HESI RN Med Surg Exam

Extract:

Question 1 of 5

The nurse is caring for a client who is overweight and easily becomes diaphoretic. In response to this finding, which assessment(s) should the nurse include while assisting the client with personal care? Select all that apply.

A. Check skin for unusual bruising. B. Palpate mucus membranes for cracks. C. Monitor color of nailbeds. D. Assess skin folds of perineal area. E. Observe skin under the breasts.

Correct Answer: D,E

Rationale: Moisture from diaphoresis in skin folds (perineal area and under breasts) increases the risk of irritation and infection, requiring careful assessment.

Question 2 of 5

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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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Similar Questions

The nurse attaches a pulse oximeter to a client's finger and obtains an oxygen saturation reading of 91%. Which assessment finding most likely contributes to this reading?

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Two clients ring their call lights simultaneously requesting pain medication. Which action should the nurse implement first?

The nurse is caring for a client who is overweight and easily becomes diaphoretic. In response to this finding, which assessment(s) should the nurse include while assisting the client with personal care? Select all that apply.

The electronic medication system alerts the nurse that the medication dose scanned for the client is two times higher than the dose prescribed. Which action should the nurse implement?

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