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HESI Medical Surgical

HESI RN

HESI Medical Surgical

Difficulty: Medium Average Score: 88% Simulated

Passage / Scenario

Nurse's Notes
History and Physical
Initial Assessment
Temperature: 98.9┬░F
Heart rate: 112 beats per minute
Respirations: 28 breaths per minute
Blood pressure: 130/86 mmHg
Oxygen saturation: 88%
Lung sounds reveal expiratory wheezes
Capillary refill time: 2 seconds

The nurse has identified the priority problem for the client and now needs to determine proper care interventions. Based on the client's history and assessment data, which actions should the nurse anticipate? Select all that apply.

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