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HESI Medical Surgical

HESI RN

HESI Medical Surgical

Difficulty: Medium Average Score: 86% Simulated

Passage / Scenario

Flow sheets
1915
Arrival at emergency department
1920
Vital Signs:

- Temperature: 98.2┬░ F (36.8┬░ C)

- Heart rate: 92 beats/minute

- Respirations: 24 breaths/minute

- Blood pressure: 210/98 mmHg

- Oxygen saturation: 95% on room air

Imaging studies

1935

Head CT scan results:

- No evidence of intracranial hemorrhage

- No evidence of acute disease

Orders

- Obtain CT scan of the head.

- Insert a large bore peripheral IV.

- Start normal saline infusion at 50 mL/hour.

The client continues to have stable neurologic assessments. The nurse provides interventions to promote client safety while in the hospital. Of the interventions below, explain if it promotes clients safety or not, or does both.

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