*NURSING > EXAM REVIEW > HESI EXIT RN EXAM V1-V7 2021 Test Bank, HESI EXIT RN EXAM V1-V7 (All)
135. A resident of a long-term care facility, who has moderate dementia, is having difficulty eating in the dining room. The client becomes frustrated when dropping utensils on the floor and then refu... ses to eat. What action should the nurse implement? • Encourage the client to eat finger foods. 136. While in the medical records department, the nurse observes several old medical records with names visible in waste container. What action should the nurse implement? • Contact the medical records department supervisor. 137. A 16-year-old adolescent with meningococcal meningitis is receiving a continuous IV infusion of penicillin G, which is prescribed as 20 million units in a total volume of 2 liters of normal saline every 24 hr. The pharmacy delivers 10 million units/ liters of normal saline. How many ml/hr should the nurse program the infusion pump? (Enter numeric value only. If rounding is required, round to the nearest whole number.) • Answer 83 • Rationale: 1000 ml 12hr. • Xml 1hr. • 1000/12 = 83.33 = 83. 138. While visiting a female client who has heart failure (HF) and osteoarthritis, the home health nurse determines that the client is having more difficulty getting in and out of the bed than she did previously. Which action should the nurse implement first? • Submit a referral for an evaluation by a physical therapist. 139. A client has an intravenous fluid infusing in the right forearm. To determine the client’s distal pulse rate most accurately, which action should the nurse implement? • Palpate ...............................continued [Show More]
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