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A nurse is reviewing the medical record for an older adult client who is
experiencing nausea and vomiting. Based on the client data, which of the following
actions should the nurse take?
A nurse is providing information regarding transmission-based precautions for a
client who has Clostridium difficileto an assistive personnel (AP). Which of the
following instructions should the nurse include? (Select all that apply).
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[Solved] ATI MED SURG ALL VERSIONS WITH 100% CORRECT VERIFIED QUESTIONS AND ANSWERS
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ATI MED SURG ALL VERSIONS
WITH 100% CORRECT VERIFIED
QUESTIONS AND ANSWERS
➢ 16 DIFFERENT VERSIONS
➢ BEST RESOURCES
➢ GUARANTEED DISTINCTION
ATI MED SURG PROCTORED EXAM
VERSION 1
A nurse is reviewing the medical record for an older adult client who is
experiencing nausea and vomiting. Based on the client data, which of the following
actions should the nurse take?
Exhibit 1
Exhibit 2
Exhibit 3
Diagnosis Results
Sodium 142 mEq/ Potassium 4.2 mEq/L BUN 36 mg/dL Creatinine 1.4 mg/dL
Nurses' Notes
1200: Alert and oriented x3 Lungs clear to auscultation Decreased skin turgorDry
mucous membranes
Graphic Record
Temperature0800: 37.7° C (99.9° F) 1200: 37.2° C (99.0° F) Pulse0800: 96/min
1200:105/min Respiratory rate0800: 18/min1200: 20/minBlood pressure0800;
118/62 mmHg 1200: 104/65 mm Hg
a) Encourage the client to ambulate.
b) Administer an antipyretic medication.
c) Notify the charge nurse of the client's BUN level
d) Keep the temperature in the client's room warm.
EXPLANATION
The client's BUN level is above the
expected reference range of 10 to 20 mg/dL, which indicates dehydration and
impaired renal function. The nurse should notify the charge nurse of this finding
and anticipate interventions to restore the client's fluid volume.
A nurse is providing information regarding transmission-based precautions for a
client who has Clostridium difficileto an assistive personnel (AP). Which of the
following instructions should the nurse include? (Select all that apply).
a) "Provide the client with disposable utensils and dishes for meals."
b) "Leave blood pressure equipment in the client's room."
c) "Clean contaminated s...
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