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    Hesi RN Exit Proctored ExamQuestion 109
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    Hesi RN Exit Proctored Exam

    Exhibits The nurse reviews the orders and plans initial steps for caring for the client. Click to indicate which interventions the nurse should perform to care for this client. Each row must have one response indicated.

    Explanation & Rationale

    Inspect the bandage for drainage: This is a standard post-injury assessment to monitor for excessive bleeding or other complications. Perform range of motion: Range of motion exercises are contraindicated in cases of fractures, as movement could worsen the injury. Administer ondansetron 4 mg IV: Ondansetron is an antiemetic that can help relieve the nausea the client is experiencing. Provide morphine 2 mg IV: Morphine is indicated for pain management, especially since the client is experiencing significant pain. Check capillary refill on bilateral upper extremities: This is important to assess circulation and ensure there is no vascular compromise. Palpate and compare radial pulses: This assesses circulation and can help identify any vascular injury or compromise due to the humeral fracture.

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