NUR 601 HESI Fundamentals QUESTIONS AND ANSWERS COMPLETE A AND CHAMBERLAIN UNIVERSITY

NUR 601 (HESI Fundamentals) QUESTIONS AND ANSWERS COMPLETE A AND
CHAMBERLAIN UNIVERSITY
lOMoAR cPSD 22891787
1. The nurse receives a report that a client with an indwelling urinary catheter has an output of
150 mL, for the previous 6 hour shift. Which intervention should the nurse implement first?
a. Check the drainage tubing for a kink
b. Review the intake and output record.
c. Notify the healthcare provider
d. Give the client 8 oz of water to drink
The minimum amount of output a patient should have for one hour is 30mL. In 6 hours, it should
at least be 180mL. Since it is under, the first thing to do is check the equipment, in this case the
foley tubing! Kinks can prevent adequate output to be in the bag. (B) doesn’t help the situation.
(C) not necessary unless the tubing is not kinked, the patient has sufficient PO intake, and there
are no issues with the foley. (D) giving water would be the last step if the patient is not fluid
overloaded.
2. The nurse is conducting an initial admission assessment for a woman who is MexicanAmerican and who is scheduled to deliver a baby by C-section in the next 24 hours. What should
the nurse include in the assessment?
a. Provider an interpreter to convey the meaning of words and messages in translation
b. Commend the client for her patience after a long wait in the admission process
c. Arrange for the hospital chaplain to visit the client during her hospital stay
d. Rely on cultural norms as the basis for providing nursing care for this client