Ngn Med Surg Study Guide Questions And Correct Answers

The nurse reviews the Nurses' Notes for a client with asthma who had an outpatient procedure earlier in the day noting new entries for 1500 and 1530. Nurses' Notes 1415: Client was brought to the emergency department with a report of pain from an outpatient procedure earlier in the day. Rates pain at a level of 8 on a 1 to 10 scale, BP 124/78 mmHg, P 88 beats/min, and RR of 30 breaths/min. Client had history of asthma. Client states no pain medication was sent home. Client appears anxious. 1430: Morphine, 2 to 4 mg IV push, while in recovery for pain level over 5. 1500: Contacted healthcare provider for pain medication. Received order for naproxen 500 mg BID. Dose given. 1530: RR 24, client appears less anxious. {Ans: }The nurse is caring for a client that is 5 hours postoperative following thoracic surgery. The nurse is reviewing the client's medical record to prepare the client's plan of care. What is the best nursing action based on these results? The nurse gathers additional data and documents the following. Nurses' Notes 1500: Arterial blood gas (ABG) findings: pH 7.50, PaCO2 30 mmHg, HCO3 25 mEq/L. PaO2 96 mm Hg.