Hesi Pn Fundamentals Real Exam Updated Questions And Accurate Solutions With Rationale 2024 -2025 Complete Document

Page 1 of 45 :ES= PN FUNDAMENTALS REAL EXAM UPDATED QUEST=ONS AND ACCURATE SOLUT=ONS W=T: RAT=ONALE 2024 -2025 COMPLETE DOCUMENT FOR STUDY =N EXAM PREPARAT=ON LATEST VERS=ON VER=F=ED 100 % & GRADED A+ When turning an immobile bedridden client without assistance, which action by the nurse best ensures client safety? A. Securely grasp the client's arm and leg. B. Put bed rails up on the side of bed opposite from the nurse. C. Correctly position and use a turn sheet. D. Lower the head of the client's bed slowly. B Rationale: Because the nurse can only stand on one side of the bed, bed rails should be up on the opposite side to ensure that the client does not fall out of bed. Option A can cause client injury to the skin or joint. Options C and D are useful techniques while turning a client but have less priority in terms of safety than use of the bed rails. A client's blood pressure reading is 156/94 mm :g. Which action should the nurse take first? A. Tell the client that the blood pressure is high and that the reading needs to be verified by another nurse.Page 2 of 45 B.