ATI LPN Med Surg Exam 7 | Nurselytic

Extract:

Vital Signs
1500:
Temperature 37.3°C (99.1°F)
BP 154/64 mm Hg
Heart rate 105/min
Respiratory rate 26/min
Oxygen saturation 99% on room a

Medical History
Cirrhosis
Hypertension, controlled with metoprolol therapy
Type 2 diabetes mellitus. controlled with glipizide therapy

Physical examination
Client presents with decreased level of consciousness, slurred speech and impaired concentration. Client is lethargic, does not respond to questions or simple commands. Pupils round, reactive to light and accommodation. Partner states client has been sleeping during the day and remains awake at night.
skin is dry and jaundiced with petechiae present to arms and legs. S1 S2 heard on auscultation, et pulses on bilateral radial and pedal pulses. Peripheral edema -3 present in bilateral lower extremities. Crackles auscultated in bilateral lower lobes
Abdomen distended with ascites. Hypoactive bowel sounds present in all four quadrants. Partner reports no knowledge of rectal bleeding, states client has been tolerating diet with no nausea or vomiting Client placed in semi-Fowler's position at 45 feet elevated Bed in low position. Partner remains at clients bedside.


Diagnostic Results
1700
Albumin 2.9 g/dL (3.5 to 5 g/dL)
Ammonia 250 mcg/dl (10 to 80 mcg/dl) Sodium 138 mEq/L (136 to 145 mEq/L)
Potassium 4.8 mEa/L (3.5 to 5 m Eq/LI
Fasting glucose 148 mg/dl (70 to 110 mg/d) BUN 18 mg/dL (10 to 20 mg/dL)
Creatinine 0.8 mg/dL (0.5 to 1 mg)

Extract: