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Solutions)- Fortis
The LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery. The nurse
plans to do which to enable the client to best tolerate the ambulation?
Premedicate the client with an analgesic before ambulating.
A client is wearing a continuous cardiac monitor, which begins to alarm at the nurse's station.
The nurse sees no electrocardiographic complexes on the screen. The nurse should do which
first?
Check the client status and lead placement.
,The LPN/LVN in a medical unit is caring for a client with heart failure. The client suddenly
develops extreme dyspnea, tachycardia, and lung crackles, and the nurse suspects pulmonary
edema. The nurse immediately notifies the registered nurse and expects which interventions to be
prescribed? Select all that apply.
1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide (Lasix)
The nurse is monitoring a client following cardioversion. Which observations should be of
highest priority to the nurse?
Status of airway
The nurse is assisting in caring for the client immediately after insertion of a permanent demand
pacemaker via the right subclavian vein. The nurse prevents dislodgement of the pacing catheter
by implementing which intervention?
, Fortis HESI PN Exit (Latest 2026/ 2027 Update) | Questions
& verified Answers| Grade A| 100 OUT OF 100 (Verified
Solutions)- Fortis
Limiting movement and abduction of the right arm
A client diagnosed with thrombophlebitis 1 day ago suddenly complains of chest pain and
shortness of breath, and the client is visibly anxious. The LPN/LVN understands that a life-
threatening complication of this condition is which?
Pulmonary embolism
A 24-year-old man seeks medical attention for complaints of claudication in the arch of the foot.
The nurse also notes superficial thrombophlebitis of the lower leg. The nurse should check the
client for which next?
, Smoking history
The nurse has reinforced instructions to the client with Raynaud's disease about self-management
of the disease process. The nurse determines that the client needs further teaching if the client
states which?
"Moving to a warmer climate should help."
A client with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger,
and begins coughing frothy, pink-tinged sputum. The nurse listens to breath sounds, expecting to
hear which breath sounds bilaterally?
Crackles