RN Adult Medical Surgical Online Practice -B NGN.pdf file:///C:/Users/HP/Desktop/SSSSSSS/RN%20Adult%20Medical%20S
RN Adult Medical Surgical Online Practice B NGN
1. 1800:
Emergency medical team removed client's shirt at the scene and initiated 18-gauge IV
therapy in the right antecubital space.
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.
During the emergent phase of burn care, the client is at risk for developing
and .
1 of 21 8/30/2024, 3:44
,RN Adult Medical Surgical Online Practice -B NGN.pdf file:///C:/Users/HP/Desktop/SSSSSSS/RN%20Adult%20Medical%20S
- curling's ulcer
- hypovolemia
- hyperthermia
- hypokalemia
- respiratory failure: - hypovolemia
- respiratory failure
2. 2000:
Client reports pain as 3 on a scale of 0 to 10. Breath sounds clear and present throughout.
Three abdominal bandages to abdomen, dry and intact with no drainage noted. Client
voided 90 mL of clear-yellow urine into bedpan. Perineal pad with small amount of blood,
no clots; perineal pad changed at this time. 2400:
Client sleeping, arouses to verbal stimuli. Reports pain as 2 on a scale of 0 to 10 with
repositioning. Client voided 125 mL of blood-tinged urine into bedpan. Perineal pad
saturated with blood, large clots present.
Click to highlight the findings the nurse should report to the provider imme- diately.
- Client sleeping, arouses to verbal stimuli
- Respiratory rate 14/min
2 of 21 8/30/2024, 3:44
,RN Adult Medical Surgical Online Practice -B NGN.pdf file:///C:/Users/HP/Desktop/SSSSSSS/RN%20Adult%20Medical%20S
- Oxygen saturation 95% on room air, breath sounds clear
- Reports pain as 2 on scale of 0 to 10
- Perineal pad saturated with blood, large clots present
- Change of blood pressure, heart rate of 102/min: - Perineal pad saturated with blood, large
clots present
- Change of blood pressure, heart rate of 102/min
3. 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.
Drag 1 condition and 1 client finding to fill in each blank in the following sentence.
3 of 21 8/30/2024, 3:44
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TIPSCORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
