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Practice Question

A 24-year-old female client presents to the emergency department (ED) with reports of abdominal pain. 

Answer Choices:

Rationale:

Incision dressing is dry and intact with no bleeding

  1. Indicates wound healing is progressing normally without signs of infection or dehiscence.
  2. A dry, intact dressing confirms that the surgical site is not oozing or hemorrhaging, which is essential for discharge readiness.

Client tolerated clear liquids and advanced to a soft diet

  1. Tolerance to oral intake demonstrates that bowel function is resuming post-surgery.
  2. Advancement of diet without nausea or vomiting is a standard criterion for discharge.

Client ambulated around the unit and tolerated activity

  1. Ambulation reduces the risk of DVT and pulmonary complications.
  2. Tolerating mobility indicates that the client has regained sufficient strength and coordination.

Bowel sounds present in all 4 quadrants and passed flatus

  1. Confirms return of bowel motility, which is critical after abdominal surgery.
  2. Passing gas is a strong indicator of resolved ileus and gut function.

Pain is tolerated with PO analgesics

  1. Pain controlled with oral medications (rather than IV) means the client is ready for outpatient management.
  2. Effective pain control is a standard prerequisite for safe discharge.
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This question is from RN HESI Exit~2024 Exam 1 which contains 122 questions.

More Questions from This Exam
A 24-year-old female client presents to the emergency department (ED) with reports of abdominal pain. 

Answer Choices:

A. Severe abdominal pain in right lower quadrant
B. Blood pressure 115/76 mm Hg
C. Capillary refill 2 seconds
D. Radial and pedal pulses 2+1
E. Temperature 100.8° F (38.2° C)
F. Respirations 28 breaths/minute with shallow breathing
G. Feels anxious
H. Heart rate 121 beats/minute
I. Vomiting small amounts of green bile.
A 24-year-old female client presents to the emergency department (ED) with reports of abdominal pain. 

Answer Choices:

A. Effective coping with illness related anxiety
B. Infection prevention related to illness
C. Relief of acute pain
D. A review of diet progression postoperatively
E. Promotion of bowel routine
F. Prevention of deep vein thrombosis (DVT) related to immobility
G. Fluid volume management
H. Client education about diagnosis and plan of care
A 24-year-old female client presents to the emergency department (ED) with reports of abdominal pain.

Answer Choices:

A. Encourage sitting up and ambulation
B. Monitor for bleeding once daily
C. Use Incentive spirometer every 1 hour
D. Promote adequate hydration
E. Assess for sedation after pain medications
F. Complete neurologic assessment every 2 hours
G. Administer pain medication after activity
From Exam
RN HESI Exit~2024 Exam 1

122 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: HESI-Exit Exam(s)
  • Domain: HESI Exit Exam(s)~2024
  • Answer Choices: 1
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