A nurse in the emergency department is caring for a client who reports abdominal pain. After every meal consumed by the client, A client reports abdominal Study with Quizlet and memorize flashcards containing terms like The nurse is collecting a stool specimen from a patient. Physical Examination Client presents to the ED with upper abdominal pain that radiates to the right shoulder. The nurse notes that he is exhibiting symptoms of dehydration, and his vital signs and labs confirm this. 2° F (38. 4° C), pain is 10 out of 10, and rebound tenderness is exhibited. The pain has started to A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. c. Client is awake, alert, and oriented x3. 3 million visits and totaling 5% to 10% of all ED visits. Nurses' Notes Emergency Department 1100: Client reports nausea, loss of appetite, vomiting, fever, and constipation for the past 2 weeks and abdominal pain rated 7/10 on the Numerical Rating Scale for 1 week. These symptoms, along with the findings from the abdominal x-ray, suggest that the client is experiencing constipation. The client is complaining of severe abdominal pain. A nurse in the emergency department (ED) is caring for a client who reports abdominal pain. The client is reporting anxiety, discomfort, and a feeling of bloating. Potassium C. Which acid-base arrangement would the nurse expect based on the client's manifestations A. A cephalosporin antibiotic B. A nurse in the emergency department is caring for a client who comes to the emergency department reporting severe abdominal pain in the left lower quadrant. Lung sounds Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department is caring for a client who reports abrupt, sharp, right-sided lower quadrant abdominal pain and bright red vaginal bleeding. A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a 9-year-old boy with episodes of chronic pain. A Mexican-American client arrives at the emergency department. Exhibit 1: Nurses' Notes. The nurse should identify which of the following as a possible sign of child abuse? a. During a quick assessment the nurse observes that the client has both Cullen's sign and Grey Turner's sign, and pancreatitis is suspected. " What might this client's medical diagnosis be?, Which abdominal finding in an elderly client should prompt a nurse to perform Study with Quizlet and memorize flashcards containing terms like The client presents to the emergency department with a report of excruciating abdominal pain. Nurse's Notes: 11:00: Client reports nausea, loss of appetite, vomiting, fever, and constipation for the past 2 weeks and abdominal pain rated 7/10 on the Numerical Rating Scale for 1 week. The nurse in the emergency department is caring for a 41-year-old male client. The nurse recognizes that this client may be experiencing what type of process? A grandparent brings their 15-year-old grandchild to the emergency department reporting that they have severe abdominal pain and are scheduled for an immediate appendectomy. V. Hydrocortisone, A nurse in the emergency Study with Quizlet and memorize flashcards containing terms like 1. an increased pH with an Study with Quizlet and memorize flashcards containing terms like The client returns to the provider's office 3 days later. Client diagnosed with schizophrenia approximately 5 years ago, has had one prior hospitalization for A client is admitted from the emergency department with complaints of severe abdominal pain and an elevated white blood cell count. . What pain symptoms does the client Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery. Based on the client's clinical findings, which of the following actions A client in the emergency department reports squeezing substernal pain that radiates to the left shoulder and jaw. missed A nurse in the emergency department (ED) is caring for a 13-year-old client who presented with right lower quadrant abdominal pain, nausea, and fever. To deselect a finding, click on the finding again. Which of the following assessment findings should the nurse identify as an indication of hypovolemic shock? A. A nurse is caring for a 4-month-old male client brought to the emergency department by the parents. Which of the following actions is the nurse's priority?, A nurse admits a A nurse is caring for a client on a medical-surgical unit. Study with Quizlet and memorize flashcards containing terms like The nurse is` caring for a client with fatty liver disease who is scheduled for a paracentesis to treat ascites. Client is undergoing chemotherapy for pancreatic cancer and has been taking 40 mg oxycodone extended-release tablets daily for the Study with Quizlet and memorize flashcards containing terms like A client with type I diabetes mellitus is brought to the emergency department by his wife. , A nurse is caring for a client with diabetes insipidus in the emergency department. Documentation shows that the client exhibits "Rovsing's sign. Incisional drainage C. d. The infant is up to date on immunizations. What is the nurse's best action?, The nurse is explaining the pathophysiology of pain to a nursing student. (Selectable areas, or "Hot Spots" are outlined in the artwork below. The nurse has notified the provider of the client's 0700 assessment data and lab results. 5 mg PO four times dailyRegular diet exhibit 2 Nurses' NotesDay 1, 0900:Client admitted from emergency department for psychosis. Severe D. Bilateral breath A nurse in the emergency department is caring for a client who has abdominal trauma. Upon examination, the nurse notices a 5-cm transverse scar in the right lower quadrant. The client has fruity breath with rapid, deep respirations at 36 breaths per minute, reports abdominal pain, and appears weak. " Client alert and oriented x 3. change in mental status, The nurse is asking the client with acute pancreatitis to describe the pain. 1200:Client arrives to ED and reports abdominal pain and no bowel movement for the past 7 days. Nurses' Notes The client reports abdominal pain for the last two days that is now moving to the right lower quadrant. Greasy and foamy c. The nurse asks the client why he waited so long to seek medical care. Bowel sounds Reports abdominal pain as 4 on a scale of 0 to 10. Study with Quizlet and memorize flashcards containing terms like The client returns to the provider's office 3 days later. All pulses palpable. Bilateral breath 1. A client with chest pain arrives in the emergency department and receives nitroglycerin, morphine (Duramorph), oxygen, and aspirin. Study with Quizlet and memorize flashcards containing terms like 1800: Emergency medical team removed client's shirt at the scene and initiated 18-gauge IV therapy in the right antecubital space. Assess fetal heart tones, 2. Lung sounds clear bilaterally, S1 and S2 heart tones noted. Recognize high-risk patients and dangerous mimics and choose testing, imaging, and consultation that will improve outcomes. Threaded with mucus, A client comes into the emergency department with reports of abdominal pain. The nurse is educating the parents how to help the child manage pain nonpharmacologically. Click to highlight the findings below that the nurses should report to the provider. Give acetaminophen 650 mg by mouth as needed for headache 3. Reported pain lvl E. Exhibit 1: Nurses' Notes 0700: Client presents to the emergency department with reports of severe abdominal pain, inability to eat, and peripheral edema. Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department is caring for a client who reports abrupt, sharp, right-sided lower quadrant abdominal pain and bright red vaginal bleeding. Pain medication D. Urinary output D. Breath sounds Blood pressure Oxygen saturation Temperature Heart rate, A nurse in the emergency department (ED) is caring for a client who reports abdominal pain. To prevent an Addisonian crisis , the nurse should administer which of the following medications? A. The client's temperature is 101. Identify where the nurse will palpate to assess for pain at McBurney's point. Clay-colored b. Place a fan in the client's room 4. Which of the following signs indicates to the nurse that the client has blood in the peritoneum? Study with Quizlet and memorize flashcards containing terms like A middle aged female client presents to the emergency department complaining of indigestion and left arm pain. A nurse is reviewing the clients recent assessment findings 5 days after being admitted. anorexia and dyspepsia D. Based on this data, which orders should the nurse anticipate from the healthcare provider? Select all that apply. 5 mcg/kg/min, The nurse in the emergency department is caring for a client recently diagnosed with Graves' disease who was admitted following a motor vehicle accident. a decreased pH and a decreased HCO3 D. Notify the health care provider immediately. Nursing; Nursing questions and answers; A nurse is caring for a young adult cisgender female client who presents tothe emergency department (ED) with reports of abdominal pain. He reports abdominal pain and has been vomiting for 5 days. The client has had cold symptoms for the past few days including coughing, sneezing, and a runny nose. The client states the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has COPD. Which of the following The emergency department nurse cares for a client who reports persistent nausea and vomiting for three days. A barium enema E. Click to highlight the assessment findings below that the nurse should report to the provider. Select the 3 findings that require follow-up. What action takes priority? a. Regular diet C. Neuro Assessment B. an elevated pH and a decreased CO2 C. urinary tract infection appendicitis renal calculi Explanation: Hemorrhoids cause rectal pain and pressure. Which of the following provider prescriptions for initial pain relief should the nurse question? The nurse should anticipate treating the client with which of the following interventions?, A nurse is caring for a client with complications of hyperthyroidism in the ED. Administer the prescribed pain medication. Exhibit 1 Nurses' Notes 1200: Client arrives to ED and reports abdominal pain and no bowel movement for the past 7 days. Complete the client's registration information, perform an electrocardiogram, gain I. Client is alert and oriented to person, place and time. Client is undergoing chemotherapy for pancreatic cancer and has been taking 40 mg oxycodone extended-release tablets daily for the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the emergency department (ED). The client states there is also a pulling feeling on the right side. The nurse confirms that the client's guardians are unavailable. Abdominal pain remains one of the most common presentations in the emergency department (ED), accounting for approximately 7. The infant has faded bruise marks on their upper The nurse in the emergency department (ED) is caring for a 41-year-old male client. Calcium B. Which client report to the nurse is most concerning?, A nurse is measuring a uterine fundal height for a client who is at 36 weeks Study with Quizlet and memorize flashcards containing terms like 1. Percuss all four abdominal quadrants. The nurse notifies the emergency department health care provider about a client who reports abdominal pain, nausea and vomiting, and fever. Exhibit 1: Nurses' Notes Day 1, 0900: Client is 65-year-old who reports pain and burning on urination. Hydrocortisone A nurse is caring for a client who was admitted to the emergency department for severe pain following a fall from a ladder. Client states "The abdominal pain started after my 7-year-old child Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the emergency department (ED). Denies vomiting. What should the A nurse is on mental health unit caring for a client exhibit 1 Provider PrescriptionsDay 1, 0900:Fluphenazine 2. A nurse is assessing a pregnant client who is in labor. The physician diagnoses acute coronary syndrome. The client reports taking an opioid prescription for chronic pain. Draw labs to assess electrolyte panel 2. A nurse is caring for a 26-year-old client who has abdominal pain. Tachycardia D. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who reports severe abdominal pain and vaginal spotting. The nurse should suspect which of the following? a. The client has an indwelling urinary catheter in place to aid in the healing of a sacral pressure injury. Client presents to the ED with upper abdominal pain that radiates to the right shoulder. The client rates the pain as a 9 on a scale of 1 to 10. Client states, "I am having trouble making it to the bathroom on time and I'm up throughout the night needing to urinate. Mild B. The nurse assesses A. signs of GI bleeding C. The nurse should anticipate implementation of which prescription(s)? Select all that apply, A client diagnosed Study with Quizlet and memorize flashcards containing terms like A client reports abdominal pain as "8" on a pain intensity scale of 0-10 thirty minutes after receiving an opioid intravenously. Which of the following prescriptions should the nurse anticipate? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who came to the emergency department with abdominal distention and is now on the medical=surgical unit with an NG tube in place to low gastric suction. The nurse determines understanding of the main concepts when the student nurse makes which of the following Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client in the emergency department who is suspected of having appendicitis. Every time the client's vital signs are assessed D. Increased urinary output C. · emotional distress related A nurse is caring for a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities Which of the following actions should the nurse take? Verify the most recent calcium level Study with Quizlet and memorize flashcards containing terms like The linea alba is located where?, An emergency department nurse is caring for a teenage client who has severe pain in the umbilical area. Client's skin is pink and moist to touch. Check the contraction pattern B. Warm, dry skin B. · ulceration of the appendix. What is your priority assessment? A. Client states "The abdominal pain started after my 7-year-old child Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department is caring for a client who has Addison's disease and reports nausea, vomiting, diarrhea, and abdominal pain. The symptoms began 2 days earlier, with severe abdominal pain often radiating to the rectum, along with anorexia, nausea, vomiting, weakness, and dehydration. Today coughing has increased, with decreased appetite and increasing fussiness. Renal calculi typically produce flank pain, but can also cause abdominal pain. Moderate C. · inflammation of the gallbladder. a decreased pH and an elevated CO2 B. A nurse is caring for a client with reports of abdominal pain. Call for epidural orders C. What characteristic of the stool indicates to the nurse that the patient may have an upper GI bleed? a. The client had a positive urine pregnancy test at home, and her last menstrual period was 8 weeks ago. " The client receives a diagnosis of anxiety. A. The client states she missed one menstrual cycle and cannot be pregnant because she has an intrauterine device. Client rates pain as 7 on a scale of 0 to 10. Client also reports nausea, vomiting, and dyspepsia. Later the nurse sees that the client is to be discharged with a follow-up appointment in the morning. GI Assessment F A client presents to the emergency department with reports of new onset of abdominal pain for the past 3 days. The nurse assesses the client and would notify the registered nurse regarding which priority finding?, The nurse Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the emergency department Nurses' Notes 1030: Client reports nausea and indigestion for the past few days and worsens after meals and belches a lot. Iodine D. Lung sounds A nurse in the emergency department (ED) is caring for a client who reports abdominal pain. Which diagram best describes the client's abdomen?, A client presents to the emergency department with reports of new onset of abdominal pain for the past 3 days. He continues to state "I don't know why my wife left me. Click to highlight the finding(s) that will require follow-up. Which statement by the father indicates a need The client has not had a bowel movement for the past 7 days and reports abdominal pain. The provider suspects a ruptured ectopic pregnancy. The infant's weight and length follow the expected growth curve. A nurse in the emergency department is caring for a client with Addison's disease, reports. Start nitroprusside infusion at 0. The abdomen is distended, rigid, and board like, and there is rebound tenderness. 4. Upon admission and discharge B. Her past medical history includes partial-thickness burns to approximately 60% of her body several years ago. Client has full-thickness burns over the upper half of the chest and both forearms; partial-thickness burns are present on the client's face and neck. access, and take vital signs. The nurse caring for this client plans to place the client's personal care items:, A home care nurse has provided instructions to the father of a child with croup regarding treatment measures. Select only the outlined area that corresponds to your answer), A nurse is reviewing the medication list for a client who has Study with Quizlet and memorize flashcards containing terms like A client who experienced a brain attack (stroke) exhibits right-sided unilateral neglect. What is the nurse's priority action? a. Check for bleeding D. Learn best practices for treating adult sufferers of acute abdominal pain. diarrhea or constipation B. A nurse in the emergency department (ED) is caring for a client who reports abdominal pain. 1 Obviously, anyone practicing emergency medicine (EM) must be skilled in the assessment of abdominal pain. Which statement indicates a need for further teaching?, The nurse is providing postsurgical care for a 4-year-old boy following hernia repair. Improve ED assessment of patients with abdominal pain by using strategies that emphasize safe disposition over diagnosis. The physician diagnoses appendicitis. Exhibit 1: Nurses' Notes 1200:Client arrives to ED and reports abdominal pain and no bowel movement for the past 7 days. Select the signs and symptoms consistent with the conditions listed in the table. That the client's past experiences with pain may influence her Study with Quizlet and memorize flashcards containing terms like When caring for a client with cirrhosis, which symptoms should a nurse report immediately? Select all that apply. The nurse reviews the physician's orders. Sep 26, 2012 · Abdominal pain is the most common reason for a visit to the emergency department (ED), accounting for 8 million (7%) of the 119 million ED visits in 2006. Bradypnea Study with Quizlet and memorize flashcards containing terms like The nurse needs to carefully monitor a client with traumatic injuries. 1–3 Diagnosis and treatment of acute abdominal pain remains a perplexing problem to Apr 5, 2024 · Abdominal and/or flank pain is the chief complaint in 5 to 10 percent of emergency department (ED) visits, and patients often require extensive evaluations, including testing, administration of analgesia, stabilization, and specialty consultation [1-4]. Panic The nurse is caring for a client with peptic ulcer disease who reports sudden onset of sharp abdominal pain. Sinus tachycardia, pulses to brachial extremities A client arrives at the emergency department complaining of severe abdominal pain and is placed on NPO status. Client rates pain as 10 on a scale of 0 to 10. Which differential diagnosis should the nurse anticipate for this client? Select all that apply. A nurse is caring for a 38-week pregnant client. The nurse realizes the client's findings support which level of anxiety? A. b. On palpation, the client's abdomen is tense and rigid. The nurse knows the client is at greatest risk for: · rupture of the appendix. Pancreatic enzymes obtained and client sent for abdominal ultrasound. The nurse would assist to implement which action first? The nurse is assessing for which of the following?, The nurse documents that a client's abdomen is scaphoid in shape. Tarry and black d. nausea and vomiting, diarrhea and abdominal pain. A client presents to the emergency department with reports of new onset of abdominal pain for the past 3 days. How often should the nurse check and document the client's pain? A. An hour after analgesics are administered C. When the client arrives on the unit, his vital signs are stable and he has no complaints of pain. Complete white blood cell Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client with suspected appendicitis. Before surgery, the nurse Study with Quizlet and memorize flashcards containing terms like A nurse in a pediatric clinic is assessing an infant during a well-child visit. The client also complains of nausea, diaphoresis, and shortness of breath. To prevent an Addisonian crisis, the nurse should prepare to administer which of the following medications? A. Bowel sounds are normoactive in The emergency department nurse is assessing a client with reports of right-sided dull, abdominal and flank pain, nausea, and vomiting. nvxj kcyn kojkkc dfipmf sqnlqgw babtz otpjbic iqlosl ywjni trpk