HESI Case Study: Advanced Cardiac Life Support (ACLS); Sepsis Exam Questions and Answers 100% Pass

HESI Case Study: Advanced Cardiac Life Support (ACLS); Sepsis Exam Questions and Answers 100% Pass 1. The nurse is aware that the older adult client is at an increased risk for surgical complications due to normal physiological functions and comorbidities. Which risk factors place the older adult client at increased risk for surgical complications? - Answer- Decreased respiratory muscle strength. 2. Upon completing the client's assessment, the nurse determines that the client has which surgical risk factors? (Select all that apply.) - Answer- Metroprolol. Poor appetite. Diabetes mellitus. Albumin 3.0g/dL (30 g/L) 3. What is the priority preoperative nursing action to prevent postoperative atelectasis? - Answer- Instruct on incentive spirometer use. 4. Which is the likely reason for the elevated serum creatinine in the absence of kidney disease? - Answer- Dehydration. 5. The nurse is caring for the client who has just been extubated. What should the nurse do first, after the client is extubated? - Answer- Administer supplemental oxygen. 6. One hour has passed since the client was extubated. Which nursing actions take priority at this time? (Select all that apply.) - Answer- Monitor respiratory rate. Assess cardiac rhythm. 7. Based on the nurse's assessment, which is the priority nursing action? - Answer- Administer morphine. 8. Based on the healthcare provider's (HCP) prescription, the pharmacy dispenses morphine 4 mg per 1 mL. How many mL should the nurse administer to the client? (Enter numerical value only. If rounding is required, round to the nearest hundredth.) - Answer- 0.25 9. Upon reviewing the remaining postoperative orders and comparing with preoperative orders, the nurse realizes that the metformin doses are different. What is the nurse's priority action? - Answer- Contact the HCP for clarification. 10. The client's spouse inquires about the client's blood sugar because she has never seen it that high, and she reports that the client isn't even eating. What is the nurse's best response? - Answer- Stress can increase blood sugars. 11. After reviewing the client's assessment data, what is the nurse's priority action? - Answer- Notify the HCP of the findings.