A nurse is caring for a client in the emergency department.
Click to highlight the findings that indicate that the client's condition is improving. To deselect a finding, click on the finding again.
1400:
Client admitted to the medical-surgical unit at 1200 today. Alert and orientated x4, heart and lung sounds clear. Client urinating 100 mL/hour.
Client is tolerating soft diet and oral fluids. Bowel sounds are hyperactive in all 4 quadrants.
Bilateral pedal pulses 2+, Blood glucose 310 mg/dl. (74 to 106 mg/dL) 1400:
Temperature 36.8° C (98.2° F)
Pulse rate 84/min Respiratory rate 16/min
Blood pressure 106/76 mm Hg Oxygen saturation 96% on room air
Alert and orientated x4
Heart and lung sounds clear
Client urinating 100 mL/hour
Client is tolerating soft diet and oral fluids
Bilateral pedal pulses 2+
Temperature 36.8° C (98.2° F)
Pulse rate 84/min
Respiratory rate 16/min
Blood pressure 106/76 mm Hg
Oxygen saturation 96% on room air
The Correct Answer is ["A","B","C","D","E","F","G","H","I","J"]
The client's condition shows signs of improvement as indicated by several findings. The blood glucose level has decreased from 468 mg/dL to 310 mg/dL, which, although still above the normal range, is a significant improvement. The pulse rate has normalized from 110/min to 84/min, and the blood pressure has improved from 96/65 mm Hg to 106/76 mm Hg, indicating better cardiovascular stability. The
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A palpable thrill over the graft site indicates adequate blood flow through the graft.
B. The presence of a bruit (a humming sound) over the graft site is expected and indicates blood flow.
C. Normotensive blood pressure is not specifically indicative of the circulation of the graft.
D. A dilated appearance of the graft may indicate an issue with the graft, such as an aneurysm, rather than adequate circulation.
Correct Answer is D
Explanation
A. Frequent diarrhea is not typically associated with cervical cancer.
B. Urinary hesitancy is more commonly associated with prostate issues in males rather than cervical cancer in females.
C. Unexplained weight gain is not typically a symptom of cervical cancer.
D. Painless vaginal bleeding, especially after intercourse or between periods, can be a sign of cervical cancer. It's essential for individuals to seek medical evaluation if they experience any abnormal bleeding.
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