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Exam (elaborations)

RN Adult Medical Surgical Online Practice - A 2024 Actual Questions with Verified Answers, 100% Guarantee Pass

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  • RN Adult Medical Surgical

RN Adult Medical Surgical Online Practice - A 2024 Actual Questions with Verified Answers, 100% Guarantee Pass

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  • September 3, 2024
  • 64
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • RN Adult Medical Surgical
  • RN Adult Medical Surgical
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RN Adult Medical Surgical Online Practice - A.pdf file:///C:/Users/HP/Desktop/SSSSSSS/RN%20Adult%20Medical%20S




RN Adult Medical Surgical Online Practice A



1. NGN

*0900:Client presents with abdominal pain in the upper left quadrant for the past 2 days.

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

ANS The client is experiencing manifesta- tions of pancreatitis as evidenced by the amylase and

lipase.




Rational:


Drop Down 1:

Pancreatitis is correct. The client's laboratory results and physical assessment indicate the client






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is experiencing manifestations of pancreatitis. Clients who have pancreatitis experience an

increase in pancreatic enzymes, amylase, and lipase. Paralytic ileus, adult respiratory distress

syndrome (ARDS), cardiogenic shock, and a cerebral vascular accident (CVA) are incorrect.The

client is not experiencing man- ifestations of paralytic ileus because they have bowel sounds and

are passing flatus. The client is not experiencing manifestations of ARDS because there is no

indication the client is in respiratory distress. The client is not experiencing manifestations of

cardiogenic shock because there is no indication from the client's medical record that there is a risk

for cardiogenic shock.The client is not experiencing manifestations of a CVA because there is no

indication from the client's medical record that there is a risk for a CVA.

Drop Down 2:

Amylase and lipase is correct. The client's laboratory results and physical assess- ment indicate

the client is experiencing manifestations of pancreatitis. Clients who have pancreatitis experience

an increase in pancreatic enzymes, amylase, and lipase.

Oxygen saturation, urine output, platelet levels, and blood pressure are incorrect. These findings

do not indicate pancreatitis.

2. A nurse is caring for a client who is postoperative.


Client admitted to medical-surgical unit from PACU. Client reports incisional pain as 2 on






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a scale of 0 to 10. Client appears restless and frequently asks for water. Bilateral lower

extremities cool with +1 pedal pulses. Urine output is 40 mL for the past 2 hr. Moderate

amount of bright red drainage noted on









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surgical incision dressing

ANS Complete the diagram by dragging from the choices below to specify what condition the

client is most likely experiencing, two actions the nurse should take to address that condition, and

two parameters the nurse should monitor to assess the client's progress.


Answer:

*Insert a large-gauge

*IV.Initiate a fluid challenge.

*Hypovolemia

*Urine output

*Blood pressure

Rational:

The nurse should insert a large-gauge IV and initiate a fluid challenge because the client is most

likely experiencing hypovolemia as evidenced by the client's restlessness, tachycardia,

hypotension, decreased pulses, cool extremities, and decreased urine output.The nurse should

monitor the client's urine output and blood pressure to evaluate the effectiveness of treatment.

3. A nurse on a medical-surgical unit is reviewing the medical record of an older adult

client who is receiving IV fluid therapy.Which of the following client information should






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