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    HESI RN 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 querry should the nurse ask first?

    Explanation & Rationale

    Choice A rationale Assessing the client's sleep patterns can help determine if fatigue or lack of sleep might be contributing to their symptoms of expressionless facial affect, slurred speech, and red conjunctivae. Poor sleep can lead to various physical and cognitive issues that might explain the client's current presentation. Choice B rationale Asking about blood sugar issues is also important, but it might not be the first question to ask given the symptoms. Blood sugar imbalances can cause slurred speech and altered mental status, but it's more common to address general factors like sleep first. Choice C rationale Asking if the client has had anything to eat in the last 24 hours is relevant for assessing nutritional status and potential hypoglycemia, but it may not provide immediate insight into the underlying cause of the symptoms. Choice D rationale Asking if the client has been depressed lately is important for assessing mental health, but it may not directly address the immediate physical symptoms the client is experiencing.

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