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RN Comprehensive online practice 2025 A with NGN-tap 2023/2024 Rated A+

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RN Comprehensive online practice 2025 A with NGN-tap 2023/2024 Rated A+

Instelling
RN Comprehensive Online Practice 2019 A With NGN
Vak
RN Comprehensive Online Practice 2019 A with NGN

Voorbeeld van de inhoud

RNComprehensiveOnlinePractice
n n n




Abnursebisbcaringbforbab5-year-oldbchild
n n n n n n n




PhysicalbExamination: n




1510:
Uponbvisualbinspection,bthroatbisbinflamed,btonsilsbappearbpink,breddenedband
n n n n n n n n n n




bepiglottis is bedematous band bcherry bred bin bappearance. bSkin bappears bpale. bStridor
n n n n n n n n n n n n




bnoted bupon inspiration bwith bdiminished bbilateral blung bsounds.
n n n n n n n n




Nurse'sbNotes: n




1500
Childbaccompaniedbtobemergencybdepartment bbybcaregiver.bCaregiverbstatesbchild
n n n n n n n n n




bhasba sore bthroatband breports bthe bchild bhas b"pain bon bswallowing" band bdenies
n n n n n n n n n n n n n n




bcough. bChild bis agitated band blean b- bcorrect banswer.
n n Condition:bEpiglottis n n n n n n n n




Actions:bInitiatebdropletbprecautionsbandbrequestbabprescriptionbforbIVbantibiotics
n n n n n n n n n n n




Monitors: bBreath bsounds band btemperature
n n n n n




Thebnursebshouldbanticipate binitiatingbdropletbprecautionsbandbrequestingba
n n n n n n n n n n




bprescription forbIV bantibiotics.bThebchild bisbmost blikelybexperiencing bepiglottis
n n n n n n n n n n n n




bbecausebofbthebclinical manifestationsbofbabhighbfever,binflammationbandbredness
n n n n n n n n n n n n




bofbthebthroat,bpalebskin,bstridor withbinspiration,bpainfulbswallowing,
n n n n n n n n n n




bnobcough,bisbsitting bin btripod bposition, band bdrooling. The bnurse bshould bmonitor bthe
n n n n n n n n n n n n n n




bchild's btemperature band bbreath bsounds.
n n n n n




Abnursebisbcaringbforbabclientbwhobisbonbthebspinalbcordbinjuryb(SCI)bunit
n n n n n n n n n n n n n n n




Nurses'bNotes n




Dayb3,b1700
n n n




ClientbadmittedbtobSCIbunitb3bdaysbagobfollowingbC7binjury.bSkinbisbcool,bpale,band bdrybto
n n n n n n n n n n n n n n n n n




ntouch.bRespirationsbeasybandbunlabored.bLungbsoundsbdiminishedbinblowerblobes.
n n n n n n n n n n




Abdomenbsoftband bnondistendedbwith bactive bbowelbsounds.bClient bpassed babsmall
n n n n n n n n n n nn




namountbofbhardbformedbstoolbthisbAM.bIndwellingburinarybcatheterbdrainingbclear
n n n n n n n n n n n




byellow urine. bDeepbtendonbreflexes b(DTR)bare bbicepsb1+, btricepsb1+, bpab-
n n n n n n n n n n n n n




bcorrect banswer. n The
client bis bmost blikelybexperiencing bmanifestations bof bpneumonia band bautonomic
n n n n n n n n n




dysreflexia.
n

,Thebnursebshouldbanalyze bcuesbfrombthebclient'sbmanifestationsbandbdetermine bthat
n n n n n n n n n n n




bthe client bisbmost blikelybexperiencing bmanifestationsbofbpneumonia bandbautonomic
n n n n n n n n n n n




ndysreflexia.bAbclientbwhobhasbabcervicalbSCIbisbatbriskbforbrespiratory bcomplications n n n n n n n n n n n n n




nbecausebspinalbinnervationbtobthebrespiratorybmusclesbisbdisrupted. n n n n n n n n




bAdventitiousbbreath soundsbinbtheblowerblobesbbilaterallyband ba bdecreasebin boxygen
n n n n n n n n n n n n n




bsaturation btobless bthan 92%bcanbindicate bpneumonia. bThe bclient's bsudden bincrease
n n n n n n n n n n nn n




bin bblood bpressure, bradycardia, bflushing bof bthe bskin babove bthe bareabofbthebinjury,
n n n n n n n n n n n n n n




bheadache,bandbblurred visionbarebmanifestationsbofbautonomic bdysreflexia, bwhich
n n n n n n n n n n




bcan bbe ba blife-threatening condition.
n n n n n




Abnursebisbcaringbforbabclientbwhobhasbabdominalbpain
n n n n n n n n n n




Nurses'bNotes n




0900
n




Clientbreportsblossbofbappetite,bweightbloss,bandbfatiguebforb1bweek.bReports
n n n n n n n n n n n n




babdominal pain,b6 bon babscale bfrom b0 bto b10, bfor b2bdays. bClient bis ba bperioperative
n n n n n n n n n n n n n n n n n




bnurse,breturnedb1 weekbagobfrombab2-weekbmissionbtripbtoban bunderdeveloped
n n n n n n n n n n n n n




bcountry
n




1200
Resultsbofbantibodybstudiesbobtained.bProviderbprescriptionbforbantiviralbmedication
n n n n n n n n n




pending.
n




PhysicalbExamination n




0930
n




Lungbsoundsbclearbbilaterally. bSkinbwarmbto btouchband bjaub-bcorrect banswer.
n n n n n n n n n n n n




Hepatitis
A:bClient'sbriskbfrombfecal-oralbtransmission,blaboratorybresults,bandbphysical bexamination
n n n n n n n n n n




n findings

HepatitisbB:bAntiviralbtreatment,blaboratorybresults,bclient'sbriskbfrombbloodborne
n n n n n n n n n




transmission, bphysical bexamination bfindings
n n n n




HepatitisbC:bAntiviralbtreatment,blaboratorybresults,bclient'sbriskbfrombbloodborne
n n n n n n n n n




transmission, band bphysical bexamination bfindings
n n n n n




When banalyzing bcues, bthe bnurse bshould brecognize bthat bmanifestationsbofbhepatitis bA,
n n n n n n n n n n n




nhepatitis bB, band bhepatitis bCbinclude bjaundice, byellowbsclerae, bright bupper bquandrant
n n n n n n n n n n n




bpain uponbpalpation, bdarkbyellowburine, band belevated bASTband bALT blevels. bWhen
n n n n n n n n n n n n n




banalyzing cues,bthebnursebshouldbalsobrecognizebthebclient'sbrisk
n n n n n n n n n n




bforbcontractingbhepatitisbAbthrough thebfecal-oralbroutebduringbrecentbtravelbtoban
n n n n n n n n n n n n n




bunderdeveloped bcountry band bthebclient's occupational briskbasba bperioperative bnurse
n n n n n n n n n n nn




bforbcontractingbhepatitis bBband bhepatitis bC through bbloodborne btransmission. bThe
n n n n n n n n n nn n




bnurse bshould brecognize bthat bthe bcurrent bstandard of bpractice bfor
n n n n n n n n n n




Abnursebisbcaringbforbabclientbonbabmedical-surgicalbunit
n n n n n n n n n n

,VitalbSigns n




0700
n




Temperatureb37.6bCb(99.7bF) n n n n




nHeart brate b100/min n n




Respiratory brate b22/min
n n n




Bloodbpressureb115/70 n n




bmmHg
n




Oxygenbsaturationb98%bonbroombair n n n n n




Nurses'bNotes n




1100
n




Client balert band boriented bto bperson, bplace,bandbtime. bClient bhad bepisode bof bdiarrhea,
n n n n n n n n n n n n n




nprovidedbperinealbcare.bNotedb2bcmbxb2bcmb(0.8binbxb0.8bin)bpainfulbedematousbarea
n n n n n n n n n n n n n n n n




bon sacrum. bClient brepositioned bevery b4 bhr. b- bcorrect banswer.
n n n n n n n n n n




Clickbtobhighlightbthe n n n




bfindings thatbrequire bfollowbup. bTobdeselect babfinding, bclickbonbthe bfindingbagain.
n n n n n n n n n n n n n




- Notedb2bcmbxb2bcmb(0.8binbxb0.8bin)bpainfulbedematousbareabonbsacrum
n n n n n n n n n n n n n n n




- Clientbrepositionedbeveryb4bhr n n n n




Whenbrecognizingbcues,bthebnursebshouldbdeterminebthatbthebclient'sbpainful
n n n n n n n n n n




bedematous areabonbtheirbsacrumbandbthatbthebclientbhasbonlybbeenbrepositioned
n n n n n n n n n n n n n




beveryb4bhrbrequires followbup.bThebclientbhasbmanifestationsbofbabpressurebinjury bthat
n n n n n n n n n n n n n n n




bneedbtobbebaddressed. Thebclient bshould bbebrepositioned bat bleast bevery b2 bhrbto
n n n n n n n n n n n n n n n




bpreventbworseningbofbthe pressurebinjurybandbtobrelievebpressurebfrombthebsacralbarea.
n n n n n n n n n n n n n n




Abnursebinbanboutpatientbmentalbhealthbclinicbisbcaringbforbabclient
n n n n n n n n n n n n




VitalbSigns n




3bmonthsbago
n n




Bloodbpressureb116/68 n




bmmHg Heartbrateb82/min
n n n n




Respiratory brate b16/min n n




Temperature b36.7 bC b(98.1
n n n n n




bF) SaO2b97%bonbroombair
n n n n n n




Today:
Bloodbpressureb128/76 n




bmmHg Heartbrateb104/min
n n n n




Respiratory brate b22/min
n n n




Temperature b37.4 b(99.4 bF)
n n n n




SaO2 b97% bon broom bair
n n n n n




Nurses'bNotes n




3bmonths bago
n n n




Client brecently badmitted bwith bnewbdiagnosis bof bschizophrenia. bReceived binpatient
n n n n n n n n n




treatment bforb10 bdays band bwas bdischarged b1 bweek bago. b- bcorrect banswer.
n n n n n n n n n n n n n




Selectbthe
b3 findingsbthatbrequirebimmediatebfollowbup:
n n n n n n




- Auditorybhallucinations

, - Speech
- Restlessness

Whenbrecognizing bcues, bthebnursebshouldbidentifybthatbthebfindings bof brestlessness,
n n n n n n n n n n nn




nauditory bhallucinations, band bpressured bspeech brequire bimmediate bfollowbup.bThese
n n n n n n n n n




findingsbarebindicationsbofbpsychosis.bThebnursebshouldbnotify bthe bprovider bfor
n n n n n n n n n n n n




badditional evaluation band btreatment.
n n n n




Abnursebisbcaringbforbabclientbwhobisbpostoperativebfollowingbcoronarybartery bbypass
n n n n n n n n n n n n n




surgery b(CABG)
n n




Laboratory
bResults 0630 n




Sodium b145 bmEq/L b(136 bto b145 bmEq/L) n n n n n nn




nPotassiumb3.2bmEq/Lb(3.5btob5bmEq/L) n n n n n n




nChlorideb116bmEq/Lb(98btob106 bmEq/L) n n n n n n




nBUN b24 bmg/dL b(10 bto b20bmg/dL) n n n n n n




Magnesiumb1.5bmEq/Lb(1.3
n n n n




btob2.1bmEq/L) Totalbcalcium b9 bmg/dL
n n n n n n n




b(9 bto b10.5 bmg/dL) Phosphate b4.6
n n n n n n n




bmg/dL b(3 bto b4.5 bmg/dL) Glucose b95
n n n n n n n




bmg/dL b(74 bto b106 bmg/dL)
n n n n n




WBCbcountb9,500/mm3b(5,000btob10,000/mm3)
n n n n n




Ib&bO
n n




0700 n




4bhrbinputb400bmL
n n n n




4bhrboutputb-bcorrectbanswer. Thebclientbisbatbgreatestbriskbforbdeveloping bdysrhythmias,
n n n n n n n n n n n n n n




n as bevidenced bby belectrolyte bimbalance.
n n n n




Thebnursebshouldbanalyzebcuesbtobdeterminebthebclientbisbatbgreatestbriskbfor bdeveloping
n n n n n n n n n n n n n n




ndysrhythmias brelatedbtobhypokalemia,basbevidencedbbybthe blaboratorybreportbandbthe n n n n n n n n n n n




nclient'sbreportbofbmusclebcramping. bPotassiumbandbmagnesiumbdepletion barebcommon
n n n n n n n n n n




nmanifestationsbinbclientsbwhobarebpostoperative bfollowingbCABG.bDuebtobmedicationbor n n n n n n n n n n n




hemodilation,bitbisbimportantbforbthebnursebtobcloselybmonitorbelectrolytes.
n n n n n n n n n n n




Abnursebisbcaringbforbabclientbwhobisbpregnantbinbthebacutebcarebsetting
n n n n n n n n n n n n n n




Nurses'bNotes n




1400 n




Clientbreportsbabconstantblowbdullbbackachebandbpainlessbabdominalbtighteningbfor bthe
n n n n n n n n n n n n




npastb3bhr.bDeniesbanybchangesbinbvaginalbdischarge.bExternalbfetalbmonitorbapplied.
n n n n n n n n n n n n




1430
Contractionbpattern:bcontractionsbeveryb4btob5bmin,blastingb30btob45bseconds, bpalpate n n n n n n n n n n n n n




mild bin bintensity
n n n

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Instelling
RN Comprehensive Online Practice 2019 A with NGN
Vak
RN Comprehensive Online Practice 2019 A with NGN

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Aantal pagina's
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Geschreven in
2024/2025
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