HESI RN MEDICAL SURGICAL EXAM Questions Answers & Rationales
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HESI RN MEDICAL SURGICAL EXAM Questions Answers & Rationales The nurse assesses a postoperative client whose skin is cool, pale, and moist. The client is very restless and has scant urine output. O... xygen is being administered at 2 L/min, and a saline lock is in place. Which intervention should the nurse implement first? A. Measure the urine specific gravity. B. Obtain IV fluids for infusion per protocol. C. Prepare for insertion of a central venous catheter. D. Auscultate the client's breath sounds. B The client is at risk for hypovolemic shock because of the postoperative status and is exhibiting early signs of shock. A priority intervention is the initiation of IV fluids (B) to restore tissue perfusio [Show More]
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