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Practice Question

Which assessment should the home health nurse include during a routine home visit for a client who was discharged home with a suprapubic catheter?

Answer Choices:

Correct Answer:

Observe insertion site.

Rationale:

🔹 A suprapubic catheter is inserted directly into the bladder via the lower abdomen and is prone to infection or skin breakdown at the insertion site.

🔹 Regular visual inspection helps identify early signs of infection, such as redness, swelling, drainage, or bleeding.

🔹 Nurses must assess for leakage, dislodgement, or granulation tissue, which may compromise catheter function or cause discomfort.

🔹 Observation ensures that the catheter is well-secured and unobstructed, which is essential for consistent urine output.

🔹 This site check is critical in home health where early complications can be caught before they become emergencies.

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This question is from RN HESI Exit~2024 Exam 3 which contains 113 questions.

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A client who is hypotensive is receiving dopamine, an adrenergic agonist, IV at the rate of 8 mcg/kg/min. Which intervention should the nurse implement while administering this medication?

Answer Choices:

A. Assess pupillary response to light hourly
B. Initiate seizure precautions.
C. Measure urinary output every hour
D. Monitor serum potassium frequently
A male client reports to the on-call clinic nurse that he took two tablets of 10 mg lisinopril by mouth two hours ago and his skin now feels flushed. He reports a history of stable angina, but denies experiencing any chest pain at the moment or recently .Which action should the nurse take?

Answer Choices:

A. Instruct the client to increase his intake of oral fluids until the skin flushing is relieved.
B. Advise the client to place one nitroglycerin tablet under his tongue as a precaution.
C. Tell the client to have someone bring him to an emergency department immediately.
D. Reassure the client that facial flushing is a common side effect of the medication.
A client is being urgently transported to radiology for a Computerized Tomography (CT scan) after a sudden decrease in level of consciousness. The client is orally intubated and has a left lateral chest tube to 20 cm suction. Which action is most important for the nurse to take?

Answer Choices:

A. Secure chest tube to the stretcher for transport.
B. Administer PRN pain medication prior to transport.
C. Mark the amount of chest drainage on the container.
D. Keep chest tube container below the site of insertion.
From Exam
RN HESI Exit~2024 Exam 3

113 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: HESI-Exit Exam(s)
  • Domain: HESI Exit Exam(s)~2024
  • Answer Choices: 4
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