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RN Adult Medical Surgical Online Practice 2023 A NGN (DETAILED ANSWERS) 2024 - DISTINCTION
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RN Adult Medical Surgical Online Practice 2023 A NGN (DETAILED ANSWERS) 2024 - DISTINCTION
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8/10/24, 7:37 AMRN Adult Medical Surgical Online Practice 2023 A NGN
Jeremiah
Terms in this set (90)
NGN The client is experiencing manifestations of
1000: peritonitis
Client is alert and oriented and reports not due to
feeling well for a few days. Client is on x-ray results
continuous ambulatory peritoneal dialysis .
(CAPD) and reports dialysate appeared
cloudy this morning.
Reports abdominal pain as 4 on a scale of 0
to 10.
Bowel sounds active in all quadrants.
Peritoneal dialysis access site red, warm to
touch, with a small amount of purulent
drainage noted on dressing.1300:
Client is lying in bed with the knees flexed,
guarding the abdomen. Abdomen is slightly
distended, hypoactive bowel sounds. Client
reports nausea. Reports pain as 6 on a scale
of 0 to 10. Provider notified and updated
with client condition and diagnostic results.
NGN Insert a large-gauge IV.
Client admitted to medical-surgical unit from Initiate a fluid challenge.
PACU. Client reports incisional pain as 2 on a
scale of 0 to 10. Client appears restless and Hypovolemia
frequently asks for water. Bilateral lower
extremities cool with +1 pedal pulses. Urine Urine output
output is 40 mL for the past 2 hr. Moderate Blood pressure
amount of bright red drainage noted on
surgical incision dressing.
A nurse is caring for a client who has a Hypoactive Bowel Sounds
potassium level of 3 mEq/L. Which of the
following assessment findings should the
nurse expect?
1/16
,8/10/24, 7:37 AM
NGN The client is experiencing manifestations of
0900: pancreatitis
Client presents with abdominal pain in the as evidenced by the
upper left quadrant for the past 2 days. amylase and lipase
States pain became worse this morning and .
is radiating to the back. Rates pain as 8 on a
scale of 0 to 10.
Hypoactive bowel sounds; reports nausea,
no vomiting; client is passing flatus.
Febrile, oriented to person, place, and time.
Tachypnea with diminished breath sounds.
Sinus tachycardia.
Client voids 300 mL of clear, amber urine.
0930:
Client vomited 100 mL brown liquid.
0530: Perform a 12-lead ECG is not indicated.
Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm Place the client in Trendelenburg position is indicated.
with thrill palpated and auscultated for bruit.
Lung sounds clear upon auscultation; client Administer a 0.9% sodium chloride 200 mL IV bolus is indicated.
denies shortness of breath. No peripheral
edema noted; capillary refill is less than 3 Apply oxygen at 2 L/min via nasal cannula is indicated
seconds; +2 bilateral pedal and radial pulses.
AVF access prepared and cannulated twice Notify the provider immediately is indicated
with no difficulty. Lines are taped and
secured; treatment is initiated.0600: Obtain the client's blood glucose level is not indicated.
Client is reading a book. Access is visible,
and lines are secure. Client reports no
discomfort or pain.0630:
Client reports feeling warm, nauseated, and
lightheaded; appears restless and slightly
confused.
2/16
, 8/10/24, 7:37 AM
1800: During the emergent phase of burn care, the client is at risk for developing
Emergency medical team removed client's hypovolemia
shirt at the scene and initiated 18-gauge IV and
therapy in the right antecubital space. respiratory failure
Client has full-thickness burns over the .
upper half of the chest and both forearms;
partial-thickness burns are present on the
client's face and neck.
Sinus tachycardia, pulses to brachial
extremities palpable. 1+ edema to upper
extremities.
Respirations even, labored with scattered
rhonchi. Soot noted to the client's mouth
and nose. Oxygen 40% via face tent applied.
Hypoactive bowel sounds.
16 French indwelling urinary catheter
inserted with return of 250 mL of yellow
urine.
Lactated Ringer's infusing to right
antecubital. Provider preparing to insert
right femoral central line catheter.
1830:
Client's voice is becoming hoarse and
reports difficulty swallowing. Wheezes
present to upper lobes bilaterally. Provider
notified. Client positioned upright, oxygen
via face tent. Blood collected for ABGs.
A nurse is teaching a class about client A client should sign an informed consent before receiving a placebo during a research
rights. Which of the following instructions trial.
should the nurse include?
A nurse in an emergency department is Heart rate 110/min
caring for a client who reports vomiting and
diarrhea for the past 3 days. Which of the
following findings should indicate to the
nurse that the client is experiencing fluid
volume deficit?
A nurse is creating a plan of care for a client Monitor the client's temperature every 4 hr.
who has neutropenia as a result of
chemotherapy. Which of the following
interventions should the nurse include in the
plan?
A nurse in an emergency department is IV fluids
caring for a client who has full-thickness
burns over 20% of their total body surface
area. After ensuring a patent airway and
administering oxygen, which of the following
items should the nurse prepare to administer
first?
A nurse is caring for a client who is 4 hr Extremity cool upon palpation
postoperative following an open reduction
internal fixation of the right ankle. Which of
the following assessment findings should the
nurse report to the provider?
RN Adult Medical Surgical Online Practice 2023 A NGN
3/16
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