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    HESI Exit LPN Proctored Exam 1
    Select All That Apply

    Find patient data below. Exhibits here What actions should the nurse plan for the rest of the shift? Select all that apply.

    Explanation & Rationale

    A) Correct- Continuous monitoring of oxygen saturation ensures the client's oxygen levels remain within an acceptable range. B) Incorrect - Discussing aggressive respiratory treatment options is not warranted based on the provided information. The current treatment plan includes appropriate interventions. C) Incorrect - Obtaining a sputum culture is important for identifying infections, but it's not an immediate action in the context of the client's current symptoms. D) Correct- Promoting comfort can help reduce anxiety and potentially improve breathing. E) Correct- Educating the client about potential triggers supports better self-management. F) Incorrect - Considering positive pressure ventilation is not indicated at this stage. The client's symptoms are being managed with other interventions. G) Incorrect - Weaning supplemental oxygen is not mentioned in the patient data or nurses' notes as something that's currently necessary. H) Incorrect - Preparing for deep tracheal suctioning is not warranted based on the patient data and the current treatment plan.

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