NGN Hesi Med Surg
Mr. Skene quietly paces inside the ED ready area with his hands on his hips and rubbing his
mid-decrease left facet. He has a flat facial expression. Which element is maximum essential for
the nurse to recollect while deciphering this patron's pain behavior?
Client's cultural identification.
The nurse takes Mr. Skene to the triage region and performs a focused evaluation of his
nontraumatic, mid-lower flank ache. If a consumer has signs of tenderness on the
costovertebral perspective (CVA), what ought to be the nurse's priority?
Assess for bladder distention.
Urinary tract obstruction that contributes to ache is an emergency that could end result from a
stone blockading the bladder neck or urethra and it should be handled right away to hold kidney
feature.
The triage nurse keeps to assess Mr. Skene's ache. Which factors need to be blanketed within
the ache assessment? (Select all that follow.)
-severity
-excellent
-timing
S is for assessing ache Severity the usage of a legitimate ache score scale, which includes the
zero to ten ache scale. Q is for Quality of the ache at some point of assessment, together with
sharp or stupid. T is for assessing the Temporal or time-related factors of ache, including
intermittent or steady.
In five minutes, the triage nurse takes Mr. And Mrs. Skene to a remedy room, where the ED
nurse interviews Mr. Skene about his health history. Which suggested chronic circumstance in
Mr. Skene's fitness history is maximum enormous to his acute condition and the reason for this
go to?
Gouty arthritis.
The reason of gouty arthritis is the formation of uric acid crystals in the joints. The same
formation of uric acid crystals also can shape renal calculi.
,In 20 minutes, the healthcare issuer (HCP) visits Mr. Skene and prescribes one tablet of
hydrocodone/acetaminophen 5 mg/300 mg by means of mouth to be given now as a preliminary
ache remedy. Which information in the client's scientific report is vital for the nurse to review
earlier than administering hydrocodone/acetaminophen ? (Select all that practice.)
-home medicines
-vital signs
-hypersensitive reactions to medicines
-liver enzymes
Mr. Skene's scientific report has no hypersensitive reactions listed. Which action is the quality
intervention for the nurse to carry out subsequent?
Ask the patron if he has any food or drug allergic reactions.
The maximum critical intervention at this level might be to ask the customer approximately any
acknowledged meals or drug allergic reactions.
Mr. Skene reports to the nurse that he has a codeine hypersensitivity. When he had a chilly
closing winter, he changed into prescribed cough syrup with codeine and it gave him a rash all
over his body. The HCP cautioned his wife to offer him diphenhydramine 50 mg by using mouth
and it got higher in multiple days. He states that he stopped taking the cough syrup and he
subsequently got better. The nurse statistics the hypersensitive reaction file in Mr. Skene's
clinical record and prepares to speak with the HCP. Which records is important for the nurse to
include within the communique with the HCP? (Select all that observe.)
-The client reports that cough syrup with codeine gave him a rash.
-The nurse requests a prescription for fentanyl 50 mcg intravenous now.
-The client has no allergic reactions listed in his scientific document.
-Hydrocodone/acetaminophen is prescribed for pain.
The HCP cancels the hydrocodone/acetaminophen prescription and prescribes fentanyl 50 mcg
intravenously one time now with a 500 mL regular saline bolus. Prescriptions for stomach
radiography and computed tomography (CT) scan with evaluation are also delivered. The nurse
obtains a vial of fentanyl for intravenous management from the medicine cabinet.
1 ml
The nurse inserts a peripheral intravenous catheter, gives the IV fentanyl and the saline bolus,
and enters the radiology prescriptions into the automatic order access system. Which actions
need to the nurse take subsequent? (Select all that follow.)
-Determine while the ultimate dose of glucophage become taken.
-Question the client about any shell fish allergies.
-Have the purchaser rate his pain on a 10-point scale.
, Glucophage have to be stopped as a minimum 24 hours earlier than evaluation dye is used and
not be restarted till good enough kidney characteristic has been mounted.
The nurse need to assess the consumer for an iodine allergy in training for the CT test with
contrast. A shellfish hypersensitivity could contraindicate contrast dye management. The nurse
ought to examine the client's reaction to the IV pain medicine that changed into administered.
Mr. Skene returns from the radiology department and the HCP tells him that several renal calculi
have been located on the CT experiment. Which discharge commands ought to the nurse count
on giving Mr. Skene? (Select all that observe.)
-medicinal drug commands
-follow up with a nephrologist
-boom fluid intake
-how to use a urine strainer
The nurse is coaching Mr. And Ms. Skene about his prescription for tamsulosin. Which cause
explains why Mr. Skene is being prescribed this medicinal drug?
Dilates the ureter.
In 2 days, Mr. Skene reveals a stone in his urine strainer and takes it to the nephrologist's
medical institution. The HCP sends the pattern to the laboratory and the result exhibits that the
calculus consists of sodium uric acid precipitant. The ED nurse notes that Mr. Skene reports
having continual, intermittent episodes of gout when documenting his fitness history. What is the
pathophysiology of gout?
Formulation of uric acid crystals in the joints.
How are gout and nephrolithiasis related in this state of affairs?
Both situations are as a result of uric acid crystallization.
How are gout and nephrolithiasis related on this situation?
Both situations are caused by uric acid crystallization.
The nurse teaches Mr. Skene about nutritional practices which can reduce his occurrence of
gout and sodium uric acid nephrolithiasis. What is most important to establish before initiating
the coaching session?
Who plans and cooks the food in the Skene family.
Mr. Skene quietly paces inside the ED ready area with his hands on his hips and rubbing his
mid-decrease left facet. He has a flat facial expression. Which element is maximum essential for
the nurse to recollect while deciphering this patron's pain behavior?
Client's cultural identification.
The nurse takes Mr. Skene to the triage region and performs a focused evaluation of his
nontraumatic, mid-lower flank ache. If a consumer has signs of tenderness on the
costovertebral perspective (CVA), what ought to be the nurse's priority?
Assess for bladder distention.
Urinary tract obstruction that contributes to ache is an emergency that could end result from a
stone blockading the bladder neck or urethra and it should be handled right away to hold kidney
feature.
The triage nurse keeps to assess Mr. Skene's ache. Which factors need to be blanketed within
the ache assessment? (Select all that follow.)
-severity
-excellent
-timing
S is for assessing ache Severity the usage of a legitimate ache score scale, which includes the
zero to ten ache scale. Q is for Quality of the ache at some point of assessment, together with
sharp or stupid. T is for assessing the Temporal or time-related factors of ache, including
intermittent or steady.
In five minutes, the triage nurse takes Mr. And Mrs. Skene to a remedy room, where the ED
nurse interviews Mr. Skene about his health history. Which suggested chronic circumstance in
Mr. Skene's fitness history is maximum enormous to his acute condition and the reason for this
go to?
Gouty arthritis.
The reason of gouty arthritis is the formation of uric acid crystals in the joints. The same
formation of uric acid crystals also can shape renal calculi.
,In 20 minutes, the healthcare issuer (HCP) visits Mr. Skene and prescribes one tablet of
hydrocodone/acetaminophen 5 mg/300 mg by means of mouth to be given now as a preliminary
ache remedy. Which information in the client's scientific report is vital for the nurse to review
earlier than administering hydrocodone/acetaminophen ? (Select all that practice.)
-home medicines
-vital signs
-hypersensitive reactions to medicines
-liver enzymes
Mr. Skene's scientific report has no hypersensitive reactions listed. Which action is the quality
intervention for the nurse to carry out subsequent?
Ask the patron if he has any food or drug allergic reactions.
The maximum critical intervention at this level might be to ask the customer approximately any
acknowledged meals or drug allergic reactions.
Mr. Skene reports to the nurse that he has a codeine hypersensitivity. When he had a chilly
closing winter, he changed into prescribed cough syrup with codeine and it gave him a rash all
over his body. The HCP cautioned his wife to offer him diphenhydramine 50 mg by using mouth
and it got higher in multiple days. He states that he stopped taking the cough syrup and he
subsequently got better. The nurse statistics the hypersensitive reaction file in Mr. Skene's
clinical record and prepares to speak with the HCP. Which records is important for the nurse to
include within the communique with the HCP? (Select all that observe.)
-The client reports that cough syrup with codeine gave him a rash.
-The nurse requests a prescription for fentanyl 50 mcg intravenous now.
-The client has no allergic reactions listed in his scientific document.
-Hydrocodone/acetaminophen is prescribed for pain.
The HCP cancels the hydrocodone/acetaminophen prescription and prescribes fentanyl 50 mcg
intravenously one time now with a 500 mL regular saline bolus. Prescriptions for stomach
radiography and computed tomography (CT) scan with evaluation are also delivered. The nurse
obtains a vial of fentanyl for intravenous management from the medicine cabinet.
1 ml
The nurse inserts a peripheral intravenous catheter, gives the IV fentanyl and the saline bolus,
and enters the radiology prescriptions into the automatic order access system. Which actions
need to the nurse take subsequent? (Select all that follow.)
-Determine while the ultimate dose of glucophage become taken.
-Question the client about any shell fish allergies.
-Have the purchaser rate his pain on a 10-point scale.
, Glucophage have to be stopped as a minimum 24 hours earlier than evaluation dye is used and
not be restarted till good enough kidney characteristic has been mounted.
The nurse need to assess the consumer for an iodine allergy in training for the CT test with
contrast. A shellfish hypersensitivity could contraindicate contrast dye management. The nurse
ought to examine the client's reaction to the IV pain medicine that changed into administered.
Mr. Skene returns from the radiology department and the HCP tells him that several renal calculi
have been located on the CT experiment. Which discharge commands ought to the nurse count
on giving Mr. Skene? (Select all that observe.)
-medicinal drug commands
-follow up with a nephrologist
-boom fluid intake
-how to use a urine strainer
The nurse is coaching Mr. And Ms. Skene about his prescription for tamsulosin. Which cause
explains why Mr. Skene is being prescribed this medicinal drug?
Dilates the ureter.
In 2 days, Mr. Skene reveals a stone in his urine strainer and takes it to the nephrologist's
medical institution. The HCP sends the pattern to the laboratory and the result exhibits that the
calculus consists of sodium uric acid precipitant. The ED nurse notes that Mr. Skene reports
having continual, intermittent episodes of gout when documenting his fitness history. What is the
pathophysiology of gout?
Formulation of uric acid crystals in the joints.
How are gout and nephrolithiasis related in this state of affairs?
Both situations are as a result of uric acid crystallization.
How are gout and nephrolithiasis related on this situation?
Both situations are caused by uric acid crystallization.
The nurse teaches Mr. Skene about nutritional practices which can reduce his occurrence of
gout and sodium uric acid nephrolithiasis. What is most important to establish before initiating
the coaching session?
Who plans and cooks the food in the Skene family.
