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Fundamentals HESI ?s

Fundamentals Hesi

QuestionAnswer
The nurse is caring for Jenny who was placed in restraints due to confusion. The family removes the restraints while they are with Jenny. When the family leaves, what action should the nurse take first? Reassess the client to determine the need for continuing restraints.
Carl has a right-sided hemiplegia following a left-cerebrovascular accident (CVA). His sitting balance has improved and he is now able to sit in a wheelchair, what action should the nurse take? Place the wheelchair on the client's left side.
ABCSD Airway Breathing Circulation Safety Discomfort (pain)
When assessing John with wrist restraints, the nurse observes that the fingers on the right hand are blue. What action should the LPN supplement first? Loosens the right wrist restraint.
ADPIE Assess Diagnose Planning Implemation Evaluation
Dysuria Painful (Difficulty) urinating
Nocturia voiding frequently at night
Ranges for labs Normal WBC count Normal creatinine -adult Normal hemoglobin Normal sodium levels-adult Potassium Magnesium Calcium - 4,000-10,000 - 0.70-1.3 mg/dL - Male: 14-18 Female 12-16 - 135 - 145 - 3.5 - 5.0 mEq/L - 1.5- 2mEq/L - 8-10 mg/dL
John who has been taking diuretics for premenstrual swelling reports muscle weakness. Which serum electrolyte value should the nurse report to the healthcare provider? Potassium 3.1 - mEq/L (3.1 mmil/L)
How to collect a 24 hour urine sample?
When do you wear a normal face mask vs respirator mask?
How do you remove PPE (personal protective equipment?
What are the different types of isolation precautions?
What are the various types of dressings and what are they used for?
What are the various of BMI categories?
What is hospice care?
Created by: Brandi Sizemore
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