Test bank for Hesi exit med surg (exit) exam 2022 |verified questions&answers with rationales guide |A+ graded

A client who recently underwear a tracheostomy is being prepared for discharge to home. Which instructions is most important for the nurse to include in the discharge plan? (ANS- Teach tracheal suctioning techniques In assessing an adult client with a partial rebreathe mask, the nurse notes that the oxygen reservoir bag does not deflate completely during inspiration and the client's respiratory rate is 14 breaths / minute. What action should the nurse implement? (ANS- Document the assessment data Rationale: reservoir bag should not deflate completely during inspiration and the client's respiratory rate is within normal limits. During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client alarm should the nurse investigate firs? (ANS- Respiratory apnea of 30 seconds During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action should the nurse take first? (ANS- Check the client for lacerations or fractures