Hesi RN Fundamentals Proctored Exam 1
Tutor Mode
0m 00s
Hesi RN Fundamentals Proctored Exam 1
Tutor Mode
0m 00s
Question: 1 of 55HESI RN Fundamentals Proctored Exam 1
A nurse is caring for a client in the intensive care unit. Exhibits Complete the diagram by specifying 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.
Drop here
Drop here
Drop here
Drop here
Drop here
Actions to Take
Administer diuretics as prescribed
Increase oxygen flow rate
Perform chest physiotherapy
Administer bronchodilators as prescribed
Elevate the head of the bed
Potential Conditions
Acute respiratory distress syndrome (ARDS)
Congestive heart failure exacerbation
Hospital-acquired pneumonia
Chronic obstructive pulmonary disease (COPD) exacerbation
Parameters to Monitor
Oxygen saturation
Blood pressure
Respiratory rate
White blood cell count
Serum creatinine
Click or drag items into the slots above. Items can only go into their matching column.
Explanation
Most Likely Condition: The client is most likely experiencing Hospital-acquired pneumonia ©. This is indicated by the recent admission for pneumonia, persistent cough with greenish sputum, increased WBC count, and bilateral infiltrates on the chest X-ray. Actions to Take: Administer IV antibiotics as prescribed (already in the provider’s prescriptions). Perform chest physiotherapy © to help clear the lungs. Parameters to Monitor: Oxygen saturation (A) to ensure the client is maintaining adequate oxygen levels. White blood cell count (D) to monitor the infection and response to antibiotics.
Submit to Reveal Answer