HESI

Which nursing interventions require a nurse to wear gloves? Select all that apply.

Cleaning a newborn immediately after delivery Emptying a portable wound drainage system NOT giving a back rub

Which nursing intervention is performed for a middle-aged adult in restorative and continuing care?

Determining the coping mechanisms of the client and the family

The nurse is assessing a client with an illness. Which questions asked by the nurse indicates that he or she is gathering a client's physical and developmental health history? Select all that apply.

Do you have any marital problem? Are you able to complete your activities of daily living?

The registered nurse is teaching the nursing student about the realms of family life. Which component does the registered nurse include while teaching about integrity processes?

Family ritual

A nurse is caring for a postoperative client who had general anesthesia during surgery. What independent nursing intervention may prevent an accumulation of secretions?

Frequent changes of position

What could be the reason for cataracts in a 36-year-old client? Select all that apply.

Prolonged exposure to heat Prolonged exposure to metal powders

A weak, dyspneic, terminally ill client is visited frequently by the spouse and teenage children. What should the client's plan of care include?

Teach family members how to assist with the client's basic care.

Which action of the nurse would be inappropriate in the context of critical thinking skills for making clinical decisions in nursing practice?

The nurse should rely on his or her knowledge and experience when planning and implementing a client care plan.

Which principles are appropriate for promoting older adult learning? Select all that apply.

Use past experiences while teaching Keep the environmental distractions to a minimum Use audio, visual, and tactile cues to enhance learning

family as a system

When the nurse is caring for a dying client and providing nursing care for all the family members

The surgeon placed two chest tubes and attached the tubes to a closed-chest drainage system in a client who underwent chest surgery. Mark the area the nurse should palpate to identify the hemothorax.

at the lower drainage site

Which is an indirect nursing care intervention?

managing client environment

family as a context

when providing nursing care for only ONE MEMBER of the family, such as a client with tonsillitis

family as a client

when teaching young parents about caring for their toddle