HESI EXIT 2021 RETAKE QUESTION WITH 100% CORRECT ANSWERS |ALREADY GRADED A+ (SOLVED 2024)

HESI EXIT 2021 RETAKE QUESTION WITH 100% CORRECT ANSWERS |ALREADY GRADED A+ (SOLVED 2024)87 while changing a client's chest tube dressing, the nurse notes a crackling sensation when gentle pressure is applied to the skin at the insertion site. What is the best action for the nurse to take? observe the appearance of the stool measure urinary output every hour measure the area of swelling and crackling measure the clients oral temperature 1 of 87 Term 84 in early septic shock States, what is the primary cause of hypotension? evaluate swallow glucose peripheral vasodilation hemoglobin 2 of 87 EXAM Term 59 a male client is returned to the surgical unit following a left nephrectomy and is medicated with morphine sulfate IV. His dressing has a small amount of bloody drainage, and a Jackson Pratt bulb surgical drainage device in place. Which intervention is most important for the nurse to include in the clients plan of care? thiamine measure urinary output every hour evaluate swallow monitor urinary output hourly 3 of 87 Term 86 an adult client comes to the emergency department with full thickness Burns to all surfaces of both lower extremities. What percentage of body surface area should the nurse document in the EMR? 41% 36% 31% 61% 4 of 87 Term 65 a client with a traumatic brain injury becomes progressively less responsive to stimuli. The client has a do not resuscitate prescription and the nurse observes that the UAP has stopped turning the client from side to side. What action should the nurse take? advise the UAP to resume positioning the client on schedule a firm that the client should arrive slowly from the chair chest pain and dysrhythmia reassure the client that skin flushing is a common side effect of the medication 5 of 87 EXAM Term 80 the nurse is planning discharge teaching for a client who had an evacuation of gestational trophoblastic disease two days ago. Which information is most important for the nurse to include in this client teaching plan? evaluate the effectiveness of this measure to stimulate client voiding review use of personal protective equipment with the UAP oral contraceptive use for at least one year determine if the client has formulated any plans regarding the staff