Question 1 of 5.

Extract:The following scenario applies to the next 1 items The nurse in the medical-surgical unit cares for a client who is postoperative Item 1 of 1 Progress Notes Day 2 Status-post open (partial) gastrectomy. Client reports abdominal pain 6/10 on the Numerical Rating Scale. Client is still receiving patient-controlled analgesia (PCA) of fentanyl. Abdomen is taut with hypoactive bowel sounds in all quadrants. Reports passing no flatus. Endorses occasional nausea with no vomiting. Incision approximated with moderate serosanguinous drainage. Abnormal laboratory data noted: BUN 19 mg/dL (10 – 20 mg/dL); Creatinine 1.0 mg/dL (0.6 – 1.2 mg/dL); Potassium 3.3 mEq/l (3.5 – 5.0 mEq/l). Not tolerating a clear liquid diet, only consuming 10-15% of meals. No VS abnormalities. Day 3 Status-post open (partial) gastrectomy. Client reports abdominal pain 4/10 on the Numerical Rating Scale. Client is still receiving patient-controlled analgesia (PCA) of fentanyl. Abdomen is distended, with hypoactive bowel sounds in all quadrants. Reports passing no flatus and is hiccuping during the exam. Endorses persistent nausea and occasional vomiting with no relief from prescribed ondansetron. Incision approximated with scant serosanguinous drainage. Abnormal laboratory data noted: BUN 23 mg/dL (10 – 20 mg/dL); Creatinine 1.3 mg/dL (0.6 – 1.2 mg/dL); Potassium 3.1 mEq/l (3.5 – 5.0 mEq/l). Not tolerating a clear liquid diet, nursing reports 0% consumption of meals. VS showed an oral temperature of 99.5°F (37.5°C).

The client is at highest risk for [condition] as evidenced by the client's............and............

Question 2 of 5.

The nurse is caring for a client with appendicitis experiencing pain. Which pain relief method would be inappropriate for this client?

Question 3 of 5.

Extract:The following scenario applies to the next 1 items The nurse is caring for an older adult in the medical-surgical unit Item 1 of 1 Health History 84-year-old female was admitted to the medical-surgical unit with a three-day history of abdominal pain, distention, nausea, and persistent vomiting. She reports that she has not had a bowel movement in five days and has no appetite. Vital Signs Oral temperature 101.1° F (38.3° C) Pulse 108/minute Respirations 22/minute Blood pressure 100/64 mm Hg Oxygen saturation 96% on room air.

The nurse reviews the client's health history and vital signs. Click to specify if the findings are consistent with a small bowel obstruction or appendicitis. Each row must have at least one but may have more than one response option selected.

Question 4 of 5.

Extract:The following scenario applies to the next 1 items The nurse in the emergency department (ED) cares for a 21-year-old male client Item 1 of 1 Nurses' Notes 1650: Client reports severe abdominal pain that radiates to his left shoulder. The client was tossing around the football with friends, and after being tackled, he began experiencing intense pain that worsened. He denies any medical history but is currently being treated for infectious mononucleosis and 'needed to get some fresh air,' so he started playing football with friends. During the assessment, the client was alert and fully oriented. He reports his abdominal pain is in the left upper quadrant, which radiates to his shoulder, as an 8/10 on the Numerical Rating Scale. Slight bruising was noted on the client's abdomen. A blotchy rash was observed on his back. His abdomen was slightly distended, taut, and tender to touch. Lung sounds are clear bilaterally. Peripheral pulses 2+. Skin is hot to the touch. Cervical lymphadenopathy is present. Vital signs: T 100.4°F (38°C), P 110, RR 21, BP 115/76.

Which of the following assessment findings require immediate follow-up? Select all that apply.

Question 5 of 5.

The nurse is caring for a client who has ulcerative colitis (UC). The nurse should teach the client to [Select all that apply].