*NURSING > HESI > HESI EXIT EXAM 750 QUESTIONS & ANSWERS / HESIEXIT RN EXAM / HESI RN EXIT EXAM (NEWEST, 2022) | VERIF (All)

HESI EXIT EXAM 750 QUESTIONS & ANSWERS / HESIEXIT RN EXAM / HESI RN EXIT EXAM (NEWEST, 2022) | VERIFIED ANSWERS, 100% CORRECT

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3. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who has a seizure disorder. The client is supine and the UAP is placing soft pillows along theside r... ails. What action should the nurse implement? a- Ensure that the UAP has placed the pillows effectively to protect theclient. b- Instruct the UAP to obtain soft blankets to secure to the side railsinstead of pillows.a- Assume responsibility for placing the pillows while the UAP completes another task. b- Ask the UAP to use some of the pillows to prop the client in a sidelying position. Rationale: The nurse should instruct the UAP to pad the side rails withsoft blankest because the use of pillows could result in suffocation andwould need to be removed at the onset of the seizure. The nurse can delegate paddling the side rails to the UAP 4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 days. Which assessment finding requires immediate follow-up? a- Describes life without purpose b- Complains of nausea and loss of appetite c- States is often fatigued and drowsy d- Exhibits an increase in sweating. Rationale: Cymbalta is a selective serotonin and norepinephrinereuptake inhibitor that is known to increase the risk of suicidal thinking in adolescents and young adults with major depressivedisorder. B, C and D are side effects [Show More]

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