which patient finding would the nurse report to the registered nurse (rn) about an abdominal wound

by Miss Lorena Schowalter 8 min read

Foundations of Nursing (228) Final Flashcards - Quizlet

14 hours ago Which patient finding would the nurse report to the registered nurse (RN) about an abdominal wound? 1. White blood cell count was 16,000; white blood cell count today is 13,000. 2. Wound measuring 2 cm by 3 cm and 4 cm deep; wound is now 2 cm by 2 cm and 3 cm deep. 3. Slight wound exudate; excessive thick wound exudate today. 4. >> Go To The Portal


In report the transferring nurse tells you that the patient has a positive Murphy’s Sign. You know that this means: * A. The patient stops breathing in when the examiner palpates under the ribs on the right upper side of the abdomen at the midclavicular line.

Full Answer

What does the LPN/LVN review on the nursing diagnosis?

The LPN/LVN reviews the nursing diagnosis written on the care plan: Risk for infection related to a break in the skin. The italicized phrase represents which component of the nursing diagnosis?

Which step of the nursing process are the LPN/LVN working on?

The LPN/LVN is assisting the RN who is writing long- and short-term goals. Which step of the nursing process are the nurses working on? 1. Assessment 2. Planning 3. Evaluation 4. Diagnosis 2. Planning The nurse ambulates a patient with intestinal gas buildup in the hallway to help relieve the discomfort.

Which blood test is the nurse reviewing?

The nurse is reviewing a patient's blood levels of white blood cells and lymphocytes. Which line of defense against infection is the nurse checking? Primary defenses include intact skin, mucous membranes, and gastrointestinal system.

Should the patient report nausea or abdominal pain when the tube is blocked?

The patient should not report nausea or abdominal pain when the tube is blocked. This could indicate a serious problem. Option A is correct because the T-tube should not be draining because it’s clamped. Option B is correct because the T-tube tubing should be below or at the patient’s waist level.

What is the NCLEX RN practice test?

This NCLEX-RN practice test is designed to test your knowledge on fluids and electrolyte imbalances you may see in a patients in practice. For example, what signs and symptoms would you see in a patient with hypernatremia?

What do you notice when you assess a patient in room 2502?

1. On morning assessment of your patient in room 2502 who has severe burns. You notice that fluid is starting to accumulate in his abdominal tissue. You note that his weight has not changed and his intake and output is equal. What do you suspect?

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What is the NCLEX quiz?

This is a quiz that contains NCLEX review questions for cholecystitis. As a nurse providing care to a patient with cholecystits, it is important to know the classic signs and symptoms of this conditions, diagnostic tests, and nursing care.

Where does the examiner palpate?

The examiner will simultaneously (while the patient is breathing in) palpate on this area under the ribs at the midclavicular line (hence the location of the gallbladder).

Can a T tube cause nausea?

The patient should not report nausea or abdominal pain when the tube is blocked. This could indicate a serious problem. Option A is correct because the T-tube should not be draining because it’s clamped. Option B is correct because the T-tube tubing should be below or at the patient’s waist level.