2O23 HESI EXIT TEST BANK V1QUESTIONS AND 100%CORRECT ANSWERS A GRADE LATESTUPDATE EXAM While assessing a radial artery catheter, the client complains of numbness and pain distal to the insertion site. What interventions should the nurse implement? -- CORRECT ANSWER-Promptly remove the arterial catheter from the radial artery. A client is admitted with an epidural hematoma that resulted from a skateboarding accident. To differentiate the vascular source of the intracranial bleeding, which finding should the nurse monitor? -- CORRECT ANSWER-Rapid onset of decreased level of consciousness. When preparing a client for discharge from the hospital following a cystectomy and a urinary diversion to treat bladder cancer, which instruction is most important for the nurse to include in the client's dischargeteaching plan? -- CORRECT ANSWER-Report any signs of cloudy urine output.After repositioning an immobile client, the nurse observes an area of hyperemia. To assess for blanching, what action should the nurse take? -- CORRECT ANSWER-Apply light pressure over the area. The nurse enters a client's room and observes the client's wrist restraint secured as seen in the picture. What action should the nurse take? -- CORRECT ANSWER- Reposition the restraint tie onto the bedframe. A female client with acute respiratory distress