RN Adult Medical Surgical Online Practice 2024 A NGN Latest Update 2024-2025 100% Complete Questions and Verified Correct Answers Already Graded A+
0530:
Client is awake and alert.Arteriovenous fistula (AVF) to right forearm with thrill palpated and auscultated for bruit.Lung sounds clear upon auscultation; client denies shortness of breath. No peripheral edema noted; capillary refill is less than 3 seconds; +2 bilateral pedal and radial pulses.AVF access prepared and cannulated twice with no difficulty. Lines are taped and
secured; treatment is initiated.0600:
Client is reading a book. Access is visible, and lines are secure. Client reports no
discomfort or pain.0630:
Client reports feeling warm, nauseated, and lightheaded; appears restless and slightly
confused. - CORRECT ANSWER: Perform a 12-lead ECG is not indicated.
Place the client in Trendelenburg position is indicated.
Administer a 0.9% sodium chloride 200 mL IV bolus is indicated.
Apply oxygen at 2 L/min via nasal cannula is indicated
Notify the provider immediately is indicated
Obtain the client's blood glucose level is not indicated.
1000:Client presents to the ED with visual disturbances, expressive aphasia, and numbness and tingling of the lips. Manifestations started about 30 min ago. Client reports flashing lights in their vision, especially on the right side.Client's partner states the client had some difficulty with finding words when speaking.Client is alert and oriented x 3 and appears anxious. No facial drooping noted. Right hand grasp is weaker than left. Client denies pain. - CORRECT ANSWER: Hand grasps is consistent with migraine, stroke, and meningitis.
Numbness is consistent with migraine and stroke.
Aphasia is consistent with migraine and stroke.
Visual changes are consistent with migraine, stroke, and meningitis.
Family history is consistent with migraine and stroke.
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1800:
Emergency medical team removed client's shirt at the scene and initiated 18-gauge IV therapy in the right antecubital space.Client has full-thickness burns over the upper half of the chest and both forearms; partial-thickness burns are present on the client's face and neck.Sinus tachycardia, pulses to brachial extremities palpable. 1+ edema to upper extremities.Respirations even, labored with scattered rhonchi. Soot noted to the client's mouth and nose. Oxygen 40% via face tent applied.Hypoactive bowel sounds.16 French indwelling urinary catheter inserted with return of 250 mL of yellow urine.Lactated Ringer's infusing to right antecubital. Provider preparing to insert right femoral central line catheter.
1830:
Client's voice is becoming hoarse and reports difficulty swallowing. Wheezes present to upper lobes bilaterally. Provider notified. Client positioned upright, oxygen via face tent.
Blood collected - CORRECT ANSWER: During the emergent phase of burn care, the
client is at risk for developing hypovolemia and respiratory failure .
1NGN
000:Client presents to the ED with visual disturbances, expressive aphasia, and
numbness and tingling of the lips. Manifestations started about 30 min ago. Client reports flashing lights in their vision, especially on the right side.Client's partner states the client had some difficulty with finding words when speaking.Client is alert and oriented x 3 and appears anxious. No facial drooping noted. Right hand grasp is weaker than left. Client denies pain.1045:Client states the flashing lights, numbness, and tingling in the lips have gone away. Client states they now have throbbing pain behind the left eye, photophobia, and nausea. Client is requesting medication for pain that is 7 on a scale of 0 to 10.Hand grasps are equal and strong bilaterally.1300:Client reports pain as 2 on a scale of
- to 10 and nausea has resolved.
- CORRECT ANSWER: "Foods that contain tyramine might trigger my headaches" is
Provided client with discharge instructions regarding sumatriptan and migraine triggers.
correct.
"I will keep a food and headache diary" is correct.
"I will place a cool cloth on my forehead when I experience a migraine" is correct.
"I will take the sumatriptan once every day" is incorrect.
"I should stay awake until my headache is gone" is incorrect.
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