100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
Previously searched by you
NGN RN ADULT MEDICAL SURGICAL PROCTORED EXAM 2024/2025 WITH 350 REAL EXAM QUESTIONS AND CORRECT ANSWERS GRADED A+/ ATI RN ADULT MEDICAL SURGICAL EXAM (LATEST)$29.99
Add to cart
NGN RN ADULT MEDICAL SURGICAL PROCTORED EXAM 2024/2025 WITH 350 REAL EXAM QUESTIONS AND CORRECT ANSWERS GRADED A+/ ATI RN ADULT MEDICAL SURGICAL EXAM (LATEST)
1 view 0 purchase
Course
NGN RN ADULT MEDICAL SURGICAL
Institution
NGN RN ADULT MEDICAL SURGICAL
NGN RN ADULT MEDICAL SURGICAL PROCTORED EXAM 2024/2025 WITH 350 REAL EXAM QUESTIONS AND CORRECT ANSWERS GRADED A+/ ATI RN ADULT MEDICAL SURGICAL EXAM (LATEST)
NGN RN ADULT MEDICAL SURGICAL
PROCTORED EXAM 2024/2025 WITH 350
REAL EXAM QUESTIONS AND CORRECT
ANSWERS GRADED A+/ ATI RN ADULT
MEDICAL SURGICAL EXAM (LATEST)
A nurse is caring for a client who is postoperative.
Nurses' Notes
Client admitted to medical-surgical unit from PACU. Client reports incisional pain
as 2 on 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 surgical incision
dressing.
Vital Signs
Temperature 37.6° C (99.7° F)
Heart rate 114/min
Respiratory rate 22/min
Blood pressure 88/54 mm Hg
Oxygen saturation 93% on room air
Diagnostic Results
Hgb 18 g/dL (12 to 16 g/dL)
Hct 54% (37% to 47 %)
Total WBC count 11,000/mm3 (5,000 to 10,000/mm3)
Troponin T 0.04 ng/mL (less than 0.1 ng/mL)
pg. 1
,Medical History.
History of hypertension. Acute myocardial infarction 1 year ago.
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-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.
A nurse has received report on a client who is being admitted to the emergency
department.
Nurses' Notes
2330:
Report received from ambulance crew:
Client has a penetrating wound to the anterior upper right chest. Client is alert and
oriented with a Glasgow Coma Scale (GCS) score of 15. Client's shirt covered with
bright red blood.
Client reports pain as 6 on a scale of 0 to 10. Shortness of breath noted.
2345:
Client is alert and oriented with a GCS score of 15. Client has a penetrating wound
to the anterior right upper chest measuring
2.5 cm (1 in). No other wounds or injuries found.
Bilateral radial and pedal pulses are +1. Left lung sounds are clear, right upper
lung sounds diminished.
pg. 2
,Client still reports pain as 6 on a scale of 0 to 10 over anterior chest.
Bowel sounds are present in all 4 quadrants.
Graphic Record
2330:
Current vital signs from ambulance crew:
Heart rate 125/min
Respiratory rate 28/min
Temperature 36° C (96.8° F)
Blood pressure 145/90 mm Hg
Sa0, 90% on oxygen 2 L/min via nasal cannula
2345:
Temperature 35.9° C (96.6° F) A
Heart rate 135/min
Respiratory rate 34/min
Blood pressure 96/45 mm Hg
Sa0, 92% on 40% face mask
Diagnostic Results
Hematocrit 26% (Male 42% to 52%)
Hemoglobin 8.7 g/dL (Male 14 to 18 g/dL)
WBC count 9,000/mm? (5,000 to 10,000/mm3)
Platelet count 148,000/mm (150,000 to 400,000/mm3)
Lactate (arterial) 5 mg/dL (3 to 7 mg/dL)
pg. 3
, Provider Prescriptions
Transfuse 2 units of packed RBCs.
Prepare the client for chest tube insertion.
Initiate NPO status.
Select the 3 findings that require follow-up by the nurse. - ANSWER-Oxygen
saturation is correct. The client has an oxygen saturation that is less than the
expected reference level, indicating hypoxia. The nurse should plan to increase the
client's supplemental oxygen.
Pain level is correct. The nurse should follow up on the client's pain level.
Wound drainage is correct. The nurse should apply a pressure dressing to control
bleeding.
Complete the following sentence by using the lists of options. - ANSWER-The
client is most likely experiencing a hemothorax as evidenced by the client's
respiratory findings
The nurse should first address the client's blood pressure followed by the client's
oxygenation - ANSWER-Oxygenation and blood pressure are correct. Using the
airway, breathing, circulation priority framework, the nurse should first address the
client's oxygenation, followed by the client's blood pressure. The client's
oxygenation is below the expected reference range and is the priority. The nurse
should then address the client's circulation because the client's blood pressure is
below the expected reference range.
For each potential provider's prescription, click to specify if the potential
prescription is anticipated or contraindicated for the client. - ANSWER-Transfuse
packed RBs is anticipated. The client's increased heart rate and decreased blood
pg. 4
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 muriithikelvin098. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $29.99. You're not tied to anything after your purchase.
