Samuel Merrit University Hesi Med Surg | Nurselytic

Questions 45

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Samuel Merrit University Hesi Med Surg Questions

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Question 1 of 5

The nurse observes that a client is using accessory muscles. Which vital sign should the nurse obtain first?

Correct Answer: B

Rationale: If a nurse observes that a client is using accessory muscles, it indicates an obstruction of the airways, which reduces oxygen saturation. Accessory muscles help in the act of forced expiration to wash out carbon dioxide and improve oxygen saturation.
Therefore, the nurse should obtain the respiratory rate first.

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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