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    Hesi lpn exit proctored examQuestion 191
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    Hesi lpn exit proctored exam

    The practical nurse (PN) is providing care for a client who is NPO after a small bowel resection. The client's NG tube is connected to low intermittent suction. The client reports dizziness and tingling in digits. Which assessment finding by the PN should be reported to the healthcare provider.

    Explanation & Rationale

    A. Hyperactive bowel sounds on assessment: Increased bowel sounds may be expected postoperatively and with NG suctioning, but they are not immediately life-threatening and do not require urgent reporting. B. Regular heart rate of 100 beats per minute on telemetry: A heart rate of 100 bpm is at the upper limit of normal for adults and, in the absence of other symptoms, is not an urgent concern. C. Hypoactive bowel sounds on assessment: Reduced bowel sounds are common after abdominal surgery and with NPO status, but they are not immediately critical unless associated with other signs of obstruction or deterioration. D. Heart rate of 90 beats per minute with PVCs noted on telemetry: Premature ventricular contractions (PVCs) in the context of dizziness, tingling, and NG suctioning may indicate electrolyte imbalances, such as hypokalemia or hypomagnesemia. This finding should be reported promptly for further evaluation and intervention.

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