HESI prep
Which rate is the minimum urinary output in a postoperative client and would cause the nurse to contact the surgeon?
0.5 mL per kg per hour A client is expected to make a minimum of 0.5 mL of urine per kg per hour. When the urine output is less than 0.5 mL per kg per hour, it is cause for concern and may indicate such complications as hypovolemia, shock, or renal failure and would require reporting to the surgeon.
At which client age is an electrocardiogram performed preoperatively?
40 years Clients older than 40 are required to undergo an electrocardiogram as part of preoperative work up.
Complementary health
A complementary system believes that the mind and body make up the whole unit and approach is treatment methods based on that.
Which information regarding histrionic personality disorder is accurate?
A histrionic personality disorder is a pattern of excessive, emotional expression, accompanied by attention seeking behaviors.
In a rehabilitation care center, which team member assist the coordinator in the development and implementation of a care plan?
A rehabilitation licensed practical nurse
Before deciding to undergo elective shoulder surgery, a 30-year-old male client waits to get the opinion of his grandmother, the head of his childhood household. Which cultural or religious community might the client belong?
African American
Transfer of a client to another hospital unit
All equipment brought by the client is to be clearly labeled. This helps reduce property loss, which is quite common at the time of transfer.
Which feature belongs to a transdisciplinary rehabilitation team?
Allows for the blurring of boundaries between different disciplines. Uses cross training and flexibility to minimize the duplication of effort toward individual goal and attainment.
Which health belief system addresses the WHOLE client by viewing symptoms as the tip of the iceberg and as the body's means of communicating to the mind?
Alternative or complementary belief system
Autocratic leadership
An autocratic leader retains all authority and responsibility and stresses prompt and orderly performance of tasks.
After which age can an infant car seat be forward facing?
An infant car seat should be rear facing for the first 2 years
Animism
Animism means that all inanimate objects are given living meaning.
A client off which culture is MOST likely to interpret eye contact as hostility or aggressiveness?
Appalachian Prolonged eye contact indicates hostility or aggressiveness among some Appalachian people.
Which act put in place by the US Congress imposed new limits on home health care payments?
Balanced Budget Act (BBA)
Autocratic leadership
Best suited for emergency situations where immediate decisions are required and there is not enough time four group decisions.
Transfer of a client to another hospital unit
Both the nurse transferring and receiving the client are responsible for recording the transfer in the nursing notes.
Which religious community is against psychotherapy?
Christian Science
Which religious community seeks exemption from vaccinations?
Christian Science
Fluid (circulatory) overload
Clients with cardiac, respiratory, renal, or liver diseases and older and very young clients cannot tolerate an excessive fluid volume
What is the time period required to recertify a home care treatment plan in order for the client to continue to receive services?
Every 60 days
Which person can be a witness for a client who is planning to appoint a durable power of attorney to make decisions in the event of his legal incompetence?
Ex. His close friend from work A witness for creating advance directives, like the durable power of attorney, can be someone who is not a blood relative and to whom the client is not leaving property.
Which surgery would the nurse anticipate the surgeon would have written 'no coughing' in the postoperative instructions?
Eye surgery Eye surgeries may include postoperative instructions not to cough as this raises intraocular pressure.
Transfer of a client to another hospital unit
Families are to be informed of transfers, and this is preferred to be done before any transfer.
Which action is the most effective means to destroy viruses?
High temperatures The most effective means to destroy viruses is exposure to high temperatures for a specified amount of time.
Which type of home health agency uses fees from all sources?
Hospital A hospital-based home health agency receives fees from all sources.
Interagency transfer form vs Intraagency transfer form
If a client is transferred from one hospital to another hospital, and interagency form should be filled out. If the client is transferred from one unit of the hospital to another, the nurse should fill out and intraagency transfer form. Inter- Hospital Intra- Unit
Ómnibus Budget Reconciliation Act (OBRA)
Instituted significant Medicare/Medicaid requirements for documentation.
Which system was implemented through a congressional act that impose new limits on home health payments?
Interim payment system (IPS) New limits on home health payments were imposed through a provision of the Balanced Budget Act, called the interim payment system.
Health equity
Is achieved when every person can attain his or her health potential and no one is disadvantaged.
Which religion recommends circumcision before puberty?
Islam
Which statement is true regarding narrative charting?
It includes data about client care or problem. It is used for computerized and non-computerized nurses notes.
Which statement is true regarding the focus charting format of documentation?
It uses a modified list of nursing diagnoses The focus charting format uses a modified list of nursing diagnosis is that involve a positive concept of clients needs rather than using a problem list.
Unification Church (Moonies)
Korea founded by Sun Myung Moon, a blend of Christianity and Asian religions. Will get up at 5am on Sundays, bow before a picture of the Reverend Sun Myung Moon & Mrs. Moon 3 times, & vow to do what is needed to help the Reverend accomplish his mission on earth.
While auditing unit documents, a nurse find some omissions. Which term best describes when the nurse meets with the staff to discuss the findings and communicates ways to achieve the desired goals?
Management
Which program provides a large source of revenue for a long-term care facility?
Medicaid It is federally funded, state-operated program of medical assistance to people with low incomes.
Which nursing theorist addresses an intervention including teaching a client with diabetes to inspect the feet daily and wear well-fitting shoes to prevent the ulcers?
Orem The goal of Orem's theory is to help the client performs self-care and manage his or her health problems. Because the nurse is helping the client to self-manage the risk for foot ulcers, Orem's theory is applicable in the situation.
Which drug is available in an injectable form?
Oxytocin is available in an injectable form. Misoprostol and methylergonovine are available as oral medications. Dinoproststone is available as a topical gel for self-administration in the vagina.
Which system has substantially influence home health costs?
Prospective Payment System
Which diet prescribed for the morning of an elective major surgery would a nurse be concerned about and contact the surgeon?
Regular diet Full liquid diet They pose a risk for aspiration. Most clients are prescribed nothing by mouth (NPO) before surgery.
Which dominant value in American society on which regulatory mandates to benefit the public are based?
Self-determination: is control over one's life.
Orthodox Jewish clients
Shaving should not be done with a razor, but rather with scissors or an electric razor, because no blade is to contact the skin.
In which staff members are part of a CORE interdisciplinary hospice team?
Social worker, medical Director, nursing coordinator.
Characteristics of stage 4 wound
Stage 4 injuries extend into the muscle and supporting structures, the client is at risk for osteomyelitis. In a stage for injury bone tendon and muscle are exposed. A stage 4 wound would involve full-thickness tissue loss and often includes undermining or tunneling.
At which stage of anesthesia would the nurse expect the anesthetist to require the operating room to be quiet?
Stage II It is essential for the room to be kept quiet during stage II as noise may result in instability of vital signs.
What source support for visiting nurse association's that provide community health services?
Tax-deductible contributions A visiting nurse association that provides community health service is a voluntary health agency. Tax deductible contribution support such organizations.
Which type of prevention would the nurse provide for a client receiving cardiac rehabilitation after a coronary artery bypass graft?
Tertiary Rehabilitation programs help prevent further injury or dysfunction and are examples of tertiary prevention.
DNR order
The DNR order is included in the medical record by the physician after consultation with the client. When a DNR order is written in the chart, the nurse is required to follow the order.
Which act creates incentives for Medicare and Medicaid providers to improve staffing in long-term care facilities?
The Patient Protection and Affordable Care Act (PPACA)
Alternative are complementary belief system
The body and mind are seen as a whole unit.
The phases of mitosis in chronological order
The first stage of mitosis is prophase The second stage is metaphase The third stage is anaphase The last stage is telophase
Which statement is true regarding the problem, intervention, and evaluation (PIE) format of documentation?
The format can be written in several ways. The nurse should use the format dictated by the healthcare facilities policy. It originated from the nursing process.
Transfer of a client to another hospital unit
The healthcare provider needs to be notified and approve of any transfer.
Under which circumstance would the nurse expect the Z-track technique to be necessary?
The medication is irritating to subcutaneous tissue and skin. The Z-track method seals the puncture at the intramuscular level, preventing seepage of injected medication up the needle track and thereby avoiding injury to subcutaneous tissue and skin.
Which intervention with the nurse use in a client with paralysis after a CVA?
The nurse should administer stool, softeners and laxatives as ordered, inspect the skin for pressure, related, redness, or edema, assist the client to change position at least every two hours, and apply graduated compression stockings or sequential compression devices as ordered when caring for a client with impaired mobility secondary to paralysis. Client should not lie on one side for more than 30 minutes at a time.
Which type of insurance provider pays for limited home care services?
Third-party insurers
Which religion involves three modes of baptism?
United Church of Christ
Which religious group practices infant baptism?
United Church of Christ
What behavioral finding might lead the nurse to suspect that an older adult client is experiencing abuse?
Verbal aggression
Who governs an official home health agency?
Volunteer board representatives from the area govern an official home health agency along with a local unit of government.
What does the 'resources' aspect of the American Nurses Association (ANA) standards of professional performance describe?
When a nurse uses appropriate nursing services that are safe, effective, and financially responsible
What is the definition of health disparities?
differences in the incidence, prevalence, mortality, and burden of diseases and other adverse health conditions that exist among specific populations
The client is about to leave the hospital with an order for home health nursing. Where should the nurse document the physiologic status of the client?
•Discharge form
Which type of continuing care with a client expect when discharged home with a medication infusion device for a leg wound?
•Home care Clients who are discharged with an infusion device to continue drug therapy at home should expect home care services to teach appropriate administration of drug therapy in the clients home.
To which Quality and Safety Education for Nurses (QSEN) competency does cardiac telemetry adhere?
•Informatics Informatics is the use of advanced technology. Cardiac Telemetry is an example of the use of informatics in client care. It's a device that monitors the clients heart rate wherever the client is on the unit.
Which model of nursing care would include working 'within the walls' as well as 'beyond the walls' of the hospital?
•Nursing case-management model The nurse needs to provide care for a client in nurse-managed center, home health agencies, urgent care centers, schools, and rural settings.
A client with a terminal disease is admitted for hospice care. The nurse coordinator assigned a primary team. Which member of the hospice team evaluates the client's response to treatment and provides emotional support to the client and his caregiver?
•Primary nurse The primary nurse, a licensed nurse, would evaluate the client's response to treatment and provide emotional support to the client and his caregiver.
Which action could be performed by a rehabilitation registered nurse?
•Promote independence A rehabilitation registered nurse promotes independence of the client.
Which communication link would the nurse identify as the MOST important to connect people with their surroundings?
•Social Without some form of communication, there can be no socialization. People interact with other social beings, not with inanimate objects.