Quiz_________________?
*Select the 2 client findings that will affect the maximum dosage per day of the prescribed
analgesic.*
Day 1:
Client admitted following open reduction internal fixation of right hip fracture. Client is alert
and oriented to person, place, and time. Dressing on right hip is dry and intact.Lung sounds
are diminished in lower lobes bilaterally. S1 and S2 are present on auscultation. Capillary
refill 2 sec in all extremities. Radial and pedal pulses 2+ bilaterally. Skin cool and dry to
touch. Bowel soundshypoactive.
Day 2:
Client is alert and oriented to person, place, and time. Dressing onright hip is intact with
serosanguinous drainage.
Lung sounds are clear bilaterally. S1 and S2 are present on auscultation.Capillary refill 2 sec
in all extremities. Radial and pedal pulses 2+ bilaterally. Skin warm and dry to touch.Bowel
sounds absent. Abdomen is tender and distended. Clientreports last bowel movement was 3
days ago. -
Answer✅
Gastrointestinal assessment
Laboratory results
Quiz_________________?
*The client is at risk for developing [---] and [---].*
Day 1, 0800:
1
, Client admitted for monitoring after episode of loss of consciousness. Medical history
includes Parkinson's disease, hypertension, and atrial fibrillation.
1300:
Client reports urinary frequency and burning since this morning.
1500:
Urinalysis results indicate urinary tract infection.
Day 3, 0930:
Client reports that they just ate a bacon and egg sandwich, a carton of milk, and a can of
grapefruit juice. -
Answer✅
The client is at risk for developing [Nifedipine toxicity] and [decreased effect of tetracycline]
Quiz_________________?
*The nurse should first [---], then [---].*
Day 1, 1800:
Temperature 39.3° C (102.8° F)
Heart rate 102/min
Respiratory rate 24/min
Blood pressure 144/88 mm Hg
Oxygen saturation 97% on room air
Day 1, 2200:
Temperature 39.3° C (102.8° F)
Heart rate 90/min
Respiratory rate 14/min
Blood pressure 134/80 mm Hg
Oxygen saturation 96% on room air
Day 2, 0600:
Heart rate 110/min
Respiratory rate 28/min
2