A nurse is caring for a client on a medical-surgical unit. N…

A nurse is caring for a client on a medical-surgical unit. Nurses’ Notes0900:Client resting in bed awake and alert. Client admitted to unit 2 days ago with diagnosis of community-acquired pneumonia. Continues to cough and expectorate green mucous. Reports generalized aching and rates pain as 4 on a scale of 0 to 10. Expiratory wheezing heard in right lung fields. Client denies any medical history and reports they do not take any prescription medications.  Vital Signs0730:Temperature 39.2°C (102.5°F)Heart rate 108/minRespiratory rate 24/minBlood pressure 92/50 mm HgSpO2 94% on 3L nasal cannula0900:Temperature 39.1°C (102.3°F)Heart rate 106/minRespiratory rate 26/minBlood pressure 82/56 mm HgSpO2 95% on 3L nasal cannula For each potential medication prescription, click to specify if the medication prescription is indicated or contraindicated for the client with sepsis due to pneumonia.  Medication Prescription Acetaminophen 650 mg PO every 6 hours PRN [answer1] Fentanyl 50 mcg IV every 6 hours [answer2] Ceftriaxone 2 g IV every 24 hours [answer3] Regular insulin 4 units SUBQ before meals [answer4] 500 mL bolus of 0.9% sodium chloride IV [answer5]

A nurse is caring for a client in the Medical-Surgical Unit….

A nurse is caring for a client in the Medical-Surgical Unit. Nurses Notes: Day 1:  Client has a 10.2 cm (4 in) by 10.2 cm (4 in) raised, reddened abscess on left thigh. The client reports that the area is warm and painful. Vital Signs: Temp – 39.6 C (103.3)F; BP – 118/56 mm Hg; HR – 106/min; RR – 22/min; O2 Sat 96% (RA) Diagnostic Results Day 2: CBC: WBC 45,000/mm3 (5000 to 10,000/mm3) Wound Culture and Sensitivity:  sample taken from left thigh abscess POSITIVE for methicillin-resistant Staphylococcus aureus (MRSA)  ** Please designate whether the intervention are: ANTICIPATED (2 of 2 needed); CONTRAINDICATED (2 of 2 needed); or NONESSENTIAL (1 of 1 needed).

Scenario: The client is a 17-year-old male who lives with hi…

Scenario: The client is a 17-year-old male who lives with his family on a farm in a rural community.  The client has 4 siblings that were recently ill with: stomach pains, vomiting, diarrhea, and fever.  The siblings were seen by their PCP and diagnosed as having viral gastroenteritis. A week later the client woke at 03:00 stating that his stomach pain was 8-9/10, and began to vomit several times over the next few hours, so his parents brought him in to the ER for evaluation. He is seen guarding his abdomen, and moaning. Vital signs on admit: BP: 128/78; HR: 130 bpm; RR: 28; O2 94% on RA Iv access is obtained and orders are received for “MORPHINE SULFATE 2mg x 1 NOW IVP”. Which findings are common clinical manifestations of appendicitis? (Select all that apply)