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When documenting the assessment of fecal material, which assessment findings accurately reflect the client with an ascending colostomy? 

S: 33-year-old female client with a 2-day history of feeling unwell has come to the emergency department today. She has been experiencing general fatigue, aches, chills, and decreased appetite over the past two days. In the last 12 hours, she has had new onset of shortness of breath with exertion, fever, and frequent cough productive of small amounts of yellow sputum. A Chest X-ray is completed which shows pneumonia in the right lung. B: Client is a healthy adult with no past medical history. A: T 102.6 F, HR 116, RR 28, BP 114/76, SpO2 88% on Room Air. Client is alert & oriented x4, mildly anxious, with increased work of breathing, and a flushed appearance. Crackles are auscultated in the right lung, left lung sounds are clear. Radial and pedal pulses are strong, she has no peripheral edema. R: Which of the following interventional outcomes validate the patient plan of care is beneficial? Select All That Apply.

Which is the most appropriate oxygen delivery device to deliver very specific and precise oxygen concentrations? 

What makes preoperative teaching related to pain, an important part of nursing care? 

Which nursing intervention is most effective for the mobilization of secretions? 

 The nurse is caring for a client that just returned from an esophagogastroduodenoscopy (EGD).  What is the priority nursing action?

When the nurse is educating the client, which plan would be best to promote urinary elimination? 

The nurse observes that client’s abdomen is firm and distended. Which assessment is most important for the nurse to perform?

S: 33-year-old female client with a 2-day history of feeling unwell has come to the emergency department today. She has been experiencing general fatigue, aches, chills, and decreased appetite over the past two days. In the last 12 hours, she has had new onset of shortness of breath with exertion, fever, and frequent cough productive of small amounts of yellow sputum. A Chest X-ray is completed which shows pneumonia in the right lung. B: Client is a healthy adult with no past medical history. A: T 102.6 F, HR 116, RR 28, BP 114/76, SpO2 88% on Room Air. Client is alert & oriented x4, mildly anxious, with increased work of breathing, and a flushed appearance. Crackles are auscultated in the right lung, left lung sounds are clear. Radial and pedal pulses are strong, she has no peripheral edema. R: What would the expected outcome be for this patient? Choose one of the options provided in the parentheses.  Patient maintains optimal gas exchange as evidenced by __________ (clear lungs sounds in the right lung, maintaining respiratory rate of 12-20, maintaining an oxygen saturation of 92% or higher) by discharge. _______

The nurse is completing the preoperative checklist for a client who is scheduled for surgery. Documented assessment findings include blood pressure 130/74, heart rate 90. respiratory rate 18, and temperature 101F. Collaboration with which health care provider is necessary?