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HESI LPN · HESI LPN Fundamentals of Nursing · LPN HESI Client Safety Event Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a female client with diarrhea. What information does the nurse teach the client about perineal care?

A. Clean the perineal area from the front to back.
B. Wear gloves while performing perineal self-care.
C. Bathe the perineal area with a mild soap and water.
D. Insert any suppository medication prior to cleaning the perineal area.

Expert Explanatory Rationale

Correct Answer: Clean the perineal area from the front to back.

Question 2 of 5

When the evacuated tube method is used for venipuncture, select the correct order of collection for the following tubes:

A. Serum then Heparin then EDTA tube
B. Heparin then Serum then EDTA tube
C. EDTA then Heparin then Serum tube.
D. Heparin then EDTA then Serum tube

Expert Explanatory Rationale

Correct Answer: EDTA then Heparin then Serum tube.

Question 3 of 5

To facilitate palpation of thyroid gland, the nurse instructs the client to:

A. swallow.
B. hold breath.
C. flex the neck.
D. hyperextend the neck.

Expert Explanatory Rationale

Correct Answer: swallow.

Question 4 of 5

Which patients does the nurse identify as high risk for situational stress? Select all that apply.

A. An infant learning to walk.
B. A woman recovering from a car accident.
C. A young couple expecting their first child.
D. A man getting married to his long-time girlfriend.

Expert Explanatory Rationale

Correct Answer: A woman recovering from a car accident.

Question 5 of 5

All the following medications are ordered for a mechanically ventilated patient with acute respiratory distress syndrome (ARDS) and acute renal failure. Which medication should the nurse discuss with the health care provider before administration?

A. IV ranitidine (Zantac) 50 mg IV
B. sucralfate (Carafate) 1 g per nasogastric tube
C. IV gentamicin (Garamycin) 60 mg
D. IV methylprednisolone (Solu-Medrol) 40 mg

Expert Explanatory Rationale

Correct Answer: IV gentamicin (Garamycin) 60 mg

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