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HESI LPN · HESI LPN Fundamentals of Nursing · LPN Introduction to Nursing Chapter 1 Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

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.

A. Dimming the lights.
B. Administration of a diuretic.
C. Promoting daytime exercises.
D. Suggest a bottle of wine before sleep.

Expert Explanatory Rationale

Correct Answer: Dimming the lights.

Question 2 of 5

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:"

A. Risk for impaired skin integrity related to immobility
B. Impaired skin integrity related to immobility
C. Constipation related to immobility
D. Disturbed body image related to immobility

Expert Explanatory Rationale

Correct Answer: Risk for impaired skin integrity related to immobility

Question 3 of 5

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

A. Palpate the most painful area first.
B. Palpate for rebound tenderness.
C. Avoid painful areas until the end of the assessment.
D. Use deep palpation for abdominal tenderness.

Expert Explanatory Rationale

Correct Answer: Avoid painful areas until the end of the assessment.

Question 4 of 5

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

A. Pack the affected nare tightly with an epistaxis balloon.
B. Apply squeezing pressure to the nostrils for 10 minutes.
C. Obtain silver nitrate that may be needed for cauterization.
D. Instill a vasoconstrictor medication into the affected nare.

Expert Explanatory Rationale

Correct Answer: Apply squeezing pressure to the nostrils for 10 minutes.

Question 5 of 5

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?

A. Pustules
B. Papule
C. Plaque
D. Vesicles

Expert Explanatory Rationale

Correct Answer: Vesicles

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