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HESI RN FUNDAMENTALS QUESTIONS & ANSWERS 2022

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HESI RN FUNDAMENTALS QUESTIONS & ANSWERS 2022 1. A patient needs assistance in eliminating an anesthetic gaseous medication (nitrous oxide). Which action will the nurse take? a. Encourage the patie... nt to cough and deep-breathe. b. Suction the patient’s respiratory secretions. c. Suggest voiding every 2 hours. d. Increase fluid intake. ANS: A Gaseous and volatile medications are excreted through gas exchange (lungs). Deep breathing and coughing will assist in clearing the medication more quickly. It is a gaseous medication and cannot be suctioned out of the lungs. It is not excreted through the kidneys so fluids and voiding will not help. 2. A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication. What should the nurse do? a. Have another nurse witness the wasted medication. b. Return the wasted medication to the medication dispenser. c. Place the wasted portion of the medication in the sharps container. Exit the medication room to call the health care provider to request an d. order that matches the dosages. ANS: A The nurse should follow Nurse Practice Acts and safe narcotic administration guidelines by having a nurse witness the “wasted” medication. The nurse cannot return the wasted medication to the medication dispenser. Wasted portions of medications are not placed in sharps containers. The nurse should not leave the narcotic unattended and call the health care provider to obtain matching dosages; the nurse is expected to obtain the correct dose. 3. A nurse teaches the patient about the prescribed buccal medication. Which statement by the patient indicates teaching by the nurse is successful? a. “Ishould let the medication dissolve completely.” b. “I will place the medication in the same location.” c. “I can only drink water, not juice, with this medication.” d. “I better chew my medication first for faster distribution.” ANS: A Buccal medications should be placed in the side of the cheek and allowed to dissolve completely. Buccal medications act with the patient’s saliva and mucosa. The patient should not chew or swallow the medication or take any liquids with it. The patient should rotate sides of the cheek to avoid irritating the mucosal lining. 4. What is the nurse’s priority action to protect a patient from medication error? a. Reading medication labels at least 3 times before administering b. Administering as many of the medications as possible at one time Asking anxious family members to leave the room before giving a c. medication Checking the patient’s room number against the medication d. administration record ANS: A One step to take to prevent medication errors is to read labels at least 3 times before administering the medication. The nurse should address the family’s concerns about medications before administering them. Do not discount their anxieties. The medication administration record should be checked against the patient’s hospital identification band; a room number is not an acceptable identifier. Medications should be given when scheduled, and medications with special assessment indications should be separated. Giving medications at one time can cause the patient to aspirate. 5. The nurse prepares a pain injection for a patient but had to check on another patient and asks a new nurse to give the medication. Which action by the new nurse is best? CONTINUES... [Show More]

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