HESI EXIT EXAM 2021-STUDY GUIDE
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1. The practical nurse (PN) observes hematuria in the urinary catheter drainage tubing of a client who is receiving intravenous heparin. Which action should the PN implement first?
a. Obtain a urine specimen for urinalysis
b. Check the client’s gums for bleeding
c. Document the finding in the client’s medical record
d. Irrigate the urinary catheter with sterile normal saline