HESI RN Medical Surgical Exam I | Nurselytic

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HESI RN Medical Surgical Exam I Questions

Extract:

History and Physical
Nurses' Notes
Orders
A 34-year-old male client presents to the emergency department (ED) for an asthma attack that began after jogging through a local park. The client is able to answer questions every few words to catch his breath. He reports using his rescue inhaler three times, but he couldn't catch his breath. He reports that his symptoms are worse when outdoors and when exercising, and episodes like this make him extremely nervous. He says that it has been a couple of months since his last asthma attack, and he came to the ED today because he noticed his inhaler was expired and was worried the medication was not working.


Question 1 of 5

The nurse has implemented additional needed actions. Indicate the assessment data which indicate the interventions were successful and which assessment data provide no indication that the interventions were successful.

OptionsNo indication that the interventions were successfulIndicated the interventions were successful
The client can now speak in full sentences without pausing.
Respirations at 16 breaths per minute
Blood pressure at 122/84 mmHg
The client reporting, 'It's a lot easier to breathe now.'
Heart rate at 105 beats per minute
Lung sounds being clear

Correct Answer: A,B,D,F

Rationale: Speaking in sentences (
A), normal respirations (
B), client report (
D), and clear lungs (F) indicate success; blood pressure (
C) and heart rate (E) do not.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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