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    RN HESI HEALTH ASSESSMENT PROCTORED EXAM

    The nurse is performing an initial assessment of a client who has an expressionless facial affect, slurred speech, and red conjunctivae. Which question should the nurse ask first? "Have you..."

    Explanation & Rationale

    Choice A Reason: Blood sugar levels can impact neurological function, leading to symptoms like slurred speech, but this is less likely to be the immediate cause of the expressionless affect and red conjunctivae. While important, this question may not address the most urgent concern first. client's symptoms. Choice B Reason: "Been sleeping well?" Poor sleep could contribute to slurred speech and an expressionless affect. Asking about sleep might help identify if sleep deprivation is contributing to the symptoms. Choice C Reason: Not eating could lead to hypoglycemia, which might cause slurred speech, but it is less likely to explain the red conjunctivae and expressionless affect. This question is important but might not address the immediate cause of the symptoms. Choice D Reason: Depression could lead to an expressionless facial affect, but it is less likely to explain slurred speech and red conjunctivae. This question addresses one possible cause but doesn't cover the immediate physical symptoms.

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