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HESI Exit LPN Exam 1
HESI Exit LPN Exam 1 ( 75 Questions)
A client is being treated for chronic kidney disease (CKD). On examination, the client has an elevated blood pressure (BP) and is exhibiting changes in mental status. Which intervention in the plan of care should the practical nurse (PN) implement?
Using a cushion when sitting is not a priority intervention for this client and may not address the BP or mental status issues.
Performing range of motion exercises is not a priority intervention for this client and may not address the BP or mental status issues.
Documenting abdominal girth is not a priority intervention for this client and may not be an accurate indicator of fluid status.
This is the best intervention for the PN to implement because it monitors the client's fluid status and helps detect fluid overload, which can cause hypertension and neurological changes. The PN should weigh the client at the same time, on the same scale, and with the same clothing every day.
This is the best intervention for the PN to implement because it monitors the client's fluid status and helps detect fluid overload, which can cause hypertension and neurological changes. The PN should weigh the client at the same time, on the same scale, and with the same clothing every day.
