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    HESI RN Medical Surgical Proctored Exam
    Select All That Apply

    Patient Data Exhibits The nurse has identified the priority problem for the client and now must determine proper care interventions. Based on the client history and the assessment data, what action(s) should the nurse anticipate? Select all that apply.

    Explanation & Rationale

    A. Client education is also important, focusing on asthma management, the importance of carrying a non-expired inhaler, and avoiding known triggers. B. Oxygen therapy via nasal cannula should be considered due to the patient's oxygen saturation of 88% on room air, aiming to maintain SpO2 above 94%. C. Requesting a list of current medications is essential for reviewing potential drug interactions and ensuring comprehensive care. D. Trendelenburg position is not indicated for this condition and could exacerbate breathing difficulties. E. While the patient's condition should be closely monitored, the current information does not suggest an immediate need for intubation; however, the healthcare provider should be notified if the patient's condition worsens. F. Administering medications as ordered is crucial to address the immediate respiratory distress.

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