HESI Exit Exam LATEST 2024 UPGRADED WITH VERIED ANSWERS
While assessing a radial artery catheter, the client complains of numbness and pain distal to the insertion site. What interventions should the nurse implement?-CORRECT ANSWER-Promptly remove the arterial catheter from the radial artery.
A client is admitted with an epidural hematoma that resulted from a skateboarding accident. To differentiate the vascular source of the intracranial bleeding, which finding should the nurse monitor?-CORRECT ANSWER-Rapid onset of decreased level of consciousness.
When preparing a client for discharge from the hospital following a cystectomy and a urinary diversion to treat bladder cancer, which instruction is most important for the nurse to include in the client's discharge teaching plan?-CORRECT ANSWER-Report any signs of cloudy urine output.
After repositioning an immobile client, the nurse observes an area of hyperemia. To assess for blanching, what action should the nurse take?-CORRECT ANSWER-Apply light pressure over the area.
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