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    HESI RN Health Assessment Proctored Exam

    During an abdominal assessment, a client with a temperature of 103°F (39.4°C) experiences pain and abruptly stops inhaling during deep palpation. Which prescription is most important for the nurse to implement?

    Explanation & Rationale

    Choice A rationale Restricting activity to bed rest is important but not the most immediate intervention for a client with a high fever and pain during deep palpation. Choice B rationale Monitoring urinary output is important but not the most immediate intervention in this scenario. Choice C rationale Initiating NPO (nothing by mouth) status is crucial to prepare the client for potential surgical intervention, especially if the pain suggests an acute abdominal condition. Choice D rationale Obtaining an electrocardiogram is important but not the most immediate intervention for a client with abdominal pain and high fever.

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