RN Medical Surgical HESI | Nurselytic

Questions 42

HESI RN

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RN Medical Surgical HESI Questions

Extract:


Question 1 of 5

The client is in respiratory distress with an oxygen saturation of 78% on a non-rebreather oxygen mask. His abdomen is distended and tense. His skin is pale with capillary refill of 7 seconds. His pulses are faint. Electrocardiogram reveals heart rate of 88 beats/minute, normal sinus rhythm. Lung sounds are clear and equal bilaterally. The client's temperature is 97 °F (36.1 °C). Drag from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

Correct Answer: C

Rationale: Abdominal compartment syndrome is indicated by distended abdomen and respiratory distress. Paracentesis and fluid boluses address pressure and perfusion. Monitor oxygen saturation and urine output to assess progress.

Question 2 of 5

Correct Answer:

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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