nurse is assessing a client who is 12hr postoperative following a colon
resection. Which of thefollowing findings should the nurse report to the surgeon?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings
...
nurse is assessing a client who is 12hr postoperative following a colon
resection. Which of thefollowing findings should the nurse report to the surgeon?
1. Heart rate 90/min
2. Absent bowel sounds → normal findings after major bowel surgery; takes several days
to returnto normal.
3. Hgb 8.2 g/dl
4. Gastric pH of 3.0
Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging.
2. A nurse is caring for a client who has diabetes insipidus. Which of the following
medications shouldthe nurse plan to administer?
a. Desmopressin
b. Regular insulin
c. Furosemide
d. Lithium carbonate
Rationale: Diabetes Insipidus has decreased ADH. Administer Desmopressin/Vasopressin increase ADH
and keepspt. on urinating
3. A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several
times daily for3 years. Which of the following test should the nurse monitor?
a. Fasting blood glucose
b. Stool for occult blood
c. Urine for white blood cells
d. Serum calcium
Rationale:ATI Pharm 16. Pg. 485 Ibuprofen (NSAIDs) monitor for GI bleed (bloody, tarry stools, abd pain).
4. A nurse in the emergency department is assessing a client. Which of the following actions should
the nursetake first (Click on the “Exhibit” button for additional information about the client.
There are three tabs that contain separate categories of data.)
a. Obtain a sputum sample for culture
b. Prepare
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