Medical-Surgical Nursing II (NSG 223)

The nurse carefully monitors the client with a pelvic fracture for

Client's description of health status (define chronic state): Patient stated, "I went to the bathroom this morning and saw that my stool was black. I panicked and called my daughter immediately!" • Medical/ Surgical History: • Hypertension, Hyperlipidemia, Diabetes Mellitus Type II, Osteoarthritis, Colonoscopy 9/20/2019 • Mother died of stomach cancer at 56; father has hypertension and diabetes. • Maria B. lives with her husband and daughter. She is a non-smoker and consumes alcohol occasionally and has no known drug allergies. Maria B. works 40 hours a week as a cashier in a grocery store. She has limited health literacy and relies on her husband for transportation. She immigrated to the US from Mexico 10 years ago and has a strong support system within her immediate family and local Hispanic community. • Client Identifiers: Maria Bonilla • Physician(s): Dr. Lee • Date of Admission: 10/02/2024 • Age: 62 years old Gender: Female. Ht: 5 ft. 3 in. Wt: 142 lbs. • Code Status: Full • Isolation Status: Standard • Allergy: No Known Allergy • Activity Level: Diet: No concentrated sweets, healthy heart • Fall Risk • Chief Complaint: Maria B, a 56-year-old Hispanic female, a cashier, was brought to the emergency room by her daughter complaining of black, tarry stools for 2 days, and severe abdominal pain. What are the diagnostic examination for her? and what are her results?

Client's description of health status (define chronic state): Patient stated, "I went to the bathroom this morning and saw that my stool was black. I panicked and called my daughter immediately!" • Medical/ Surgical History: • Hypertension, Hyperlipidemia, Diabetes Mellitus Type II, Osteoarthritis, Colonoscopy 9/20/2019 • Mother died of stomach cancer at 56; father has hypertension and diabetes. • Maria B. lives with her husband and daughter. She is a non-smoker and consumes alcohol occasionally and has no known drug allergies. Maria B. works 40 hours a week as a cashier in a grocery store. She has limited health literacy and relies on her husband for transportation. She immigrated to the US from Mexico 10 years ago and has a strong support system within her immediate family and local Hispanic community. • Client Identifiers: Maria Bonilla • Physician(s): Dr. Lee • Date of Admission: 10/02/2024 • Age: 62 years old Gender: Female. Ht: 5 ft. 3 in. Wt: 142 lbs. • Code Status: Full • Isolation Status: Standard • Allergy: No Known Allergy • Activity Level: Diet: No concentrated sweets, healthy heart • Fall Risk • Chief Complaint: Maria B, a 56-year-old Hispanic female, a cashier, was brought to the emergency room by her daughter complaining of black, tarry stools for 2 days, and severe abdominal pain. What kind of labs she needs to get and what are her lab results look like? What kinds of labs she needs to have? And can you please give the number of her Labs results?

Click to highlight the findings the nurse will report to the healthcare provider. Client alert and oriented x4, states, “My lower right calf hurts. I noticed it after arriving home after an airline flight that took several hours. I think it was from sitting in a cramped seat with no legroom.” Right calf erythematous, hot, and tender to touch. Positive Homan’s sign. Heart sounds S1, S2, regular rhythm lower left extremity warm and dry. Peripheral pulses +3, peripheral pulses in affected extremity +2. Bilateral breath sounds clear to auscultation; bowel sounds normoactive x4 quadrants pain in calf described as intermittent and “sharp” rated 5/10. Temperature 99.7°F (37.6°C), pulse 82, respirations 18, blood pressure 128/76 mmHg, pulse oximetry 99% on room air.

A patient with terminal liver cancer is receiving end-of-life-care. The patient is weak and restless, and her skin is mottled and cool. Dyspnea develops, and she appears anxious and frightened. What would the nurse do first? Administer an as needed dose of morphine elixir. Deliver breaths at 20 breaths/min with a bag-valve mask and prepare for intubation. Alert the rapid response team and call the health care provider. Sit quietly with the patient and offer emotional support and comfort.

A person who is receiving chemotherapy is approach-ing the nadir period. Which instruction will the team leader give to the LPN/LVN? Observe for breakthrough pain; report frequency of bolus doses of opioids. Monitor the neutrophil count; be vigilant for signs/ symptoms of infection. Expect nausea and vomiting; give antiemetics as prescribed. Monitor for anorexia; needed.