Exam (elaborations)

RN Comprehensive Online Practice 2023 A & B with NGN Questions and Verified Rationalized Answers, 100% Guarantee Pass

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Comprehensive NCLEX-RN

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Comprehensive NCLEX-RN

RN Comprehensive Online Practice 2023 A & B with NGN Questions and Verified Rationalized Answers, 100% Guarantee Pass ATI RN Comprehensive Online Practice 2023 B with NGN Questions and Answers (Verified Answers) ATI RN Comprehensive Online Practice 2023 B with NGN Questions and Answers (Verifie...

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Uploaded on August 2, 2024
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RN Comprehensive Online Practice 2023 A & B with NGN Questions and Verified Rationalized Answers 100% Guarantee Pass (Each with 150 Questions and Answers) RN Comprehensive Online Practice 2023 A 1. NGN: What assessment findings are consistent with C rohn's disease, ulcer- ative colitis, or peritonitis? Temperature (100F) Weight (-9.7 lbs) Albumin level (2.4) WBC (14) Bowel pattern (freq. loose stools) Abdominal pain location (RLQ) Heart rate (105) ANS:: Temperature: Crohn's, UC & peritonitis. -Elevation can occur with all three due to inflamma tion and infection. Weight: Crohn's & UC. -Unintended weight loss can occur due to malabsorpt ion in the GI tract. Bowel pattern: Crohn's. -If the patient reported there was blood in the sto ol, it would be UC. Crohn's doesn't cause tarry stools. WBC: Crohn's, UC & peritonitis. -Elevation can occur due to inflammation and infect ion. Heart rate: peritonitis. -Tachycardia can occur due to inflammation, infecti on, and dehydration. Albumin level: Crohn's & UC. -Because of the malabsorption in the GI tract, the body isn't receiving enough protein. Abdominal pain location: Crohn's. -Because it is in the RLQ, it is more consistent wi th Crohn's. With patients that have peritonitis, they experience generalized abd. pain that radiates to the shoulder and back. 2. NGN: What assessment findings can indicate a transf usion reaction in a patient receiving blood? Urine output (150mL of clear, yellow) Skin (pale, cool and dry) Anxiety Vital signs (within normal range) Headache Back pain: ANS: Back pain, headache & anxiety. Hemolytic reaction S/S: back pain, headache, anxiet y, fever, chills, chest pain, tachycardia, dyspnea, hypotension. 3. NGN: Patient arrives with palpitations, difficulty breathing, and reports feel- ing faint. Reports constipation and joint pain for x2 days. In childhood, patient experienced physical abuse, and emotionally detached parents. R eports ner- vousness and only leaving home when necessary. PMH: freq. hospital visits due to headaches and GI distress. Bowtie ANS::: Condition: somatic symptom disorder -due to physical inactivity & joint pain Interventions: Monitor physical manifestations & as sess for presence of 2nd gains from their illness -disorder is characterized by the presence of other real manifestations like dizziness, nausea, back pain, and joint pain. Monitor: Vital signs & pain. 4. NGN: What actions should the nurse take when her pe di patient is exhibiting symptoms of an allergic reaction? Administer 0.9% NS IV Administer epi IM Monitor urine output q2hrs DC supplemental oxygen Monitor vital signs frequently DC IV medication ANS:: Administer 0.9% NS IV Administer epi IM Monitor vital signs frequently DC IV medication -Nurse should DC the Rocephin and give IV NS to hel p restore fluids because fluid shifts can occur quickly during a reaction. Administering epi IM is the first line of therapy for

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