Hesi Med Surg Exam 1

Extract:

Question 1 of 5

A nurse is caring for a patient in the post-anesthesia care unit (PACU) who underwent a procedure two hours ago. The nurse observes the following vital signs: heart rate 140 beats/minute, blood pressure 140/90 mm Hg, and respirations 26 breaths/minute. Which intervention is most important for the nurse to implement?

A. Apply oxygen at 10 L via non-rebreather mask and monitor pulse oximeter. B. Medicate for pain and monitor vital signs according to protocol. C. Encourage the client to splint the incision with a pillow to cough and deep breathe. D. Administer intravenous fluid bolus as prescribed by the healthcare provider.

Correct Answer: A

Rationale: Applying oxygen addresses potential hypoxia or respiratory distress indicated by the elevated vital signs.

Question 2 of 5

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Question 3 of 5

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Question 5 of 5

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Similar Questions

A nurse is caring for a patient in the post-anesthesia care unit (PACU) who underwent a procedure two hours ago. The nurse observes the following vital signs: heart rate 140 beats/minute, blood pressure 140/90 mm Hg, and respirations 26 breaths/minute. Which intervention is most important for the nurse to implement?

A client with a seizure disorder is seen at the clinic for a follow-up visit and a prescription renewal for phenytoin. Which assessment finding warrants immediate intervention by the nurse?

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Hesi Med Surg Exam 1 | Nurselytic

Nurselytic

HESI RN

HESI RN