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    Hesi RN Foundation Of Nursing Proctored Exam

    Exam Mode

    1h 20m 00s
    Question: 1 of 60HESI RN Foundation of Nursing Proctored Exam
    Patient Data Exhibits Review was done of H and P, nurses' notes, and orders. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
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    Actions to Take

    Discontinue the continuous positive airway pressure (PAP) immediately
    Place a hydrocolloid dressing over the area
    Request a prescription for antibiotic ointment from the physician
    Position the client on the left side only

    Potential Conditions

    Unstageable pressure injury
    Stage 1 pressure injury
    Stage 2 pressure injury
    Stage 3 pressure injury

    Parameters to Monitor

    Nutritional intake
    Temperature
    Skin integrity
    Deep tendon reflexes

    Click or drag items into the slots above. Items can only go into their matching column.