Downloaded by: alinemutua2 ()
RN Adult Medical Surgical Online Practice 2019
B NGN
0600:
Client is admitted for surgery this a.m. Vital signs recorded. Consents reviewed. Client reports
understanding of surgery and has no further questions for provider.
0700:
Client performed surgical preparation with chlorhexidine at home this a.m. Client states they have had
no oral intake since midnight except sips to take antihypertensive medication. Client states they have
not taken NSAIDs for 10 days. IV catheter inserted to right arm with lactated Ringer's infusing at 10
mL/hr.
0800:
Preoperative teaching provided. Discussed the following topics with the client:
The importance of turning, coughing, and deep breathing following anesthesia; explained use of
incentive spirometer
The need to get out of bed and ambulate as soon as possible following the surgery; ambulation will be
managed by a physical therapist with the use of a walker or crutches
Control of pain following surgery
Postoperative leg exercises
The - ------correct answers---------- "I will probably be going home with a walker."
- "I will be sure to ask for pain medication before my knee starts to hurt too bad."
- "I will need to do the breathing exercises every 1 to 2 hours after the surgery."
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.
Document shared on https://www.docsity.com/en/docs/rn-adult-medical-surgical-online-practice-2019-b-ngn/15982626/
, 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.
The client is experiencing manifestations of Condition as evidenced by the Client Finding.
Condition:
- a cerebral vascular accident (CVA)
- cardiogenic shock
- paralytic ileus
- adult respiratory distress syndrome
- pancreatitis
Client finding:
- blood pressure
- amylase and lipase
-oxygen saturation
- platelets levels
- urine output - ------correct answers---------Condition:
- pancreatitis
Client findings:
- amylase and lipase
1800:
Emergency medical team removed client's shirt at the scene and initiated 18-gauge IV therapy in the
right antecubital space.
Document shared on https://www.docsity.com/en/docs/rn-adult-medical-surgical-online-practice-2019-b-ngn/15982626/
RN Adult Medical Surgical Online Practice 2019
B NGN
0600:
Client is admitted for surgery this a.m. Vital signs recorded. Consents reviewed. Client reports
understanding of surgery and has no further questions for provider.
0700:
Client performed surgical preparation with chlorhexidine at home this a.m. Client states they have had
no oral intake since midnight except sips to take antihypertensive medication. Client states they have
not taken NSAIDs for 10 days. IV catheter inserted to right arm with lactated Ringer's infusing at 10
mL/hr.
0800:
Preoperative teaching provided. Discussed the following topics with the client:
The importance of turning, coughing, and deep breathing following anesthesia; explained use of
incentive spirometer
The need to get out of bed and ambulate as soon as possible following the surgery; ambulation will be
managed by a physical therapist with the use of a walker or crutches
Control of pain following surgery
Postoperative leg exercises
The - ------correct answers---------- "I will probably be going home with a walker."
- "I will be sure to ask for pain medication before my knee starts to hurt too bad."
- "I will need to do the breathing exercises every 1 to 2 hours after the surgery."
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.
Document shared on https://www.docsity.com/en/docs/rn-adult-medical-surgical-online-practice-2019-b-ngn/15982626/
, 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.
The client is experiencing manifestations of Condition as evidenced by the Client Finding.
Condition:
- a cerebral vascular accident (CVA)
- cardiogenic shock
- paralytic ileus
- adult respiratory distress syndrome
- pancreatitis
Client finding:
- blood pressure
- amylase and lipase
-oxygen saturation
- platelets levels
- urine output - ------correct answers---------Condition:
- pancreatitis
Client findings:
- amylase and lipase
1800:
Emergency medical team removed client's shirt at the scene and initiated 18-gauge IV therapy in the
right antecubital space.
Document shared on https://www.docsity.com/en/docs/rn-adult-medical-surgical-online-practice-2019-b-ngn/15982626/
