A nurse at a provider's office is caring for a client who is 28 years of age: Select 3 findings that require immediate follow-up
1. Heart rate
2. Abdomen assessment
3. respiratory assessment
4. Vaginal spotting
5. Bowel sounds
6. Menstrual period
7. Oxygen saturation
8. Temperature cor...
A nurse at a provider's office is caring for a client who is 28 years of
age: Select
findings that3 require immediate
follow-up
1. Heart
rate
2. Abdomen
assessment
3. respiratory
assessment
4. Vaginal
spotting
5. Bowel
sounds
6. Menstrual
period
7. Oxygen
saturation
8. Temperature correct answers Abdomen
assessment
vaginal
spotting
Menstrual
period
The nurse is reviewing the client's electronic medical record. which of
the following
actions should the nurse take: Select the 5 actions that the nurse
should perform
1. Place the client on seizure
precautions
2. Administer magnesium sulfate IV bolus as
prescribed
3. Monitor the client's blood pressure
every hour
4. obtain creatinine, platelet, BUN, and liver enzymes as
prescribed
5. Assess for worsening headache and epigastric pain hourly
and
6. PRN level of consciousness, DTRs and visual disturbances
Monitor
hourly correct
answers 1. Place on seizure
precautions
2. Administer magnesium sulfate IV Bolus as
prescribed
4. Obtain the creatinine, plateler, BUN, and liver enzymes values as
prescribed
5. Assess for worsening headache and epigastric pain hourly
an PRN
6. Monitor level of consciousness, DTRs, and visual
disturbances hourly
A nurse at a provider's office is caring for a client who is 28 years of age.
Afterclient's
the reviewing
current assessment findings, the nurse should identify that
the client i
experiencing (condition) as evidence by
(findings)
Conditio
n:
-abruptio
placentae
, - acute asthma
attack
-
pyelonephriti
-ectopic
s
pregnancy
-placenta
previa
Finding
s:
-a history of regular menstrual
period
- right lower quadrant abdominal
tenderness
-hyperactive bowel
sounds
-
temperatur rate correct answers Ectopic
-respiratory
e
pregnancy
right lower quadrant abdominal
tenderness
The nurse has reviewed the recent Nurse's Notes and the Diagnostic
results. click
highlight the to
findings that indicate the client's condition is not
improving.
- Clonus positive. DTR
4+
-Reports headache as 4 on a 0 to 10 pain
scale
- Hgb 11g/dl
(>11g/dl)
-Platelets 95,000mm3 (150000-
400000)
-BUN 20mg/dL (10 to
20mg/dL)
-Creatinine 0.9mg/dL (0.5 to
1mg/dL)
-aspartate aminotransferase (AST) 60units/L (0 to 35
units/L)
- Alanine amino transferase (ALT) 50 units/L (0 to 36 units/l) correct
answers -DTR
positive. Clonus
4+
-Reports headache as 4 on a 0 to 10 pain
scale
-Platelets 95,000mm3 (150000-
400000)
-aspartate aminotransferase (AST) 60units/L (0 to 35
units/L)
- Alanine amino transferase (ALT) 50 units/L (0 to 36
units/l)
A nurse is caring for a postpartum client. A nurse is performing an
assessment
client. Whichon of the
the following findings should the nurse report to the
provider. Select all
that
apply.
-Fundus 2 cm below the
umbilicus
-Blood Pressure 152/105 mm
Hg
-+2 pitting
edema
-
Headache
-
Heartbur
-Light amount of lochia rubra correct answers - Blood pressure
n
152/105 mm Hg
-+2 pitting
edema
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