Patient Data

Exhibits

Review H and P, nurse's note, flow sheet, and prescriptions.

Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

The nurse on the medical-surgical unit is receiving a transfer report from the postanesthesia care unit (PACU) nurse for a client who had an exploratory laparotomy. The PACU nurse provides the following information: "1,000 mL 0.9% sodium chloride is infusing at 125 mL/hr into the left wrist with 600 mL remaining.

Ondansetron 4 mg IV every 8 hours is prescribed for nausea. The last dose was administered at 0700. The client is currently describing pain at a level 2 on a 0 to 10 pain scale. The client has a prescription for hydromorphone 1 mg IV every 2 hours PRN for pain. The last dose was administered at 1000."

Which additional information should the PACU nurse report?

A client newly diagnosed with diabetes mellitus suddenly becomes confused and weak.

Which intervention(s) should the nurse implement? Select all that apply.

Click to highlight the findings that would indicate the client's condition has improved.

The client presents for his 30 day follow up appointment. The client reports not feeling dizzy when he gets up to ambulate. He reports his heart races at times when he goes to the bathroom. The client reports 1 episode of incontinence in the last 30 days. Gets up 1 to 2 times a night to void. Has noticed increased swelling of his testicles. Even with the penile implant, the client is unable to have penetrative intercourse with his partner. The client is experiencing body aches daily.