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HESI RN Med Surg 3 Questions

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Question 1 of 5

An adult who fell 20 feet (6 meters) from a tree is admitted to the intermediate intensive care unit with a fractured femur. When the cardiac monitor alarms, the nurse finds the client has no palpable carotid pulse and no spontaneous respiration, however, the cardiac monitor displays a sinus rhythm. Which intervention should the nurse implement?

Correct Answer: B

Rationale: No pulse and respirations with a sinus rhythm indicate pulseless electrical activity (PE
A). Immediate chest compressions are essential to maintain perfusion.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

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Question 4 of 5

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Question 5 of 5

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Rationale:

Similar Questions

Based on the ABG values, the nurse knows that the client has [condition] related to [cause].
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A client is admitted to the intensive care unit (ICU) with sepsis and acute respiratory distress syndrome (ARDS). The client is orally intubated and mechanically ventilated. Which intervention is most important for the nurse to include in the client's plan of care (POC)?
A client has a chest tube connected to a closed water-seal drainage system with suction. Which equipment should the nurse always have available at the client's bedside?
A client diagnosed with pancreatitis reports severe epigastric pain. After administering a narcotic analgesic, the client insists on sitting up and leaning forward. Which action should the nurse implement?

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