HESI week 4

Which meal option should the client diagnosed with gout select?

2. Vegetable soup, whole wheat toast, skim milk

A nurse working in a clinic is planning to assess a client for any sensory deficits. What assessments should the nurse include?

1. Ask the client about any recent changes in vision. 2. Observe the client's conversation with others. 3. Assess two-point discrimination. 4. Perform the Rinne test.

What foods should the nurse teach a client who has been diagnosed with iron deficiency anemia to increase in the diet?

1. Chickpeas 3. Oysters 4. Raisins 5. Spinach 6. Tuna

The charge nurse is assigning an unlicensed assistive personnel (UAP) to take vital signs on a group of adult clients. The charge nurse would instruct the UAP that a rectal temperature is contraindicated for which client?

1. Client with thrombocytopenia.

The community health nurse is planning to teach nutritional education to a group of adults attending a health fair. What tips about health eating should the nurse include?

1. Pay attention to fullness cues during meals. 6. Use a smaller plate for meals.

The telemetry unit nurse is assessing a newly admitted client following a fall at home. The client has been diagnosed with a left sided cerebrovascular accident (CVA), including aphasia, and a sprained wrist. What is the most effective method the nurse could use to assess the client's pain?

2. Observe client's non verbal behaviors.

A nurse is feeding a client diagnosed with a stroke who is exhibiting dysphagia. Which action by the nurse would be appropriate?

3. Monitor for frequent throat clearing after eating.

Dietary teaching has been initiated for a client newly diagnosed with acute diverticulitis. The nurse knows that further instruction is necessary when the client makes what statement?

4. "Decreasing fiber in my diet can help prevent recurrences."

The nurse checks the results of a urinalysis performed on a client with dehydration. Which results should the nurse expect to find?

4. Increased specific gravity

The nurse is repositioning a client who is in the supine position to the right lateral position. Which nursing intervention would be implemented to position the client in the right lateral position?

4. The left shoulder should be positioned forward.

The charge nurse is evaluating a newly hired LPN/VN graduate. Before assigning a client to be prepped for a colonoscopy, the nurse asks the LPN/VN to verbalize the correct steps for completing an enema. In what order should the LPN/VN verbalize the steps for an enema?

Explain procedure to the client. Assist client to a side lying position. Add warm water to the enema bag. Raise enema bag 18" to 20". Insert lubricated tip into rectum