HESI RN FUNDAMENTALS EXAM QUESTIONS WITHANSWERS AND RATIONALES 2023 UPDATED COMPLETE A+GUIDE.HESIRNFUNDAMENTALS•A20-year-old femaleclient withanoticeable bodyodorhasrefusedtoshowerforthelast 3 days. She states, "I have been told that it is harmful to bathe during myperiod."Whichaction should thenursetakefirst?•Acceptanddocumenttheclient's wishtorefrainfrombathing.•Offertogivetheclientabedbath,avoidingtheperinealarea.•Obtainwrittenbrochuresaboutmenstruationtogivetotheclient.•Teachtheimportanceofpersonalhygieneduringmenstruationwiththeclient.:DRationale: Because a shower is most beneficial for the client in terms of hygiene, the clientshould receive teaching first, respecting any personal beliefs such as cultural or spiritualvalues.Afterclientteaching,theclient maystillchooseoptionAorB.Brochuresreinforcetheteaching.•A65-year-old clientwhoattendsanadultdaycareprogramandiswheelchair-mobilehas redness in the sacral area. Which instruction is most important for thenurse toprovide?•Takeavitaminsupplementtablet onceaday.•Changepositionsinthechairatleast every hour.•Increasedailyintakeofwater orotheroralfluids.•Purchaseanewermodelwheelchair.:BRationale: The most important teaching is to change positions frequently because pressure is themostsignificant factorrelated tothedevelopment ofpressureulcers.Increasedvitaminandfluidintake may also be beneficial and promote healing and reduce further risk. Option D is aninterventionoflastresortbecausethiswillbevery expensivefortheclient.Preview Mode
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