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PN Comprehensive Predictor 2023 Questions

Extract:

Nurses’ Notes
I&O
Postoperative Day 3
0900:
Client reports pain at surgical incision site as 5 on a scale of 0 to 10. Client reports bladder fullness. Perineal dressing Intact with minimal serosanguinous drainage. Client transferring out of bed to chair independently. Extremities cool and dry with 2+peripheral pulses.
1300:
Client reports abdominal cramping and small, hard, painful bowel movement after lunch. Ambulating independently in hallway. Reports pain as 8 on a scale of 0 to 10. Urinary catheter intact with 100 mL/hr of pink urine.


Question 1 of 5

Select the 2 actions the nurse should prepare to take for the client.

Encourage prolonged dangling before ambulation.
Administer an enema.
Encourage oral fluid intake.
Irrigate indwelling catheter with 500 mL of fluid.
Assist the client with a sitz bath.

Correct Answer: C,E

Rationale: Fluid intake and sitz baths promote bowel function and comfort post-surgery.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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