A male client with stomach cancer returns to the unit following a total gastrectomy. He has
a nasogastric tube to suction and is receiving Lactated Ringer's solution at 75 mL/hour IV. One
hour after admission to the unit, the nurse notes 300 mL of blood in the suction canister, the
client's h...
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HESI EXIT RN EXAM /RN HESI EXIT EXAM
LATEST EXAM CONTAINS 100
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
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1. A male client with stomach cancer returns to the unit following a total gastrectomy. He has
a nasogastric tube to suction and is receiving Lactated Ringer's solution at 75 mL/hour IV. One
hour after admission to the unit, the nurse notes 300 mL of blood in the suction canister, the
client's heart rate is 155 beats/minute, and his blood pressure is 78/48 mmHg. In addition to
reporting the finding to the surgeon. Which action should the nurse implement first?
✓ d. Increase the infusion rate of Lactated Ringer's solution.
2. an adult male who fell 20 feet from the roof of this home has multiple injuries, including a
right pneumothorax. Chest tubes were inserted in the emergency department prior to his
transfer to the intensive care unit (ICU). the nurse notes that the suction control chamber is
bubbling at the
- 10 cm H2O mark, with fluctuation in the water seal, and over the past hour 75 ml of bright
red blood is measured in the collection chamber. Which intervention should the nurse
implement?
✓ a. Add sterile water to the suction control chamber.
3. A client who received hemodialysis yesterday is experiencing a blood pressure of
200/100 mmHg, heart rate 110 beats/minute, and respiratory rate 36 breaths/minute. The
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