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    Nclex-Rn Readiness Test 6Question 119
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    Adult Health

    1910: Status post laparoscopic Roux-en-Y procedure. The client is fully alert and oriented. Glasgow Coma Scale was 15. The client reports pain at the incision as a ‘6’ out of 10 on the Numerical Pain Scale. Four surgical incisions were assessed as clean, dry, and approximated with skin glue. Bowel sounds were hypoactive in all four quadrants. Denies nausea. + Gag and cough reflex. The indwelling catheter was secured to the bed frame without kinks or loops. Clear, yellow urine was observed. Capillary blood glucose was obtained. Physician notified for admission orders.

    • Morbid obesity (BMI 42)
    • Uncontrolled diabetes mellitus
    • Metabolic syndrome
    • Heparin-induced thrombocytopenia
    • Congestive heart failure

    1931: Capillary Blood Glucose 255 mg/dL [70-110 mg/dL] (14.2 mmol/L [3.9-6.1 mmol/L])

    The nurse makes an entry in the nurses' notes and prepares to call the physician to request admission orders.

    ➢ Select the anticipated provider orders from each of the following categories.

    Each category must have at least one option selected, and each category may have more than one option selected.

    • A. Activity
    • B. Diet
    • C. Medications
    • D. Consultations
    • E. Venous Thromboembolism (VTE) Prophylaxis

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