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HESI RN · HESI Fundamentals of Nursing · Falls Introduction to Nursing Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse teaches a client who has chronic obstructive pulmonary disease. Which statements related to nutrition would the nurse include in this client’s teaching? (Select all that do not apply.)

A. Avoid drinking fluids just before and during meals.'
B. Rest before meals if you have dyspnea.'
C. Have about six small meals a day.'
D. Eat high-fiber foods to promote gastric emptying.'

Expert Explanatory Rationale

Correct Answer: Eat high-fiber foods to promote gastric emptying.'

Question 2 of 5

The physician has ordered an indwelling catheter inserted in a hospitalized male patient. The nurse is aware that:

A. The male urethra is vulnerable to injury during insertion
B. Normally
C. a clean technique is used
D. The catheter is inserted 2-3 inches into the meatus

Expert Explanatory Rationale

Correct Answer: The male urethra is vulnerable to injury during insertion

Question 3 of 5

The client, returning from a coronary catheterization in which the femoral artery approach was used, sneezes. Which should be the nurse's priority intervention?

A. Palpate the pedal pulses
B. Measure Vital Signs
C. Assess for urticaria
D. Check the insertion site.

Expert Explanatory Rationale

Correct Answer: Check the insertion site.

Question 4 of 5

The nurse assesses a patient's surgical wound on the first postoperative day and notes redness and warmth around the incision. Which action by the nurse is appropriate?

A. Obtain wound cultures.
B. Document the assessment.
C. Notify the health care provider.
D. Assess the wound every 2 hours.

Expert Explanatory Rationale

Correct Answer: Document the assessment.

Question 5 of 5

A nurse reviews a client’s laboratory results. Which findings would alert the nurse to the possibility of atherosclerosis? (Select all that apply.)

A. Total cholesterol: 280 mg/dL (7.3 mmol/L)
B. High-density lipoprotein cholesterol: 50 mg/dL (1.3 mmol/L)
C. Triglycerides: 200 mg/dL (2.3 mmol/L)
D. Serum albumin: 4 g/dL (5.8 mcmol/L)

Expert Explanatory Rationale

Correct Answer: High-density lipoprotein cholesterol: 50 mg/dL (1.3 mmol/L)

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