentesis. The nurse should place the client in which of the following positions?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 7 of 73

A nurse who describes a client as 'that big headed egomaniac in room 3,' is legally liable for: -

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 8 of 73

The intensive care unit (ICU) nurse cares for a blind client, who is on contact precautions, maybe experiencing:

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 9 of 73

Ã¢â‚¬Å“Impaired skin integrity related to excess friction evidenced by redness.Ã¢â‚¬Â The diagnostic focus in this nursing diagnosis is:

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 10 of 73

A nurse cares for a patient who tests positive for alpha1-antitrypsin (AAT) deficiency. The patient asks, Ã¢â‚¬Å“What does this mean?Ã¢â‚¬Â How would the nurse respond?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 11 of 73

An active 32-yr-old male who has type 1 diabetes is being seen in the endocrine clinic. Which finding indicates a need for the nurse to discuss a possible a change in therapy with the health care provider?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 12 of 73

Which data indicates to the nurse that the patient with stable angina is experiencing a side effect of metoprolol (Lopressor)?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 13 of 73

What is the right sequence when performing an abdominal assessment?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 14 of 73

While caring for a client who's immobile, the nurse documents the following information in the client's chart: Turned client from side to back every 2 hours." "Skin intact; no redness noted." "Client up in chair three times today." "Improved skin turgor noted." This nursing diagnosis accurately reflects the potential of:"

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 15 of 73

Which action should the nurse take first when a patient develops epistaxis?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 16 of 73

A 62-yr-old patient who has no history of hypertension or other health problems suddenly develops a blood pressure (BP) of 198/110 mm Hg. After reconfirming the BP. It is appropriate for the nurse to tell the patient that:

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 17 of 73

The nurse reviews the medication administration record (MAR) for a patient having an acute asthma attack. Which medication should the nurse administer first?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 18 of 73

A patient at the clinic says, Ã¢â‚¬Å“I always walk after dinner, but lately my leg cramps and hurts after just a few minutes. The pain goes away after I stop walking, though.Ã¢â‚¬Â What focused assessment should the nurse make?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 19 of 73

A hospitalized client is in a private room. When outside the room, the client must wear a surgical mask. What type of isolation precaution is in use?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 20 of 73

A 60-year old client reports to the nurse that he has a rash on his back and right flank. The nurse observes elevated, round, blister like lesions that are filled with clear fluid. When documenting the findings, what medical term should the nurse use to describe these lesions?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 21 of 73

What nursing activity would meet the broad nursing aim of facilitating coping with disability and death? Select all that apply.

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 22 of 73

Which of the following is the major goal of ambulatory care facilities?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 23 of 73

What is the primary purpose of the patient record?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 24 of 73

When assessing a child who complains of abdominal pain, what is the most appropriate nursing action?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 25 of 73

The postanesthesia care unit (PACU) charge nurse notes vital signs on four postoperative clients. Which client would the nurse assess first?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 26 of 73

A nurse in a neighborhood clinic is conducting educational sessions on weight loss. What aim of nursing is met by these educational programs?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 27 of 73

At 8:00 a.m., Nurse Corazon is preparing to change the Total Parenteral Nutrition (TPN) solution bag and tubing. The clientÃ¢â‚¬â„¢s central venous line is located in the right subclavian vein. The nurse would instruct the client to do which of the following during the tubing change?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 28 of 73

After a lumbar puncture, the nurse should place the client in:

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 29 of 73

What is the primary purpose of nursing theories?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 30 of 73

What information is most useful for planning care for an 84-year-old client?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 31 of 73

The student nurse has earned

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 32 of 73

The nurse is caring for a patient with diabetes who had abdominal surgery 3 days ago. Which finding is most important for the nurse to report to the health care provider?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 33 of 73

A patient has an order for two puffs of an inhaler. How long should the nurse wait before administering the second puff?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 34 of 73

When assessing a patient who is receiving a loop diuretic, the nurse looks for the manifestations of potassium deficiency, which would include what symptoms? (Select the one that does not apply.)

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 35 of 73

Nurses who are employed in home care have a variety of responsibilities. Which of the following is one of those responsibilities?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 36 of 73

Which method is the best for the nurse to evaluate the effectiveness of tracheal suctioning?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 37 of 73

How long should a suction attempt be limited to?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 38 of 73

A nurse assesses clients on the medical-surgical unit. Which client is at greatest risk for development of obstructive sleep apnea?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 39 of 73

A patient who was involved in a motor vehicle crash has had a tracheostomy placed to allow for continued mechanical ventilation. How should the nurse interpret the following arterial blood gas results: pH 7.48, PaO2 85 mm Hg, PaCO2 32 mm Hg, and HCO3 25 mEq/L?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 40 of 73

Which area of a client9s space does the nurse function most often during physical assessment?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 41 of 73

All of the following are correct methods in the assessment of blood pressure except:

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 42 of 73

The nurse reminds a visitor to a patient who has an internal radiation implant to:Select all that do not apply.

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 43 of 73

A camp nurse is teaching a group of adolescent girls about the importance of monthly breast self-examination. What level of preventive care does this activity represent?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 44 of 73

Mrs. David is obese. When administering a subcutaneous injection to an obese patient, it is best for Nurse Andrae to:

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 45 of 73

A male client is receiving total parenteral nutrition suddenly demonstrates signs and symptoms of an air embolism. What is the priority action by the nurse?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 46 of 73

While walking through a park, the nurse encounters a child with a swollen and reddened arm that hurts to move due to being struck with a baseball bat. The nurse splints the arm using two baseball bats. The child is transported to the hospital and later develops compartmental syndrome in the arm. Which statement regarding the nurse's liability in this case is accurate?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 47 of 73

A nurse is providing patient care in a hospital setting. Who has full legal responsibility and accountability for the nurse's actions?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 48 of 73

The tort that applies when an unconscious client falls out of bed because the primary nurse forgot to raise the side rails is:-

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 49 of 73

What phrase best describes health?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 50 of 73

Which nursing interventions will the nurse include in the plan of care for a confused older adult with dementia to facilitate communication? Select all that apply.

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 51 of 73

The RN is analyzing serum laboratory results for a 73-year-old female client scheduled for surgery in 2 hours. The RN concludes that which result would warrant the most immediate notification of the physician?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 52 of 73

In the pre-operative period, the nurse taught the client some leg exercises. Now, in the immediate post-operative period, the nurse asks the client to do these exercises every two hours when awake. A family member wants to know the reason for these leg exercises. How should the nurse reply?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 53 of 73

You have safely inserted an indwelling catheter to Mr. Edward Cullen. To secure the catheter in place and prevent its dislodgment you should tape the catheter tubing in the clientÃ¢â‚¬â„¢s:

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 54 of 73

The nurse understands that which of the following foods should be omitted from a patientÃ¢â‚¬â„¢s diet before an electroencephalogram (EEG)?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 55 of 73

After throwing his lunch tray on the floor, the patient complains to the nurse manager about the quality of the food he is being fed during his hospital stay. In this following scenario, what defense mechanism is this patient using?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 56 of 73

Dorsiflexion of the feet is assessed by instructing the client to

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 57 of 73

What is the purpose of performing a breast self-examination (BSE)?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 58 of 73

A nurse is assessing several clients in a long term health care facility. Which client is at highest risk for development of decubitus ulcers?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 59 of 73

A nurse researcher who intends to interview clients about the factors that influence their compliance with insulin therapy and summarize the data as themes is doing quantitative research.

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 60 of 73

What should a client discharged with Coumadin (warfarin) be instructed to do?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 61 of 73

What drug should the nurse question a 23-year-old client with sinus tachycardia about using?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 62 of 73

A client is admitted to the health care facility after 3 days of nausea, vomiting, and fever. Which nursing diagnosis takes highest priority for this client?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 63 of 73

A patient who has atrial fibrillation is taking digoxin. The nurse expects which medication to be given concurrently to treat this condition?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 64 of 73

After graduation from an accredited program in nursing and successfully passing the NCLEX, what gives the nurse a legal right to practice?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 65 of 73

Which of the following statements accurately describe an element of nursing? Select all that apply.

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 66 of 73

Nurses use the nursing process to focus care on human responses to what?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 67 of 73

A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with Downs Syndrome. The nurse makes referrals for a parent support group for the family. This is an example of which nursing role?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 68 of 73

Based on an established plan of care, a nurse turns a patient every 2 hours. What part of the nursing process is the nurse using?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 69 of 73

A home health nurse is visiting a new client who uses oxygen in the home. For which factors does the nurse assess when determining if the client is using the oxygen safely? (Select all that do not apply.)

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 70 of 73

Nurse Carla is caring for a male client on warfarin (Coumadin) and heparin I.V. The partial thromboplastin time (PTT) is 68 seconds. What should Nurse Carla do?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 71 of 73

After the blood transfusion, you assessed the client for blood transfusion reactions. The following assessments were noted: HR: 120 bpm, Pulse: +4 in quality, presence of fine, short, high pitched crackling at base. Which of the following is your FIRST action?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 72 of 73

Which of the following types of stress is being experienced by a middle adult client who is stressed by the concerns of caring for young adults still in the home and her aging parents?

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HESI RN · Introduction to Nursing Chapter 1 Quizlet

Question 73 of 73

The doctor orders hourly urine output measurement for a postoperative male client. The nurse Trish records the following amounts of output for 2 consecutive hours: 8 a.m.: 50 ml; 9 a.m.: 60 ml. Based on these amounts, which action should the nurse take?

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