Now that you understand the roles and responsibilities of a

NGN MOCK EXAM 97. This is a Drop-Down Cloze question. Complete the sentence or fill-in- the-blank by choosing from a list of drop-down options and selecting the correct option. The nurse is reviewing the nurses’ notes for an 84-year old client admitted to a skilled nursing facility (SNF). Nurses’ Notes Lab Tests 1100: Transfer from the community hospital following a right TKA/TKR for PT/OT. Fami member states that the client has been confused at times since surgery, but has no previous diagnosis of dementia, needs supervision when transferring from bed to chair incontinent of urine at times. Able to feed self and needs assistance with bathing Fell yesterday while in bathroom while unattended with walker. VS. T = 98″F (36.7*C), HR = BPM; RR = 18 bpm; BP 102/64 mm Hg (sitting). Right knee incision dry and intact with Sted-Strips. Currently alert and oriented x 3. H/O hypertension, transient ischemic attack (TIA). stress incontinence, and osteoarthritis Based on the client findings, complete the following sentence by choosing from the lists o options provided. The nurse recognizes that the relevant client findings that are of immediate concern to the nurse are – and RR = 18 bpm Confused at times since Admitted for PT/OT a BP 102/64 mm Hg surgery a TKA (sitting) H/O transient ischemic Alert and oriented x 3 HR = 88 BPM attack Incontinent of urine Fell yesterday A: RR = 18 bpm, BP 102/64 (sitting), and incontinent of urine. B: BP 102/64 (sitting), fell yesterday, and confused at times since surgery. O C: Fell yesterday, confused at times since surgery and incontinent of urine. O D: BP 102/64 (sitting), fell yesterday, and H/O transient ischemic attack. E: RR = 18 bpm, H/O transient ischemic attack, and incontinent of urine.

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