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RN COMP EXAM GRADED
A+ LATEST UPDATE.
1. The client returns to the provider's office 3 days later.
Exhibit 1: Nurses' Notes
Day 1, 0900:
Client is 65-year-old who reports pain and burning on urination.
Client states, "I am having trouble making it to the bathroom on time and I'm
up throughout the night needing to urinate."
Client alert and oriented x 3.
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Bilateral breath sounds clear. Respirations even and unlabored.
S3 auscultated. Lower extremity edema +1. Radial and pedal pulses +2. Bowel
sounds normoactive. Client reports no nausea or vomiting.
Client has a history of type 2 diabetes mellitus, hypertension, and COPD.
3 days later, 0900:
Client returns to office due to orange-colored urine and diarrhea.
Client reports drinking a minimum of 3 L of fluids daily as instructed and
states, "I'm still going to the bathroom a lot, and I noticed that I am bruising
more easily."
Exhibit 2: Vital Signs:
Day 1, 0900:
Temperature 37.2° C (99° F)
Heart rate 88/min
Blood pressure 142/88 mm Hg
Respiratory rate 20/min
Oxygen saturation 92% on room air
3 days later, 0900:
Temperature 37.7° C (100.9° F)
Heart rate 87/min
Blood pressure 144/90 mm Hg
Respiratory rate 22/min
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Oxygen saturation 93% on room air
Exhibit 3: Provider Prescriptions
Day 1, 0930:
Collect urine specimen for urinalysis and urine culture and sensitivity.
Trimethoprim/sulfamethoxazole 160/800 mg PO twice daily for 10 days
Phenazopyridine 200 mg PO every 6 hr for 2 days
Exhibit 4: Lab Results
Day 1, 1100:
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Urinalysis
Color: Amber (Amber yellow)
Appearance: Cloudy (Clear)
Specific gravity: 1.04 (1.005 to 1.03)
pH: 9 (4.6 to 8)
Glucose: None (None)
Ketones: None (None)
Bilirubin: None (None)
Blood: Trace (None)
Nitrite: Positive (negative)
Leukocyte esterase: Positive (Negative)
RBC: 18 (less than 2)
WBC: 30 (0 to 4)
Urine culture: pending: Assessment Finding
Urine Color: E
Skin: U
Voiding Pattern: E
Blood Pressure: E
Temperature: U
Bowel Elimination: U
O2 Sat: E
2. A nurse is caring for a 5-year-old child
mailto:https://www.stuvia.com/en-us/user/techgrades
RN COMP EXAM GRADED
A+ LATEST UPDATE.
1. The client returns to the provider's office 3 days later.
Exhibit 1: Nurses' Notes
Day 1, 0900:
Client is 65-year-old who reports pain and burning on urination.
Client states, "I am having trouble making it to the bathroom on time and I'm
up throughout the night needing to urinate."
Client alert and oriented x 3.
mailto:https://www.stuvia.com/en-us/user/techgrades
,mailto:https://www.stuvia.com/user/techgrades
Bilateral breath sounds clear. Respirations even and unlabored.
S3 auscultated. Lower extremity edema +1. Radial and pedal pulses +2. Bowel
sounds normoactive. Client reports no nausea or vomiting.
Client has a history of type 2 diabetes mellitus, hypertension, and COPD.
3 days later, 0900:
Client returns to office due to orange-colored urine and diarrhea.
Client reports drinking a minimum of 3 L of fluids daily as instructed and
states, "I'm still going to the bathroom a lot, and I noticed that I am bruising
more easily."
Exhibit 2: Vital Signs:
Day 1, 0900:
Temperature 37.2° C (99° F)
Heart rate 88/min
Blood pressure 142/88 mm Hg
Respiratory rate 20/min
Oxygen saturation 92% on room air
3 days later, 0900:
Temperature 37.7° C (100.9° F)
Heart rate 87/min
Blood pressure 144/90 mm Hg
Respiratory rate 22/min
mailto:https://www.stuvia.com/en-us/user/techgrades
,mailto:https://www.stuvia.com/user/techgrades
Oxygen saturation 93% on room air
Exhibit 3: Provider Prescriptions
Day 1, 0930:
Collect urine specimen for urinalysis and urine culture and sensitivity.
Trimethoprim/sulfamethoxazole 160/800 mg PO twice daily for 10 days
Phenazopyridine 200 mg PO every 6 hr for 2 days
Exhibit 4: Lab Results
Day 1, 1100:
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,mailto:https://www.stuvia.com/user/techgrades
Urinalysis
Color: Amber (Amber yellow)
Appearance: Cloudy (Clear)
Specific gravity: 1.04 (1.005 to 1.03)
pH: 9 (4.6 to 8)
Glucose: None (None)
Ketones: None (None)
Bilirubin: None (None)
Blood: Trace (None)
Nitrite: Positive (negative)
Leukocyte esterase: Positive (Negative)
RBC: 18 (less than 2)
WBC: 30 (0 to 4)
Urine culture: pending: Assessment Finding
Urine Color: E
Skin: U
Voiding Pattern: E
Blood Pressure: E
Temperature: U
Bowel Elimination: U
O2 Sat: E
2. A nurse is caring for a 5-year-old child
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