RN Medical Surgical HESI

Extract:

Flow sheets
1915
Arrival at emergency department
1920
Vital Signs:

- Temperature: 98.2° F (36.8° C)

- Heart rate: 92 beats/minute

- Respirations: 24 breaths/minute

- Blood pressure: 210/98 mmHg

- Oxygen saturation: 95% on room air

Imaging studies

1935

Head CT scan results:

- No evidence of intracranial hemorrhage

- No evidence of acute disease

Orders

- Obtain CT scan of the head.

- Insert a large bore peripheral IV.

- Start normal saline infusion at 50 mL/hour.

Question 1 of 5

The client continues to have stable neurologic assessments. The nurse provides interventions to promote client safety while in the hospital. Of the interventions below, explain if it promotes clients safety or not, or does both.

Options	Promotes client safety'Does not promote client safety
Place the client in a room near the elevator
Complete a swallow study before giving anything by mouth
Provide a call button kept within reach
Initiate use of the bed alarm
Place client belongings out of reach
Instruct the client to call before getting up

Correct Answer: B,C,D,F

Rationale: Swallow study, call button, bed alarm, and instructing to call promote safety by preventing aspiration, falls, and ensuring assistance. Elevator proximity and unreachable belongings do not.

Extract:

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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RN Medical Surgical HESI | Nurselytic

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HESI RN

HESI RN