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    Ati W25 Nurs 226 Med Surg Proctored Exam
    A nurse is caring for a client who has acute pancreatitis. Click to highlight the information in the Nurses Note and Vital Signs that indicate the client is progressing. Vitals Day 2: Heart rate: 92/min Respiratory rate: 20/min BP: 122/58 mm Hg Oxygen saturation: 96% on room air Nurses Notes: Oriented to person, place, and time: reports extreme fatigue. Client rates pain as 3 on a 0 to 10 pain scale following administration of pain medication 30 min ago S1, S2 noted on auscultation. Pulses palpable. Respirations even unlabored. Chest clear on auscultation. Bowel sounds hypoactive in all four quadrants. Client vomiting brown liquid and reports continuing nausea. Reports passing flatus. Urinating without difficulty, urine is clear yellow.

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