NURSING > EXAM > HESI FUNDAMENTALS RN EXIT V1TEST BANK Q/A(S) (All)

HESI FUNDAMENTALS RN EXIT V1TEST BANK Q/A(S)

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1. Wheezing is often associated with asthma- assess breathing patterns and learnabout any precipitating factors that caused the onset of the wheezing 2. A male client with limited mobility is discharged with home health services. Whenthe home health nurse arrives, the client asks what he does for the swelling in hisleg. Which should the nurse implement? ✔ -instruct the client to flex both of his feet several times a day 3. A client at an outpatient clinic submits a clean-catch midstream urine specimenfor a routine urinalysis. In later review of the client’s medical record, which dataindicates to the nurse that the specimen collection should be repeated? ✔ -the urine specimen shows multiple organisms in low colony counts Rationale: *often indicates that a contaminated specimen was obtained 4. During the admission assessment of a terminally ill male client, the client statesthat he is an agnostic. What is the best nursing action in response to this statement? ✔ -document the statement in the client’s spiritual assessment 5. The nurse observes a newly admitted older adult female take short stems andwalk very slowly while pushing a walker in front of her. What action should thenurse take in response to these observations? ✔ -complete a full fall risk assessment of the client 6. The nurse notes that a client has cyanosis of the toes and fingertips. Which vitalsigns should the nurse obtain first? ✔ -respiratory rate Rationale: *cyanosis is a bluish discoloration, an indication of hypoxemia 7. A middle-aged male client tells the nurse that two weeks ago he began exercising four times a week to lose weight and to help him sleep better. He states that it still takes him an hour to fall asleep at night. Which action should thenurse implement? ✔ -ask the client to describe the exercise schedule that he has been following Rationale: *to determine if he is exercising too close to bedtime 8. While suctioning a client's nasopharynx, the nurse observes that the patient's oxygen saturation remains at 94%, which is the same reading obtained prior tostarting the procedure. What action should the nurse take in response to this finding? ✔ -complete the intermittent suction of nasopharynx *suctioning can be continued if the client’s oxygen saturation remains above 90% or does notdecrease 5% from the initial baseline

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