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A 64-year-old client is admitted with a small bowel obstruction. Information is as follows:Medical HistoryVital SignsNotesDiagnostic ResultsThe client is complaining of cramping abdominal pain, vomiting, and is passing blood and mucus without fecal matter present. History: Hysterectomy 2010 and Crohn’s disease since 2013The client denies continuous pain and states that it is midabdominal and not lower abdominal. Temperature: 38.3° C (101° F) Apical pulse 120/minRespiratory rate 20/minBlood pressure 90/54 mmHgPulse oximetry 93% on room air 0800: Alert and oriented x 3Reports pain in midabdominal regionAbdominal distention noted upon inspection. Tenderness noted on palpation. Hyperactive bowel sounds auscultated.Rates pain as an 8 on a scale of 0 to 10Skin pale and coolHeart tones S1S2 auscultated. Bilateral breath sounds clear.RBC 4.9 million/mm3 (4.7 to 6.1 million/mm3)WBC 12,000 mm3 (5,000 to 10,000 mm3)Hemoglobin 16 g/dL (14 to 18 g/dL)Hematocrit 48% (42% to 52%)Platelets 200,000/mm3 (150,000 to 400,000/mm3)Basic Metabolic Profile:BUN 45 mg/dL (10 to 20 mg/dL)Creatinine 1.0 mg/dL (0.6 to 1.3 mg/dL)Total Calcium 9.5 mg/dL (9.0 to 10.5 mg/dL)Carbon Dioxide 27 mEq/L (23 to 30 mEq/L)Chloride 10 mEq/L (98 to 106 mEq/L)Glucose 80 mg/dL (74 to 106 mg/dL)Potassium 5.1 mEq/L (3.5 to 5 mEq/L)Sodium 150 mEq/L (136 to 145 mEq/L)CT scan: CT scan shows marked distention of the small bowel with dilation of the small bowel loops

The client who was recently admitted with a bleeding duodenal ulcer appears pale and weak and states feeling fatigued. In reviewing the client’s laboratory results, which component(s) of the CBC should the nurse most associate with the client’s presentation? Select all that apply

Following a diagnosis of colon cancer, a 38-year-old client underwent a colectomy with colostomy placement 14 hours ago. The nurse assesses the stoma to be beefy red in color with scant bleeding, the colostomy bag does not have any output, and the abdomen is slightly distended, soft, and nontender. What is the most appropriate nursing action?

19. Tuberculosis is 

A patient with multiple myeloma reports worsening back pain, new onset leg weakness, and difficulty urinating. What is the nurse’s priority action?

Exam 2 question .png Exam 2 lab values .png For each potential provider’s prescription, specify if the potential prescription is anticipated (A) or contraindicated (C) for the client. Potential Order Anticipated / Contraindicated Administer ampicillin/sulbactam IV [BLANK-1] CT of the abdomen with IV contrast [BLANK-2] Administer enema x 1 now [BLANK-3] Type and crossmatch 1 unit packed RBCs [BLANK-4] Increase fiber intake [BLANK-5] Change IV fluids to 0.9% sodium chloride with 20 KCL @ 125 mL/hr [BLANK-6]

Exam 2 Unfolding Q1(4).jpg Exam 2 Unfolding Q2(3).jpg    The provider orders a bone marrow biopsy and results confirm the diagnosis of aplastic anemia. Based on the information collected through assessment and diagnostic testing, which of the following orders should the nurse question? Select all that apply.

14. Which of the following is true of Transmission-Based Precautions?

13. What does surgical asepsis create? 

4. An MA will come into contact with microorganisms