HESI Fundies test questions and answers 100% pass

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HESI Fundies test questions and answers 100% pass Which snack food is best for the nurse to provide a client with myasthenia gravis who is at risk for altered nutritional status? ✔✔Chocolate pu ... dding *The client with myasthenia gravis is at high risk for altered nutrition because of fatigue and muscle weakness resulting in dysphagia. Snacks that are semisolid, such as pudding are easy to swallow, require minimal chewing effort, and provide calories and protein.Gelatin does not provide any nutritional value and the other options require energy to chew and are more difficult to swallow than pudding. Twenty minutes after beginning a heat application, the client states that the heating pad no longer feels warm enough. What is the best response by the nurse? ✔✔The body's receptors adapt over time as they are exposed to heat The nurse is assessing the nutritional status of several clients. Which client has the greatest nutritional need for additional intake of protein? ✔✔A lactating woman nursing her 3-year-old infant *A lactating woman has the greatest need for additional protein intake. Orthopedic injuries, type 2 diabetes, and peptic ulcers are all conditions that require protein, but do not have the increased metabolic protein demands of lactation. A male client being discharged with a prescription for the bronchodilator theophylline tells the nurse that he understands he is to take three doses of the medication each day. Since, at the time of discharge, timed-release capsules are not available, which dosing schedule should the nurse advise the client to follow? ✔✔8 a.m., 4 p.m., and midnight *Theophylline should be administered on a regular, around-the-clock schedule to provide the best bronchodilating effect and to reduce the potential for adverse effects. Food may alter absorption of the medication, so it should not be taken with meals. A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse assesses that there has been no drainage through the nasogastric tube in the last two hours. Which action should the nurse take first? ✔✔Reposition the client on her side *The nurse has identified two things suggesting the the nasogastric tube is not functioning properly; the client is nauseated and no drainage from the tube in 2 hours. The immediate priority is to determine if the tube is functioning correctly, which would then relieve the client's nausea. The least invasive intervention should be attempted first. This includes repositioning the client to her side. The tube may need to be irrigated or advanced but these actions should follow repositioning the client. A client who is 5 foot 5 inches tall and weighs 200 pounds is scheduled for surgery the next day. Which question is most important for the nurse to include during the preoperative assessment? ✔✔What vitamin and mineral supplements do you take? *In the preoperative assessment, the nurse should assess the client's use of vitamin and mineral supplements. These products may impact medications used during the operative period. The nature of the surgery and anesthesia will determine the need for a clear liquid diet, rather than the client's preference. Addressing long-term diet therapy is best done after surgery and recovery. A Sub-Saharan African widowed immigrant woman lives with her deceased husband's brother and his family, which includes the brother-in-law's children and the widow's adult children. Each family member speaks fluent English. Surgery is recommended for this client. What is the best plan to obtain consent for surgery for this client? ✔✔Tell the surgeon that the brother-in-law will decide after explanation of the proposed surgery is provided to him and the widow *Customary law in some rural sub-Saharan countries encompasses wife inheritance and polygamy; the widow becomes the inherited wife of the her husband's brother. In those rural areas women live in a patriarchal family where decisions are made by men. Most likely, the brother-in-law will make the decision for his inherited wife, so it is important to provide the surgeon with culturally sensitive information. Since all family members speak fluent English, there is no need for a translator. It is culturally insensitive to encourage the woman to go against her wishes to follow her cultural worldview. A client who is in hospice care reports increasing amounts of pain. The healthcare provider prescribes an analgesic every four hours as needed. Which action should the nurse implement? ✔✔Give an around-the-clock schedule for administration of analgesics *The most effective management of pain is achieved using an around-the-clock schedule that provides analgesic medications on a regular basis 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. Providing comfort is a priority for the client who is dying, but sedation that impairs the client's ability to interact and experience the time before life ends should be minimized. Offering a medication-free period allows the serum drug level to fall, which is not an effective method to manage chronic pain. A postoperative client will need to perform daily dressing changes after discharge. Which outcome response best demonstrates the client's readiness to manage wound care after discharge? ✔✔Demonstrating the wound care procedure correctly *A return demonstration of a procedure provides an objective assessment of a client's ability to perform a task, while client statements or questions are subjective measures.Showing that the client possesses the necessary supplies is important, but it is less of a priority prior to discharge than the nurse's assessment of the client's ability to complete the wound care. When evaluating a client's plan of care, the nurse determines that a desired outcome was not achieved. Which action should the nurse implement first? ✔✔Note which actions were not implemented *First, the nurse should review which actions in the original plan were not implemented in order to determine why the original plan did not produce the desired outcome. Appropriate revisions can then be made, which may include revising the expected outcome, or identifying a new nursing diagnosis. The nurse is assisting an 82-year-old client to ambulate. Which is the center of gravity for an elderly person? ✔✔Upper torso *The center of gravity for adults is the hips. However, as the person grows older, a stooped posture is common because of the changes from osteoporosis and normal bone degeneration, and the knees, hips, and elbows flex. This stooped posture results in the upper torso becoming the center of gravity for older persons. Although arms are part, or an extension of the upper torso, this is not the best and most complete answer. An older client had a hemiarthroplasty of the left hip yesterday due to a fracture resulting from a fall. In reviewing hip precautions with the client, which instruction should the nurse include in this client's teaching plan? ✔✔Place a pillow between your knees while lying in bed to prevent hip dislocation *The client's affected hip joint following a hemiarthroplasty (partial hip replacement) is at risk of dislocation for 6 months to a [Show More]

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