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    HESI RN Medical Surgical Proctored Exam

    The nurse is preparing a client for surgery who was admitted from the emergency department following a motor vehicle collision. The client has an open fracture of the femur and is bleeding moderately from the bone protrusion site. During the preoperative assessment, the nurse determines that the client currently receives heparin sodium 5,000 units SUBQ daily. Which nursing action is a priority?

    Explanation & Rationale

    A. Having the client sign surgical and transfusion permits is important but not the priority in this situation.B. Notifying the healthcare provider of the client's medication history, including heparin use, is crucial to ensure appropriate perioperative management and to prevent excessive bleeding during surgery.C. Explaining the potential for bleeding to the client is important for informed consent but is not the priority in this situation.D. Observing the heparin injection sites for signs of bruising is important but not the priority compared to notifying the healthcare provider about the client's medication history.

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