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    HESI RN Exit Proctored Exam
    Select All That Apply

    Exhibits The nurse is caring for the client the morning after her surgery. Click to select the 5 most important nursing interventions for postoperative client care.

    Explanation & Rationale

    A. Early ambulation helps prevent complications such as atelectasis, pneumonia, and deep vein thrombosis (DVT). It also promotes intestinal motility. B. Monitoring for bleeding should be more frequent, especially in the immediate postoperative period, rather than just once daily. C. This helps prevent respiratory complications such as atelectasis and promotes lung expansion. D. Adequate hydration is essential to maintain fluid balance, promote healing, and prevent complications such as urinary tract infections and constipation. E. Monitoring for sedation is crucial to ensure that pain medications are not causing excessive drowsiness, which could impair the client's ability to participate in activities such as ambulation and use of the incentive spirometer. F. While assessing neurological status is important, frequent neurological assessments are more relevant for clients with neurological conditions or concerns. In this case, routine assessments should be sufficient unless the client has specific neurological symptoms. G. Administering pain medication after activity helps manage pain more effectively and encourages the client to engage in necessary postoperative activities.

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