HESI FUNDAMENTALS_1

HESI FUNDAMENTALS_1 - Term Definition The nurse is...

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Term: The nurse is administering meds through a NG tube which is connected to suction. After ensuring correct tube placement, what action should the nurse take next? Definition: Flush the tube with water. NGT should be flushed before, after, and in between each med adminstered. Term: The nurse notices that the mother of a 9 year old Vietnamese child always looks at the floor when she talks to the nurse. What action should the nurse take? Definition: Continue asking the mother questions about the child. Term: The nurse is caring for a client who is the daughter of a local politician. When the nurse approaches a man who is reading the names on the hall doors, he identifies himself as a reporter for the local newspaper and requests information about the client's Definition: Confidentiality Term: The nurse dons gown, mask with eyeshield, and gloves before entering a client's room that has airborne precautions. Upon leaving the client's room, in which sequence should the nurse remove the personal protective equipment? Definition: Remove gloves, gown, mask, wash hands
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Term: The nurse is caring for a client who is unable to void. The plan of care establishes an objective for the client to ingest 1000ml of fluid between 7am and 3pm. Which client response should the nurse document that indicates a sucessful outcome? Definition: Drinks 240ml of fluid five times during the shift. Term: The nurse is assessing an older client and determines that the client's left upper eyelid droops, covering more of the iris than the right eyelid. Which description should the nurse use to document this finding? Definition: Ptosis of the left eyelid. Term: A client with chronic renal failure selects a scramble egg for his breakfast. Which action should the nurse take? Definition: Commend the client for selecting a high biologic value protein. Term: A male client who had abdominal surgery has a nasogastric tube to suction, oxygen per nasal cannula, and complains of dry mouth. Which action should the nurse implement? Definition: Apply a water soluble lubricant to the lips, oral mucosa, and nares. Petroleum based products are flammable.
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Term: A young mother of three complains of increased anxiety during her annual physical exam. What information should the nurse obtain first? Definition: Nutritional history Term: The nurse determines that a client's body weight is 105% above teh standardized height-weight scale.
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