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    HESI LPN Exit Exam IV Proctored Exam

    Which client information is most important for the practical nurse (PN) to consider when providing instructions to the unlicensed assistive personnel (UAP) about providing morning care to a postoperative client?

    Explanation & Rationale

    A. Urinary output of 50 mL/hour is within normal limits and does not directly impact morning care instructions. B. An oxygen saturation measurement of 95 to 96% is generally acceptable and does not necessitate specific morning care instructions. C. A blood pressure of 144/84 mm Hg is elevated but not critical in the context of morning care instructions for the UAP. D. Orientation to person only indicates a cognitive impairment that could affect the client’s ability to understand or follow instructions, cooperate during care, and ensure safety during activities like bathing or moving. This is the most critical factor to consider when providing instructions to the UAP.

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