HESI LPN · HESI LPN Fundamentals of Nursing · LPN Introduction to Nursing Chapter 1 Quizlet
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
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.
Expert Explanatory Rationale
Correct Answer: Dimming the lights.
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:"
Expert Explanatory Rationale
Correct Answer: Risk for impaired skin integrity related to immobility
When assessing a child who complains of abdominal pain, what is the most appropriate nursing action?
Expert Explanatory Rationale
Correct Answer: Avoid painful areas until the end of the assessment.
Which action should the nurse take first when a patient develops epistaxis?
Expert Explanatory Rationale
Correct Answer: Apply squeezing pressure to the nostrils for 10 minutes.
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?
Expert Explanatory Rationale
Correct Answer: Vesicles
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