RN Adult Medical Surgical Online Practice A NGN, Answered

RN Adult Medical Surgical Online Practice A NGN, Answered
Client is alert and oriented and reports not feeling well for a few days. Client is on continuous
ambulatory peritoneal dialysis (CAPD) and reports dialysate appeared cloudy this morning.
Reports abdominal pain as 4 on a scale of 0 to 10.
Bowel sounds active in all quadrants.
Peritoneal dialysis access site red, warm to touch, with a small amount of purulent drainage
noted on dressing.1300:
Client is lying in bed with the knees flexed, guarding the abdomen. Abdomen is slightly distende
- The client is experiencing manifestations of Peritonitis due to x-ray results
.
NGN
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. - Insert a large-gauge IV.
Initiate a fluid challenge.
Hypovolemia
Urine output
Blood pressure
A nurse is caring for a client who has a potassium level of 3 mEq/L. Which of the following
assessment findings should the nurse expect? - Hypoactive Bowel Sounds
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. - The client is experiencing manifestations of
pancreatitis
as evidenced by the
amylase and lipase