HESI 101HESI Exit V2 (Nurse Hero Review)

1. The LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery. The nurse plans to do which to enable the client to best tolerate the ambulation? 1. Provide the client with a walker. 2. Remove the telemetry equipment. 3. Encourage the client to cough and deep breathe. 4. Premedicate the client with an analgesic before ambulating. 2. A client is wearing a continuous cardiac monitor, which begins to alarm at the nurse's station. The nurse sees no electrocardiographic complexes on the screen. The nurse should do which first? a. Call a code blue. b. Call the health care provider. c. Check the client status and lead placement. d. Press the recorder button on the ECG console. 3. 3) The LPN/LVN in a medical unit is caring for a client with heart failure. The client suddenly develops extreme dyspnea, tachycardia, and lung crackles, and the nurse suspects pulmonary edema. The nurse immediately notifies the registered nurse and expects which interventions to be prescribed? Select all that apply. a. Administering oxygen b. Inserting a Foley catheter c. Administering furosemide (Lasix) d. Administering morphine sulfate intravenously e. Transporting the client to the coronary care unit f. Placing the client in a low-Fowler's side-lying position 4. The nurse is monitoring a client following cardioversion. Which observations should be of highest priority to the nurse? a. Blood pressure b. Status of airway c. Oxygen flow rate d. Level of consciousness 5. The nurse is assisting in caring for the client immediately after insertion of a permanent demand pacemaker via the rightFINAL “EXIT” HESI! Last day of Concorde LVN School – 04/16/2021 pg. 2 subclavian vein. The nurse prevents dislodgement of the pacing catheter by implementing which intervention? a. Limiting movement and abduction of the left arm b. Limiting movement and abduction of the right arm c. Assisting the client to get out of bed and ambulate with a walker 4. Having the physical therapist do active range of motion to the right arm