HESI Leadership | Nurselytic

Questions 49

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Question 1 of 5

An adult woman who had gastric bypass surgery two weeks ago is admitted because she is exhibiting signs of anastomosis leakage. Her vital signs are: temperature 100°F (37.8°C), blood pressure 98/50 mm Hg, heart rate 135 beats/minute, and respiratory rate 24 breaths/minute. Which intervention is most important for the nurse to include in this client's plan of care?

Correct Answer: A

Rationale: IV fluid replacement addresses hypovolemia and prevents shock, critical given the client's vital signs. Recording drainage, assessing skin, and turning are important but secondary to stabilizing fluid status.

Question 2 of 5

Correct Answer:

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Question 3 of 5

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Question 4 of 5

Correct Answer:

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Question 5 of 5

Correct Answer:

Rationale:

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