Pathophysiology HESI Remediation. Questions and answers. Graded A+

Pathophysiology HESI Remediation. Questions and answers. Graded A+ The nurse is caring for a post-operative client who has a saline lock in place and very little urine in the drainage bag. The client appears anxious and restless. The nurse notes that the client's hands are cool and moist, and that the capillary refill is prolonged. Which action should the nurse perform? Offer the client a warm blanket. Assess the client's breath sounds. Administer IV fluids per protocol. Review the client's medications. - Administer IV fluids per protocol. The client is showing signs of hypovolemic shock, a potential post-operative complication. The nurse correctly treats this problem by infusing IV fluids per protocol. When performing percussion of the lungs, the nurse notes a dull sound in the left lower chest. This finding may indicate the presence of which condition? Pneumothorax. Pleural effusion. Chronic bronchitis. Emphysema. - Pleural effusion.Percussion is used to assess pulmonary resonance. A dull sound indicates the presence of solid tissue, such as the liver in the right lower chest, or an abnormal accumulation of fluid, such as an effusion. Which characteristic is typical of hypertensive crisis? Clinical evidence of flatten jugular vein. Development of a headache or blurred vision. Diastolic blood pressure less than 110 mm Hg. Elevated cardiac enzymes. - Development of a headache or blurred vision.