HESI LPN
Leadership and Management HESI Quizlet
1. Your 54-year-old male HIV-positive patient has just expired. How should you care for this deceased patient?
- A. Bathe the patient, but it is still necessary to use standard precautions because the patient is deceased.
- B. Place the patient in a negative pressure isolated area of the morgue.
- C. Double shroud the patient to prevent the spread of infection.
- D. Bathe the patient using the same standard precautions you used when he was alive.
Correct answer: D
Rationale: Even after a patient has expired, standard precautions should be maintained to prevent the spread of infection. Bathing the deceased patient should be done using the same standard precautions followed when the patient was alive. This includes using personal protective equipment and following proper infection control procedures. Choices A, B, and C are incorrect because standard precautions must still be adhered to even after the patient has passed away to ensure safety and prevent the transmission of infections.
2. What is a major benefit of electronic health records (EHRs)?
- A. Increased paperwork
- B. Better coordination of care
- C. Higher risk of data breaches
- D. More manual data entry
Correct answer: B
Rationale: The major benefit of electronic health records (EHRs) is better coordination of care. EHRs allow healthcare providers to access and share patient information more efficiently, leading to improved coordination and continuity of care. Choice A, increased paperwork, is incorrect as EHRs aim to reduce paperwork by digitizing and centralizing health records. Choice C, higher risk of data breaches, is incorrect as EHRs have security measures in place to protect patient data. Choice D, more manual data entry, is incorrect as EHRs aim to automate and streamline data entry processes.
3. While administering penicillin intravenously, you notice that the patient becomes hypotensive with a bounding, rapid pulse rate. What is the first action you should take?
- A. Decrease the rate of the intravenous medication flow.
- B. Increase the rate of the intravenous medication flow.
- C. Call the doctor.
- D. Stop the intravenous flow.
Correct answer: D
Rationale: The correct action to take when a patient becomes hypotensive with a bounding, rapid pulse rate after administering penicillin intravenously is to stop the intravenous flow immediately. This can help prevent further complications by discontinuing the administration of the medication that might be causing the adverse effects. Decreasing or increasing the rate of medication flow may not address the underlying issue of the patient's adverse reaction. While it's important to involve the healthcare provider in such situations, the immediate priority is to halt the administration of the medication.
4. Which of the following is something a new model for health care in the future should include?
- A. Community-centered care
- B. Care that encourages a healthy environment
- C. Accessible care that is affordable for most
- D. A focus on local health concerns
Correct answer: B
Rationale: The correct answer is B because a new model for health care in the future should focus on promoting a healthy environment. This includes initiatives such as green buildings and reducing pollution to improve overall health outcomes. Choice A, community-centered care, is important but not the primary focus when considering the future of healthcare. Choice C, accessible and affordable care, is crucial but does not directly address the need for a healthy environment. Choice D, a focus on local health concerns, is relevant but not as comprehensive as promoting a healthy environment in shaping the future of healthcare.
5. A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she has reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropriate?
- A. If you have the procedure now, you won't have to deal with pain and disability later.
- B. You'll be fine. You'll receive a prescription for pain medication.
- C. Why didn't you discuss your concerns with your provider?
- D. I understand and it's not too late to change your mind.
Correct answer: D
Rationale: The appropriate response acknowledges the client's concern and confirms that they have the right to change their mind.
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