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ALL HESI FUNDAMENTALS EXAM SPRING 2023/2024.TEST BANK UPDATED Assured Correct Answers TOP TARGETACADEMIC
An elderly client with a fractured left hip is on strict bedrest.
Which nursing measure is essential to the
client's nursing care?
A. Massage any reddened areas for at least five minutes.
B. Encourage active range of motion exercises on extremities.
C. Position the client laterally, prone, and dorsally in sequence.
D. Gently lift the client when moving into a desired position. - To avoid shearing forces
when repositioning, the client should be lifted gently across a surface (D).
Reddened
areasshould not be massaged (A) since this may increase the damage to already
traumatized skin. To control pain and muscle spasms, active range of motion (B) may
be limited on the affected leg. The position described in (C) is contraindicated
for a client with a fractured left hip.
Correct Answer: D
2. The nurse is administering medications through a nasogastric tube (NGT) which is
connected to suction. After ensuring correct tube placement, what action should
the nurse take next?
A. Clamp the tube for 20 minutes.
B. Flush the tube with water.
C. Administer the medications as prescribed.
D. Crush the tablets and dissolve in sterile water. - The NGT should be flushed before,
after and in between each medication administered (B). Once all medications are
administered, the NGT should be clamped for 20 minutes (A). (C and D) may be
implemented only after the tubing has been flushed. Correct Answer: B
3. A client who is in hospice care complains of increasing amounts of pain. The healthcare
provider prescribes an analgesic every four hours as needed. Which action should
the nurse implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities. - The most
effective management of pain is achieved using an around-the-clock schedule that
provides analgesic medications on a regular basis (A) and in a timely
manner.
Analgesics are less effective if pain persists until it is severe, so an analgesic medication
should be administered before the client's pain peaks (B). Providing comfort is a
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Specifications
- School: Chamberlain College Of Nursing
- Course: NURSING
- Year of study: 2024
Document
- Section: Examinations
- Made on: 12-29-2023
- Type: .pdf
- Pages: 97
- Language: English
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