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MED SURG II HESI (Elsevier) 2024/2025 already graded A+
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MED SURG II HESI (Elsevier) 2024/2025 already graded A+
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MEDSURG
II
HESI
(Elsevier)
A
client
is
admitted
for
dehydration,
and
an
intravenous
(IV)
infusion
of
normal
saline
at
125
mL/hr
has
been
started.
One
hour
after
the
IV
initiation
the
client
begins
screaming,
"I
can't
breathe!"
The
nursing
priority
action
is:
1.
Discontinue
the
IV
site
and
contact
the
primary
health
care
provider
2.
Elevate
the
head
of
the
bed
and
obtain
vital
signs
3.
Contact
the
primary
health
care
provider
to
obtain
a
prescription
for
a
sedative
4.
Assess
for
allergies
and
change
the
IV
to
an
intermittent
infusion
device
-
ANSElevate
the
head
of
the
bed
and
obtain
vital
signs
A
nurse
is
assessing
a
client
with
a
diagnosis
of
early
left
ventricular
heart
failure.
Specific
to
this
type
of
heart
failure,
the
nurse
expects
the
client
to
state:
1.
"My
ankles
are
swollen."
2.
"I
am
tired
at
the
end
of
the
day."
3.
"When
I
eat
a
large
meal,
I
feel
bloated."
4.
"I
have
trouble
breathing
when
I
walk
rapidly
-
ANS4.
"I
have
trouble
breathing
when
I
walk
rapidly
A
client
who
had
a
myocardial
infarction
asks
the
nurse,
"What's
the
chance
of
my
having
another
heart
attack
if
I
carefully
watch
my
diet
and
stress
levels?"
What
is
the
nurse's
most
appropriate
initial
response?
1.
Focus
on
the
client's
feelings
by
exploring
the
reason
why
the
question
was
asked.
2.
Explain
that
it
is
all
right
to
be
frightened
and
refer
the
client
to
the
psychiatric
nurse.
3.
Provide
information
that
the
client
is
correct
in
being
especially
careful
in
these
areas.
4.
Suggest
that
the
client
discuss
follow-up
care
with
the
health
care
provider
and
the
dietitian.
-
ANS1.
Focus
on
the
client's
feelings
by
exploring
the
reason
why
the
question
was
asked.
The
nurse
is
assessing
a
client
for
signs
of
right
ventricular
failure.
What
should
the
nurse
expect
if
this
occurs?
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