HESI RN FUNDAMENTALS FORM A
A female client with frequent urinary tract infections
(UTIs) asks the nurse to explainher friend's advice
about drinking a glass of juice daily to prevent future
UTIs. Whichresponse is best for the nurse to provide?
A. Orange juice has vitamin C that deters bacterial
growth.
B. Apple juice is the most useful in acidifying the urine.
C.Cranberry juice stops pathogens' adherence to the
bladder.
D. Grapefruit juice increases absorption of most
antibiotics. - ...ANSWER...Cranberry juice stops
pathogens' adherence to the bladder.
The health care provider has changed a client's
prescription from the PO to the IV route of
administration. The nurse should anticipate which
change in the pharmacokinetic properties of the
medication?
A. The client will experience increased tolerance to the
drug's effects and may needa higher dose.
B. The onset of action of the drug will occur more
rapidly, resulting in a more rapid effect.
C. The medication will be more highly protein-bound,
increasing the duration of action.
D. The therapeutic index will be increased, placing the
client at greater risk for toxicity. - ...ANSWER...The
onset of action of the drug will occur more rapidly,
resulting in a more rapid effect.
A hospitalized client has had difficulty falling asleep for
two nights and is becoming irritable and restless.
Which action by the nurse is best?
A. Determine the client's usual bedtime routine and
include these rituals in the plan of care as safety
allows.
B. Instruct the UAP not to wake the client under any
circumstances during the night.
C. Place a "Do Not Disturb" sign on the door and change
assessments from every 4to every 8 hours.
D. Encourage the client to avoid pain medication during
the day, which might increase daytime napping. -
...ANSWER...Determine the client's usual bedtime
routine and include these rituals in the plan of care as
safety allows.
In assisting an older adult client prepare to take a tub
bath, which nursing action is most important?
A. Check the bath water temperature.
B.Shut the bathroom door.
C. Ensure that the client has voided.
D. Provide extra towels. - ...ANSWER...Check the bath
water temperature.
In completing a client's preoperative routine, the nurse
finds that the operative permitis not signed. The client
begins to ask more questions about the surgical
procedure. Which action should the nurse take next?
A.Witness the client's signature to the permit.
B.Answer the client's questions about the surgery.
C.Inform the surgeon that the operative permit is not
signed and the client has questions about the surgery.
D.Reassure the client that the surgeon will answer any
questions before the anesthesia is administered. -
...ANSWER...Inform the surgeon that the operative
permit is not signed and the client has questions about
the surgery.
In taking a client's history, the nurse asks about the
stool characteristics. Which description should the
nurse report to the health care provider as soon as
possible?
A.Daily black, sticky stool
B.Daily dark brown stool
C.Firm brown stool every other day
D.Soft light brown stool twice a day - ...ANSWER...Daily
black, sticky stool
A male client is laughing at a television program with
his wife when the evening nurse enters the room. He
says his foot is hurting and he would like a pain pill.
How should the nurse respond?
A.Ask him to rate his pain on a scale of 1 to 10.
B.Encourage him to wait until bedtime so the pill can
help him sleep.
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