NURSING SURGICAL NCLEX-PN HESI Comp B Practice Exam answered Questions New update 2022 Assured success

When caring for a client in labor, which finding is most important to report to the primary health care provider? • Maternal heart rate, 90 beats/min. • Fetal heart rate, 100 beats/min • Maternal blood pressure, 140/86 mm Hg • Maternal temperature, 100.0° FB Rationale: A fetal heart rate (FHR) of 100 beats/min may indicate fetal distress (B) because the average FHR at term is 140 beats/min and the normal range is 110 to beats/min 160. The others (A, C, and D) are normal findings for a woman in labor. The nurse is caring for a client with heart failure who develops respiratory distress and coughs up pink frothy sputum. Which action should the nurse take first? • Draw arterial blood gases. • Notify the primary health care provider. • Position in a high Fowler's position with the legs down. • O btain a chest Xray. C Ratio nale: NURSING SURGICAL NCLEX-PN HESI Comp B Practice Exam answered Questions New update 2022 Assured success NURSING SURGICAL NCLEX-PN HESI Comp B Practice Exam answered Questions New update 2022 Assured success Positioning the patient in a high Fowler's position with dangling feet will decrease further venous return to the left ventricle (C). The other actions should be performed after the change in position (A, B, and D). A client who is prescribed chlorpromazine HCl (Thorazine) for schizophrenia develops rigidity, a shuffling gait, and tremors. Which action by the nurse is most important? A.Administer a dose of benztropine mesylate (Cogentin) PRN. B.Determine if the client has increased photosensitivity. C.Provide comfort measures for sore muscles. D.Assess the client for visual andauditory hallucinations. A Rationale: Rigidity, shuffling gait, pill-rolling hand movements, tremors, dyskinesia, and masklike face are extrapyramidal side effects associated with Thorazine. It is most important for NURSING SURGICAL NCLEX-PN HESI Comp B Practice Exam answered Questions New update 2022 Assured success NURSING SURGICAL NCLEX-PN HESI Comp B Practice Exam answered Questions BEST EXAM SOLUTION New update 2022 Assured success the nurse to administer an anticholinergic such as Cogentin to reverse these effects (A). The others (B, C, D) may be appropriate interventions but are not as urgent as (A).