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NURS 2362 HESI Concepts Module 10 Exam_NURSING 2362 Module 10 Exam HESI Concepts Questions and Answers with Rationale

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Questions 1. ID: 4 A nurse is assigned to care for four clients on the medical-surgical unit. Which client should the nurse see first on the shift assessment? A client admitted with pneumonia with a fever of 100° F and some diaphoresis A client with congestive heart failure with clear lung sounds on the previous shift A client with new-onset of shortness of breath (SOB) and a history of pulmonary edema Correct A client undergoing long-term corticosteroid therapy with mild bruising on the anterior surfaces of the arms Rationale: The client who should be seen first is the one with SOB and a history of pulmonary edema. In light of such a history, SOB could indicate that fluid-volume overload has once again developed. The client with a fever and who is diaphoretic is at risk for insufficient fluid volume as a result of loss of fluid through the skin, but this client is not the priority.

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