HESI: Med Surg Evolve Quizzes 100% Correct Solved
Which assessment finding should most concern the nurse who is monitoring a client two
hours after a thoracentesis?
New onset of coughing.
Low resting heart rate.
Distended neck veins.
Decreased shallow respirations. - Correct Answer ️️ -Ne...
HESI: Med Surg Evolve Quizzes 100% Correct Solved Which assessment finding should most concern the nurse who is monitoring a client two hours after a thoracentesis? New onset of coughing. Low resting heart rate. Distended neck veins. Decreased shallow respirations. - Correct Answer ✔️✔️-New onset of cou ghing. A pneumothorax (partial or complete lung collapse) is the potential complication of a thoracentesis. Manifestations of a pneumothorax include new onset of a nagging cough, tachycardia, and an increased shallow respiration rate. Which assessment is most important for the nurse to perform on a client who is hospitalized for Guillain -Barre syndrome that is rapidly progressing? Respiratory effort. Unsteady gait. Intensity of pain. Ability to eat. - Correct Answer ✔️✔️-Respiratory effort. Guillain -Barre syndrome causes paralysis or weakness that typically starts at the feet and progresses upwards. As the condition progresses, the nurse must ensure that the client is able to breathe effectively. What is the primary nursing problem for a clie nt with asymptomatic primary syphilis? Acute pain. Risk for injury. Sexual dysfunction. Deficient knowledge - Correct Answer ✔️✔️-Deficient knowledge An asymptomatic client with primary syphilis is most likely unaware of this disease, so to prevent tran smission to others and recurrence in the client, the priority nursing diagnosis is deficient knowledge of the disease pathophysiology. A client with heart failure is prescribed digoxin 0.125 mg PO. The client's apical heart rate is70 beats per minute, bloo d pressure is 125/75 mmHg, and respirations are 18 breaths per minute. Which action should the nurse implement next? Administer the medication. Inform the healthcare provider. Review the vital sign flowsheet. Reassess the apical heart rate. - Correct Ans wer ✔️✔️-Administer the medication.
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