HESI RN 2025 EXIT EXAM WITH NGN 130 QUESTIONS AND
ANSWERS//AWITH 100% PASS RATE
When preparing to administer a prescribed medication to a homeless client at a community psychiatric
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clinic. The client tells the nurse that the usual dosage taken is different from the dose the nurse is giving.
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Which action should the nurse take?
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A) Inform the clientthat he may refuse the medication and document whether or not the client takes it.
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
B) Withholdthe medication until the dosage can be confirmed. qo qo qo qo qo qo qo qo
C) Explain to the client that the dosage has been changed. qo qo qo qo qo qo qo qo qo
D) Tell the client to take the medication then verify the dosage at the next healthcare team meeting. -
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
answer-B) Withhold the medication until the dosage can be confirmed.
qo qo qo qo qo qo qo qo qo qo
The charge nurse is making assignments for one practical nurse and three registered nurses who are caring
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
for neurologically compromised clients. Whichclient with which change in status is best to assign to the PN?
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
A) Subdural hematoma whose blood pressurechanged from 150/80to 170/60. qo qo qo qo qo qo qo qo qo
B) Viral meningitis whose temperature change from 101 S to 102F.
qo qo qo qo qo qo qo qo qo
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7. qo qo qo qo qo qo qo qo qo qo qo qo qo
D) Myxedema, whose blood pressure change from 80/50 to 70/40. - answer-B) Viral meningitis whose qo qo qo qo qo qo qo qo qo qo qo qo qo
temperature change from 101 S to 102F.
qo qo qo qo qo qo qo
The nurse is caring for a client with pneumonia who now develops initial signs of septic shock and multi organ
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
failure. The healthcare provider prescribes a sepsis protocol. Which intervention is most important for the
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
nurse to include in the plan of care?
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A) Maintain strict intake and output. qo qo qo qo
B) Keep head of bed raised 45°. qo qo qo qo qo
C) Excess warmth of extremities. qo qo qo
D) Monitor blood glucose level. - answer-A) Maintain strict intake and output. qo qo qo qo qo qo qo qo qo qo
And adolescent client is admitted to the hospital because of writing a suicide note to a teacher at school. On
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
the second day of hospitalization, the nurse asked the client to meet with the treatment team. After the
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
team meeting, the client leaves in tears and goes to their room. Which nursing intervention is best?
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
A) Let the client rest quietly in their room for a while.
qo qo qo qo qo qo qo qo qo qo
,B) Explore the clients goals and desire for treatment. qo qo qo qo qo qo qo
C) Ask the treatment team about the clients behavior.
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D) Go to the clients room and ask what happened. - answer-D) Go to the clients room andask what
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
happened.
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The healthcare provider prescribes dalteparin 200 units per kilogram subcutaneous once a day for a client
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
who weighs 154 pounds. The medication is available and 25,000 units per milliliter vial. How many milliliters
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest 10th.)
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
- answer-0.6
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NGN: The client is a 49-year-old male who reports flu like symptoms including fever and chest congestion
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
for four days. He came to the emergency department last night when he was having more difficulty
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
breathing he has a history of 1/2 pack a day cigarette smoking for 20 years. He has no significant medical or
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
surgical history.
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Which two ordersshould the nurse complete first? qo qo qo qo qo qo qo
A) Sputum culture. qo
B) Start oxygen 3 L per minute via nasal cannula. qo qo qo qo qo qo qo qo
C) Place the client on a cardio respiratory monitor. qo qo qo qo qo qo qo
D) Chest x-ray. qo
E) Acetominophen 350 mgPO every six hours for temperature control. qo qo qo qo qo qo qo qo qo
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
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G) Startperipheral IV. qo qo
H) NPO. - answer-B) Start oxygen 3 L per minute via nasal cannula. qo qo qo qo qo qo qo qo qo qo qo
C) Place the client on a cardio respiratory monitor.
qo qo qo qo qo qo qo qo
NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum culture, start a peripheral IV
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
infusion, start oxygen 3 L per minute via nasal cannula, begin 0.9% sodium chloride IV infusion at 150 mL per
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
hour, acetaminophen 350 mg PO every six hours for temperature.
qo qo qo qo qo qo qo qo qo qo
To start the client on oxygen as ordered which items should the nurse collects from the supply room? SATA
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
A) humidifier bottle. qo
B) Suction canister. qo
,C) Sterile water. qo
D) Nasal cannula. qo
E) Flow meter. qo
F) Lambs wool. qo
G) Tape. -answer-D) Nasal cannula. qo qo qo qo
E) Flow meter. qo
NGN: states, I am feeling extremely anxious right now. The client has decreased breath sounds in the left lower
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
low. His mucus membranes are dry. He has a productive cough with thick, yellow secretions. His capillary
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
refill is four seconds. Vital signs, temperature 100.2. Heart rate 101 bpm, respiratory rate 28 breaths per
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
minute, blood pressure 145/89, oxygen saturation 90% on room air.
qo qo qo qo qo qo qo qo qo qo
(for each body system click to specify the assessment findings that indicates hypoxia) Cardiovascular:
qo qo qo qo qo qo qo qo qo qo qo qo qo
heart rate 100 bpm, capillary refill for seconds, blood pressure 145/89. Neurological: anxious, awake
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qo and alert, restless.
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Respiratory: oxygen saturation 90% onroom air, respiratory rate 28 bpm, productive cough. - answer- qo qo qo qo qo qo qo qo qo qo qo qo qo qo
Cardiovascular: capillary refill for seconds, blood pressure 145/89.
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Neurological:anxious,restless. qo qo
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm. qo qo qo qo qo qo qo qo qo qo
NGN: The client is a 49-year-old male who reports flu like symptoms including fever and chest congestion
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
for four days. He came to the emergency department last night when he was having more difficulty
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
breathing he has a history of 1/2 pack a day cigarette smoking for 20 years. He has no significant medical or
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
surgical history.
qo qo
The nurse should place the client in a
qo qo qo qo qo qo qo qo position to promote qo qo qo .-answer-
o
q o
q
Semi-Fowler , lung expansion.
qo qo qo qo
NGN: Orders: 0330: place the client on a cardio respiratory monitor, NPO, sputum culture, start a PIV, start
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
oxygen 3L via nasal cannula, normal saline 150 ML per hour, acetaminophen 350mg PO every six hours for
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
temp greater than 101F, chest x-ray.
qo qo qo qo qo qo
0500: Oxygen 8Lvia simplefacemask, titrate to keep oxygen saturation greater than 94%.
qo qo qo qo qo qo qo qo qo qo qo qo
(mark whether the statements by the new grad nurse indicate understanding or no understanding of the use
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
of facemask in the care of this client)
qo qo qo qo qo qo qo qo
, -I should clean the facemask once per shift.
qo qo qo qo qo qo qo
-The client shouldtake a 1 to 2 minute break from the facemask each hour.
qo qo qo qo qo qo qo qo qo qo qo qo qo qo
-I should put gauze under the elastic straps over the ears.
qo qo qo qo qo qo qo qo qo qo
-I can adjust the oxygen level on the flow meter to keep the clients oxygen saturation greater than 94%.
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
-The mask should cover only the mouth and leave the nose open for expiration.
qo qo qo qo qo qo qo qo qo qo qo qo qo
-I should place the mask first over the nose and then cover the mouth. - answer--I should clean the facemask
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
once per shift. (UNDERSTANDING)
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-The client shouldtake a 1 to 2 minute break from the facemask each hour. (NOT UNDERSTANDING)
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
-I shouldput gauze under the elastic straps over the ears. (NOT UNDERSTANDING ????)
qo qo qo qo qo qo qo qo qo qo qo qo qo
-I can adjust the oxygen level on the flow meter to keep the clients oxygen saturation greater than 94%.
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
(UNDERSTANDING)
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-The mask should cover only the mouth and leave the nose open for expiration. (NOT UNDERSTANDING)
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
-I should place the mask first over the nose and then cover the mouth. (UNDERSTANDING)
qo qo qo qo qo qo qo qo qo qo qo qo qo qo
NGN: Nurses Notes: 0400, the client is awake and alert but restless. He states I am feeling extremely anxious
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
right now. The client has decreased breath sounds in the left lower lobe. His mucus membranes are dry. He
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
has a productive cough with thick, yellow secretions. His capillary refill is four seconds. Heart rate 101 BPM,
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oxygen saturation 90%. Blood pressure 145/89, temperature 100.2 F, respiratory rate 28 BPM.
qo qo qo qo qo qo qo qo qo qo qo qo qo
0500: Placedthe client in semi-Fowlers position. No improvement in oxygen saturation on 3L nasal cannula...
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(Which are the three mostimportant goals?) qo qo qo qo qo qo
A) The client will remain free of skin breakdown.
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B) The client will have quit smoking. qo qo qo qo qo
C) The client will be afebrile for 24 hours.
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D) The client willmaintain oxygen saturation of 96% without supplemental oxygen.
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E) The client will report pain less than 3/10. - answer-B) The client will have quit smoking.
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C) The client will be afebrile for 24 hours.
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E) The client will report pain less than 3/10.
qo qo qo qo qo qo qo qo
ANSWERS//AWITH 100% PASS RATE
When preparing to administer a prescribed medication to a homeless client at a community psychiatric
qo qo qo qo qo qo qo qo qo qo qo qo qo qo
clinic. The client tells the nurse that the usual dosage taken is different from the dose the nurse is giving.
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
Which action should the nurse take?
qo qo qo qo qo qo
A) Inform the clientthat he may refuse the medication and document whether or not the client takes it.
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
B) Withholdthe medication until the dosage can be confirmed. qo qo qo qo qo qo qo qo
C) Explain to the client that the dosage has been changed. qo qo qo qo qo qo qo qo qo
D) Tell the client to take the medication then verify the dosage at the next healthcare team meeting. -
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
answer-B) Withhold the medication until the dosage can be confirmed.
qo qo qo qo qo qo qo qo qo qo
The charge nurse is making assignments for one practical nurse and three registered nurses who are caring
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
for neurologically compromised clients. Whichclient with which change in status is best to assign to the PN?
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
A) Subdural hematoma whose blood pressurechanged from 150/80to 170/60. qo qo qo qo qo qo qo qo qo
B) Viral meningitis whose temperature change from 101 S to 102F.
qo qo qo qo qo qo qo qo qo
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7. qo qo qo qo qo qo qo qo qo qo qo qo qo
D) Myxedema, whose blood pressure change from 80/50 to 70/40. - answer-B) Viral meningitis whose qo qo qo qo qo qo qo qo qo qo qo qo qo
temperature change from 101 S to 102F.
qo qo qo qo qo qo qo
The nurse is caring for a client with pneumonia who now develops initial signs of septic shock and multi organ
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
failure. The healthcare provider prescribes a sepsis protocol. Which intervention is most important for the
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
nurse to include in the plan of care?
qo qo qo qo qo qo qo qo
A) Maintain strict intake and output. qo qo qo qo
B) Keep head of bed raised 45°. qo qo qo qo qo
C) Excess warmth of extremities. qo qo qo
D) Monitor blood glucose level. - answer-A) Maintain strict intake and output. qo qo qo qo qo qo qo qo qo qo
And adolescent client is admitted to the hospital because of writing a suicide note to a teacher at school. On
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
the second day of hospitalization, the nurse asked the client to meet with the treatment team. After the
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
team meeting, the client leaves in tears and goes to their room. Which nursing intervention is best?
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
A) Let the client rest quietly in their room for a while.
qo qo qo qo qo qo qo qo qo qo
,B) Explore the clients goals and desire for treatment. qo qo qo qo qo qo qo
C) Ask the treatment team about the clients behavior.
qo qo qo qo qo qo qo
D) Go to the clients room and ask what happened. - answer-D) Go to the clients room andask what
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
happened.
qo
The healthcare provider prescribes dalteparin 200 units per kilogram subcutaneous once a day for a client
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
who weighs 154 pounds. The medication is available and 25,000 units per milliliter vial. How many milliliters
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest 10th.)
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
- answer-0.6
qo qo
NGN: The client is a 49-year-old male who reports flu like symptoms including fever and chest congestion
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
for four days. He came to the emergency department last night when he was having more difficulty
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
breathing he has a history of 1/2 pack a day cigarette smoking for 20 years. He has no significant medical or
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
surgical history.
qo qo
Which two ordersshould the nurse complete first? qo qo qo qo qo qo qo
A) Sputum culture. qo
B) Start oxygen 3 L per minute via nasal cannula. qo qo qo qo qo qo qo qo
C) Place the client on a cardio respiratory monitor. qo qo qo qo qo qo qo
D) Chest x-ray. qo
E) Acetominophen 350 mgPO every six hours for temperature control. qo qo qo qo qo qo qo qo qo
F) Run 0.9% sodium chloride IV infusion at 150 mL per hour.
qo qo qo qo qo qo qo qo qo qo
G) Startperipheral IV. qo qo
H) NPO. - answer-B) Start oxygen 3 L per minute via nasal cannula. qo qo qo qo qo qo qo qo qo qo qo
C) Place the client on a cardio respiratory monitor.
qo qo qo qo qo qo qo qo
NGN: 0330: place the client on a cardio respiratory monitor, NPO, sputum culture, start a peripheral IV
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
infusion, start oxygen 3 L per minute via nasal cannula, begin 0.9% sodium chloride IV infusion at 150 mL per
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
hour, acetaminophen 350 mg PO every six hours for temperature.
qo qo qo qo qo qo qo qo qo qo
To start the client on oxygen as ordered which items should the nurse collects from the supply room? SATA
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
A) humidifier bottle. qo
B) Suction canister. qo
,C) Sterile water. qo
D) Nasal cannula. qo
E) Flow meter. qo
F) Lambs wool. qo
G) Tape. -answer-D) Nasal cannula. qo qo qo qo
E) Flow meter. qo
NGN: states, I am feeling extremely anxious right now. The client has decreased breath sounds in the left lower
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
low. His mucus membranes are dry. He has a productive cough with thick, yellow secretions. His capillary
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
refill is four seconds. Vital signs, temperature 100.2. Heart rate 101 bpm, respiratory rate 28 breaths per
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
minute, blood pressure 145/89, oxygen saturation 90% on room air.
qo qo qo qo qo qo qo qo qo qo
(for each body system click to specify the assessment findings that indicates hypoxia) Cardiovascular:
qo qo qo qo qo qo qo qo qo qo qo qo qo
heart rate 100 bpm, capillary refill for seconds, blood pressure 145/89. Neurological: anxious, awake
qo qo qo qo qo qo qo qo qo qo qo qo qo qo
qo and alert, restless.
qo qo
Respiratory: oxygen saturation 90% onroom air, respiratory rate 28 bpm, productive cough. - answer- qo qo qo qo qo qo qo qo qo qo qo qo qo qo
Cardiovascular: capillary refill for seconds, blood pressure 145/89.
qo qo qo qo qo qo qo qo
Neurological:anxious,restless. qo qo
Respiratory: oxygen saturation 90% on room air, respiratory rate 28 bpm. qo qo qo qo qo qo qo qo qo qo
NGN: The client is a 49-year-old male who reports flu like symptoms including fever and chest congestion
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
for four days. He came to the emergency department last night when he was having more difficulty
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
breathing he has a history of 1/2 pack a day cigarette smoking for 20 years. He has no significant medical or
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
surgical history.
qo qo
The nurse should place the client in a
qo qo qo qo qo qo qo qo position to promote qo qo qo .-answer-
o
q o
q
Semi-Fowler , lung expansion.
qo qo qo qo
NGN: Orders: 0330: place the client on a cardio respiratory monitor, NPO, sputum culture, start a PIV, start
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
oxygen 3L via nasal cannula, normal saline 150 ML per hour, acetaminophen 350mg PO every six hours for
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
temp greater than 101F, chest x-ray.
qo qo qo qo qo qo
0500: Oxygen 8Lvia simplefacemask, titrate to keep oxygen saturation greater than 94%.
qo qo qo qo qo qo qo qo qo qo qo qo
(mark whether the statements by the new grad nurse indicate understanding or no understanding of the use
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
of facemask in the care of this client)
qo qo qo qo qo qo qo qo
, -I should clean the facemask once per shift.
qo qo qo qo qo qo qo
-The client shouldtake a 1 to 2 minute break from the facemask each hour.
qo qo qo qo qo qo qo qo qo qo qo qo qo qo
-I should put gauze under the elastic straps over the ears.
qo qo qo qo qo qo qo qo qo qo
-I can adjust the oxygen level on the flow meter to keep the clients oxygen saturation greater than 94%.
qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo qo
-The mask should cover only the mouth and leave the nose open for expiration.
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-I should place the mask first over the nose and then cover the mouth. - answer--I should clean the facemask
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once per shift. (UNDERSTANDING)
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-The client shouldtake a 1 to 2 minute break from the facemask each hour. (NOT UNDERSTANDING)
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-I shouldput gauze under the elastic straps over the ears. (NOT UNDERSTANDING ????)
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-I can adjust the oxygen level on the flow meter to keep the clients oxygen saturation greater than 94%.
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(UNDERSTANDING)
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-The mask should cover only the mouth and leave the nose open for expiration. (NOT UNDERSTANDING)
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-I should place the mask first over the nose and then cover the mouth. (UNDERSTANDING)
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NGN: Nurses Notes: 0400, the client is awake and alert but restless. He states I am feeling extremely anxious
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right now. The client has decreased breath sounds in the left lower lobe. His mucus membranes are dry. He
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has a productive cough with thick, yellow secretions. His capillary refill is four seconds. Heart rate 101 BPM,
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oxygen saturation 90%. Blood pressure 145/89, temperature 100.2 F, respiratory rate 28 BPM.
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0500: Placedthe client in semi-Fowlers position. No improvement in oxygen saturation on 3L nasal cannula...
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(Which are the three mostimportant goals?) qo qo qo qo qo qo
A) The client will remain free of skin breakdown.
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B) The client will have quit smoking. qo qo qo qo qo
C) The client will be afebrile for 24 hours.
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D) The client willmaintain oxygen saturation of 96% without supplemental oxygen.
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E) The client will report pain less than 3/10. - answer-B) The client will have quit smoking.
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C) The client will be afebrile for 24 hours.
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E) The client will report pain less than 3/10.
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