Adaptive Learning Powered by prepU HCC2 HESI REM SAFE EFF CARE PART 2

A client tells the nurse that "the hospital food is horrible." What should the nurse tell the client?

"Would you like to speak with the dietitian about the food and meal selection?"

A nurse is caring for a client who has had a massive stroke. The family communicates concern about the actions of the nurse on the previous shift. The family reports that the nurse didn't administer medications properly or maintain client privacy. When responding to complaints about a colleague, the nurse should say:

"I'd be happy to get the charge nurse to see what we can do for the client."

A nurse is performing discharge teaching for an elderly client diagnosed with osteoporosis. Which statement about home safety should the nurse include?

"Most falls among the elderly occur in the home. These clients should remove throw rugs and install bathroom grab bars."

A home care nurse shares with a client that there is much financial difficulty and the nurse has to work two jobs. The client gives the nurse an envelope with a significant amount of money in it, stating, "It's a tip for the good care you give me." Which of the following would be the appropriate response from the nurse?

"Thank you, but I cannot accept this generous gift."

A client on a surgical unit provided consent for a liver biopsy. The nurse is in the process of taking the client to the operating room when the client states, "I've changed my mind." Which of the following responses by the nurse is accurate?

"You have the right to withdraw consent. Would you like to discuss this further?"

Upon reporting to work and receiving report, a nurse has been assigned to provide care for three clients. Each of the clients has called out to the nurses' station requesting assistance. Which client should the nurse see first?

A 32-year-old male, who had a plaster cast applied to his leg 2 hours ago, who complains that the cast feels as if it's getting tighter

Which client would require one-on-one contact with a staff member?

A client with borderline personality disorder who has acted on suicidal ideation, and has cut herself

A client on the palliative unit discusses treatment with the nurse. The client wants to refuse further chemotherapy and request pain management strategies only. What is the most appropriate action by the nurse in relation to the client's requests?

Acknowledge the client's right to make the choices regarding treatment.

A nurse had just received report from another nurse about a new client. The client is being admitted to the hospital with sickle-cell exacerbation. Which ethnicity is associated with sickle-cell anemia?

African Americans

A registered nurse (RN) on an acute medicine unit has learned that practical nurses and unlicensed nursing assistants will be added to the unit's skills mix for the first time. What is the RN's priority response to this coming change?

Become familiar with the scope of practice of practical nurses and unlicensed nursing assistants.

A nurse is reviewing a client's medical record and notes that the primary care provider has ordered a medication for the client. The nurse notes that the dosage ordered is outside the usual dosage range for that drug. Which action by the nurse would be most appropriate?

Call the provider to clarify the written medication order.

Which task may be delegated to a nursing assistant (unregulated care provider) in an acute care mental health setting?

Checking for sharp objects

What information must be provided to the client before informed consent is given?

Facts, consequences, and implications of the scheduled procedure

Parents of a 4-year-old with sickle cell anemia tell the nurse that they would like to have other children, but they're concerned about passing sickle cell anemia on to them. Which health care team member would be the most appropriate person for the nurse to refer them to?

Genetic counselor

A client asks the nurse about antibiotic resistance and how it occurs. What is the nurse's best response?

Overuse and misuse of antibiotics can promote the development of antibiotic-resistant bacteria.

The nurse is caring for a client with Clostridium difficile infection. Upon entering the room, which of the following steps should the nurse take?

Put on an isolation gown and gloves.

The nurse notes that which statement concerning informed consent is true?

The client must be fully informed regarding treatment, tests, alternative treatments, and the risks and benefits of each.

A school-aged child is injured while playing on the playground, and the legal caregiver is notified. The legal caregiver is the grandmother, but the biological mother visits the child. What information can the nurse give to the grandmother?

The grandmother can get all information as she is the caregiver.

A physician's order for a client states the administration of a medication "b.i.d." How many times should the nurse administer the medication to the client?

Twice a day.

When documenting information in a client's medical record, the nurse should:

end each entry with her signature and title.

A nurse is planning care for a 25-year-old female client who has just been diagnosed with human immunodeficiency virus (HIV) infection. The client asks the nurse, "How could this have happened?" The nurse responds to the question based on the most frequent mode of HIV transmission, which is:

having sexual intercourse with an HIV-positive person without using a condom.

A nurse is caring for an 8-year-old girl with multiple chronic urinary tract infections. The child's parents appear protective, never leaving their daughter's side. While the nurse helps the child's mother provide morning care, the child states, "My uncle doesn't clean me that way." Her mother becomes visibly upset and gives the girl a stern warning not to discuss the matter. She states, "Don't tell anyone about that again." The nurse has a legal responsibility to:

notify the nursing supervisor and the authorities of the possibility of abuse.

An 18-year-old pregnant woman tells the nurse that she is concerned that she may not be able to take care of herself during her pregnancy. She states that she is not sure what prenatal care is available, or if she should access it. The nurse should recognize that the client:

should be referred to community resources available for pregnant women.

A client tells the nurse that she doesn't have funds to buy diapers and formula. The nurse should refer this client to a:

social worker.

When a client reports being allergic to amoxicillin even though the medication administration record and armband do not indicate medication allergies, the nurse should:

withhold the amoxicillin.