HESI Fundamentals Practice Exam/ Questions & Answers/ Updated A+ Guide Solution

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HESI Fundamentals Practice Exam In assisting an older adult client prepare to take a tub bath, which nursing action is most important? (Ans- Check the bath water temperature. By rolling contamin... ated gloves inside-out, the nurse is affecting which step in the chain of infection? (Ans- Mode of transmission The nurse-manager of a skilled nursing (chronic care) unit is instructing UAPs on ways to prevent complications of immobility. Which intervention should be included in this instruction? (Ans- Perform range-of-motion exercises to prevent contractures. In taking a client's history, the nurse asks about the stool characteristics. Which description should the nurse report to the health care provider as soon as possible? (Ans- Daily black, sticky stool While reviewing the side effects of a newly prescribed medication, a 72-year-old client notes that one of the side effects is a reduction in sexual drive. Which is the best response by the nurse? (Ans- "How will this affect your present sexual activity?" The nurse is counting a client's respiratory rate. During a 30-second interval, the nurse counts six respirations and the client coughs three times. In repeating the count for a second 30-second interval, the nurse counts eight respirations. Which respiratory rate should the nurse document? (Ans- 16 Which action should the nurse implement when providing wound care instructions to a client who does not speak English? (Ans- Speak directly to the client, with an interpreter translating. A client's blood pressure reading is 156/94 mm Hg. Which action should the nurse take first? (Ans- Compare the current reading with the client's previously documented blood pressure readings. When turning an immobile bedridden client without assistance, which action by the nurse best ensures client safety? (Ans- Put bed rails up on the side of bed opposite from the nurse. [Show More]

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