Med surg ati quizlet

9% or greater indicates poor diabetes control. Don't know? 16 of 16. Quiz yourself with questions and answers for Endocrine ATI practice test: Med-surge, so you can be ready for test day. Explore quizzes and practice tests created by teachers and students or create one from your course material.

Med surg ati quizlet. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and reports difficulty following the diet and remembering to take the prescribed medication. Which of the following actions should the nurse take to promote client compliance? SATA A. Ask the dietitian to assist with meal planning. B. Contact the ...

1 of 20. Term. A client is admitted to the surgical unit after sustaining a compound fracture of the left femur. The client is alert and oriented with the following vital signs: T 99.4 F, P 88, R 20, B/P 94/58. The nurse notes a 4 cm. area of bright red blood on the pressure dressing on the left lower extremity.

Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client with DKA. Which of the following laboratory findings should the nurse expect?, A nurse and an AP are caring for a client with bacterial meningitis. The nurse should give the AP which of the following instructions?, A nurse is providing instruction to a patient with type 2 DM and a new prescription ... Study with Quizlet and memorize flashcards containing terms like A patient has an order for Chloromycetin, 500 mg every 6 hours. The drug comes in 250 mg capsules. What would the nurse administer?, A nurse is to administer 150 mg of a drug intramuscularly. The label on the multidose vials reads 100 mg/mL. How much would the nurse give?, A nurse is to … If you are looking for a way to review the concepts and procedures of hemodialysis and peritoneal dialysis, Quizlet has you covered. Learn the functions, indications, complications, and nursing care of dialysis with interactive flashcards and quizzes. Test your knowledge and prepare for your exams with Quizlet's ATI Med-Surg: Chapter 57: Hemodialysis and Peritoneal Dialysis. thyroid crisis s/s. sudden elevation in temp. increased pulse. rapid resp. HCO3 levels. 22-26. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for patients with GI issues. Which pt is most likely to need a guaiac (hemoccult) test, Gastritis caused, A pt has stomachitis.Study with Quizlet and memorize flashcards containing terms like traction weights are on the floor, cholecystits and cholelithiasis food, ace inhibitor meds ...

Study with Quizlet and memorize flashcards containing terms like A patient who is being admitted to the surgical unit for a hysterectomy paces the floor, repeatedly saying, "I just want this over." What should the nurse do to promote a positive surgical outcome for the patient? a. Ask the patient what her specific concerns are about the surgery. b. Reassure the patient that the surgery will be ...Osmolality imbalances- concentration (hyponatremia, hypernatremia) older adults are at risk for fluid imbalance because of. Loss of elasticity of the skin. Decrease in glomerular filtration rate and concentrating ability of the kidneys. Loss of muscle mass (holds water) Diminished thirst reflex. Signs of hypovolemia.If left untreated it may become chronic and lead to arthritis and peripheral neuropathy. Correct sequence to respond with a Epi-Pen. 1. Inject the pen2.Remove the stinger3. Clean with soapy water4. Apply Ice5. Get medical help. Adverse effect of Radiation therapy for laryngeal cancer. Difficulty swallowing (it indicates a swelling of the ...don't sleep on side of surgery, don't flex hip more than 45-60 degress, don't elevate Head Of Bed more than 45 degrees. Maintain hip abduction by separating ...A. Hemoglobin 14 g/dL. B. Minimal bruising of extremities. C. Decreased blood pressure. D. INR 2.0. D. INR 2.0. The nurse should identify that an INR of 2.0 is within the desired reference range of 2.0 to 3.0 for a client who has a deep-vein thrombosis and is receiving warfarin to reduce the risk of new clot formation and a stroke. A nurse is ...

Matador is a travel and lifestyle brand redefining travel media with cutting edge adventure stories, photojournalism, and social commentary. I GREW UP SKIING the rugged Eastern sea...Medical Surgical Nursing ATI Review Questions Flashcards | Quizlet. 5.0 (1 review) A nurse in a clinic is caring for a client who has suspected anemia. The nurse should anticipate a prescription from the provider for which of the following tests? a. INR. b. Platelet count. c. WBC count. d. Hgb. Click the card to flip 👆. d.a) Apply a broad-spectrum sunscreen 5 min before sun exposure. b) Wear a sun visor instead of a hat when outside in the sun. c) Avoid exposure to the midday sun. d) Use a tanning booth instead of sunbathing outdoors. A nurse on a surgical unit is caring for four clients who have healing wounds.a nurse is reviewing the medical record for a client who is to begin therapy for DKA. which of the following prescriptions should the nurse expect? administer an IV infusion of reg insulin @ 0.3 unit/kg/hr administer a slow iv infusion of 3% sodium chloride rapidly administer an IV infusion of 0.9% sodium chloride add glucose to the IV infusion ...88 Multiple choice questions. Term. Dietary teaching for DM. Defensive response and decreased motivation. - ecchymosis of the thighs. - muscle spasms of the L leg. When fluid-filled blisters are present on these kin. - ask client to ID types of food they prefer. 1 of 88.

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a. cover the burned area with sterile gauze. b. inspect mouth for signs of inhalation. c. administer intravenous pain medication. d. draw blood for a CBC. b. inspect mouth for signs of inhalation. Study with Quizlet and memorize flashcards containing terms like 1. A nurse in a burn treatment center is caring for a client who is admitted with ...A nurse is caring for a client who is post-op following a craniotomy to evacuate a subdural hematoma. The nurse notes the client's UO is greater each hour than the previous hour; from 1800 to 1900 the UO was 200 mL, from 1900 to 2000 the UO was 400 mL, and from 2000 to 2100 the UO was 600 mL.3. Midazolam. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a patient who has a chest tube in place following a thoracic surgery. Which of the following findings indicates a need for intervention:, A nurse is caring for an elderly patient who suffers from COPD with pneumonia.Study with Quizlet and memorize flashcards containing terms like pap smear - tested for which?, educating client scheduled for kidney transplant - hyperacute rejection - include in teaching?, neutropenia - indicates intervention? and more. ... ATI Med-Surg: Immune. 30 terms. chelsea_mobley. Preview. Coronary circulation. 14 terms. nabiladaboh21 ...From Quizlet and Otter to BibMe and Speechify, one of these apps should help you get through your next class. Maybe you tend to study the old-school way: sit down, break out a high...Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing discharge teaching about wound care with a family member of a client who is postoperative. Which of the following should the nurse include in the teaching? a. Administer an analgesic following wound care. b. Irrigate the wound with povidone iodine. c. Cleanse the wound …

Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postprocedure following lumbar puncture and reports a throbbing headache when sitting upright. ... Med-Surg 1 Final Exam. 101 terms. brittneymrocha. Preview. Med surg 1 final exam. 91 terms ... Wound Care ATI. 9 terms. Sunkissed_hershii ...Most critical assessment is of regional lymph nodes. Shift weight every 15 min. ULCERATION, BLEEDING, EXUDATE, INCREASING SIZE. Study with Quizlet and memorize flashcards containing terms like Treatment of Malignant Melanoma of left upper leg, Cryosurgery, Secondary Intention wound healing and more.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 24 hr postoperative following a total hip arthroplasty. Which of the following actions should the nurse take? A)Place the affected leg in external rotation. B)Encourage the client to use the incentive spirometer every shift. C)Instruct the client to lean forward when rising from a chair. D ...Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing discharge teaching about wound care with a family member of a client who is postoperative. Which of the following should the nurse include in the teaching? a. Administer an analgesic following wound care. b. Irrigate the wound with povidone iodine. c. Cleanse the wound …Med/Surg ATI Ch 37 Hemodynamic shock. shock. Click the card to flip 👆. -state of inadequate tissue perfusion that impairs cellular fxn and can lead to organ failure. -any condition that compromises O2 delivery to organs and tissues can cause. …A. Hemoglobin 14 g/dL. B. Minimal bruising of extremities. C. Decreased blood pressure. D. INR 2.0. D. INR 2.0. The nurse should identify that an INR of 2.0 is within the desired reference range of 2.0 to 3.0 for a client who has a deep-vein thrombosis and is receiving warfarin to reduce the risk of new clot formation and a stroke. A nurse is ... Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic acidosis. Which of the following manifestations should the nurse expect?, A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which of the following should the nurse include in the teaching ... Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing discharge teaching with the family of a client who has a new diagnosis of a seizure disorder. The nurse should instruct the client's family to take which of the following actions first during the event of a seizure? A. Reorient the client. B. Protect the client's head. C. Loosen constrictive clothing. D ...

Medical Surgical ATI. - Helps prevent adhesion or formation of the scar tissue, which can limit movement and increase pain. - The nurse can turn off the machine during meal time. - The surgeon prescribe the flexion, which is initially 10 to 50 and increase. The gol of the ROM machine is a full range of motion of 90. - The nurse put straps on to ...

Study with Quizlet and memorize flashcards containing terms like a nurse is providing preoperative teaching for a client with colorectal cancer who is scheduled to undergo colostomy placement with a perineal wound. which of the following statements by the client indicates an understanding of the teaching. a. not having any more rectal pain will be a …View Med Surg ATI Final Review Quizlet.pdf from MED SURG 201 at Chamberlain College of Nursing. 10/14/21, 1:10 PM Medical Surgical ATI final review Flashcards | Quizlet Medical Surgical ATI finalA. Leaving soiled linens in a container in the client's room i. B. Instructing visitors to remain 2 m (6 feet) away from the client. C. Borrowing a dosimeter film badge from another nurse before entering the client's room. D. Removing an extra IV pole from the client's room to be used for another client. C.Respiratory rate 24/min. Exhibit 3. Diagnostic Results. WBC 12,500/mm3. Hematocrit 30%. Creatinine 1.4 mg/dL. Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing the plan of care for a client who is at risk for increased IP ff a closed head injury. Which of the ff interventions should the nurse identify as ... Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client receiving IV therapy in the left forearm and notices that the site is red, swollen, and warm. Which of the following actions should the nurse perform first?, Incentive spirometer can help to prevent..., A nurse is reviewing the laboratory values for a client who takes spironolactone and notes that ... Redirecting to https://www.studocu.com/en-us/document/walden-university/interprofessional-organizational-and-system-leadership/ati-med-surg-proctored-actual-exam ...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client receiving IV therapy in the left forearm and notices that the site is red, swollen, and warm. Which of the following actions should the nurse perform first?, Incentive spirometer can help to prevent..., A nurse is reviewing the laboratory values for a client who takes spironolactone and notes that ...We offer Several other subjects - RN ATI medical Surgical 2019 - RN ATI Pharmacology 2019 - RN ATI nutrition 2019 - RN ATI fundamentals 2019 - RN ATI pediatrics 2019 - RN Leadership - RN maternal New Born 2019 - And more + For more information contact at (650) 977- Or contact via telegram app @Keepcalm_andstudy Snapchat: Guac ...

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Study with Quizlet and memorize flashcards containing terms like Diabetic foot care, Glargine and Regular Insulin administration, Thyroidectomy - S/S of HYPOCALEMIA and more. ... ATI Med-Surg Endocrine. 20 terms. clarkje4. Preview. Targeted Medical-Surgical: Endocrine. 30 terms. ChrissyLBr. Preview. Shoulder Tests. 17 terms. …ATI MED SURG: UNIT 4 Cardiac. Diagnostic tools for cardiovascular function. Click the card to flip 👆. cardiac enzymes and lipid profile. echocardiogram. stress testing. hemodynamic monitoring. angiography. vascular access. arthritis & symptoms & causes. inflammation of a joint. joint pain & stiffness, swelling, decreased mobility. aging, autoimmune disorders, viral and bacterial infection, damage to the artichoke cartilage. osteoporosis. A condition in which the body's bones become weak and break easily. generally asymptomatic. 1. viral RNA is converted to sing-stranded viral DNA with assistance of reverse transcriptase. 2. viral DNA is sliced into cell genome using the enzyme integrase. 3. gp 120 proteins on viral envelope combine with CD4 receptors of body cells. 4. cell replicates infected daughter cells and makes more HIV.Unlike most sectors, edtech has been booming over the last few months. Flashcards startup Quizlet is now a unicorn, digital textbook company Top Hat is finding unprecedented surges...Study with Quizlet and memorize flashcards containing terms like A patient is complaining of pain the right flank region. Which follow-up question would be ...Study with Quizlet and memorize flashcards containing terms like Nurse caring for client who has hypernatremia and requires IV fluid therapy due to NPO status. Which of the following solutions should the nurse prepare to infuse for this client?, A nurse is caring for a client who has a post-op ileus and NG tube that has drained 2500mL in the last 6hr. …A. Hemoglobin 14 g/dL. B. Minimal bruising of extremities. C. Decreased blood pressure. D. INR 2.0. D. INR 2.0. The nurse should identify that an INR of 2.0 is within the desired reference range of 2.0 to 3.0 for a client who has a deep-vein thrombosis and is receiving warfarin to reduce the risk of new clot formation and a stroke. A nurse is ...a. elevate legs for 10 min, 2-3 times a day while wearing stockings. b. apply the stockings in the morning upon awakening and before getting out of bed. c. roll the stockings down to the knees to relieve discomfort on the legs. d. remove the stockings while out of bed for 1 hour, 4 times a day, to allow the legs to rest. ….

Acute kidney injury (AKI) Sudden cessation of renal function that occurs when blood flow to the kidneys is significantly compromised. Clinical manifestations occur abruptly with AKI. AKI is comprised of four phases: Onset - Begins with the onset of the event, ends when oliguria develops, and lasts for hours to days. From ATI PN Medical Surgical Nursing, Edition 8.0, starting at page 288 Learn with flashcards, games, and more — for free. ADH Levels over 5 can indicate SIADH. What are nursing actions for ADH collection? -Pt should fast and avoid stress for 12 hrs before-Review med list w/ provider -blood is obtained and taken to lab within 10min. Normal ranges for Na+, K+, Chloride, and Mag. Na+: 135-145K: 3.5-5.0Chloride: 98-106Mag: 1.3-2.1. Study with Quizlet and memorize flashcards containing terms like Respiratory Alkalosis S/S, A nurse is contributing to the plan of care for an older adult client who is at risk for Osteoporosis. ... ATI RN Adult Medical Surgical Practice 2019 -2023 with NGN. 194 terms. eljon25. Preview. med surg ati proctored exam (Sent) 100 terms. kim ...Q-Chat. Study with Quizlet and memorize flashcards containing terms like PTT, Hemoglobin, Hematocrit and more.Study with Quizlet and memorize flashcards containing terms like What should the nurse do before witnessing the client signing an informed consent who has expressed fears of the surgery?, Medication history: which medicine puts the client at risk for complications with anesthetic?, Jehovah's witnesses are not allowed to accept and more.a) Apply a broad-spectrum sunscreen 5 min before sun exposure. b) Wear a sun visor instead of a hat when outside in the sun. c) Avoid exposure to the midday sun. d) Use a tanning booth instead of sunbathing outdoors. A nurse on a surgical unit is caring for four clients who have healing wounds.Explanation. The correct answer is choice D. The nurse should identify an oral temperature of 39°C (102.2°F) as the priority finding in a client who is postoperative following a total thyroidectomy for hyperthyroidism. An elevated temperature can indicate infection, which is a risk after surgery. Med surg ati quizlet, Med/Surg ATI Ch 37 Hemodynamic shock. shock. Click the card to flip 👆. -state of inadequate tissue perfusion that impairs cellular fxn and can lead to organ failure. -any condition that compromises O2 delivery to organs and tissues can cause. …, Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client receiving IV therapy in the left forearm and notices that the site is red, swollen, and warm. Which of the following actions should the nurse perform first?, Incentive spirometer can help to prevent..., A nurse is reviewing the laboratory values for a client who takes spironolactone and notes that ... , HoosierDoc. Quizlets for ATI Med Surg? I take my Med Surg ATI proctored exam next week. I’ve been doing ATI Mentor and a few practice quizzes on ATI. I was wondering if …, Our nursing test bank includes over 6,500 nursing practice questions covering a wide range of nursing topics from medical- surgical nursing to nursing pharmacology …, Encourage fluid intake. 2) Monitor the puncture site for hematoma. Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of the following actions should the nurse take, A nurse in a provider's office is reinforcing teaching with ..., heart failure. -complication. -due to inc demand on heart to provide oxygen to tissues. -low Hct dec the amount of O2 carried to tissues in body. -makes the heart work harder and beat faster. -tachycardia. -palpitations. Study with Quizlet and memorize flashcards containing terms like anemia, anemia goal, iron deficiency anemia and more., a. elevate legs for 10 min, 2-3 times a day while wearing stockings. b. apply the stockings in the morning upon awakening and before getting out of bed. c. roll the stockings down to the knees to relieve discomfort on the legs. d. remove the stockings while out of bed for 1 hour, 4 times a day, to allow the legs to rest., View Med Surg ATI Final Review Quizlet.pdf from MED SURG 201 at Chamberlain College of Nursing. 10/14/21, 1:10 PM Medical Surgical ATI final review Flashcards | Quizlet …, Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who reports nausea, vomiting, and weakness. Upon assessment, the client has dry oral mucous membranes, temperature 38.5° C (101.3° F), pulse 92/min, respirations 24/min, skin cool with tenting present, and blood pressure 102/64 mm Hg. , ATI Med-Surg. CHPT 92 Breast Cancer. 5.0 (1 review) breast cancer. Click the card to flip 👆. is the second-leading cause of cancer deaths in women in the US. in males is rare; average onset age is 68 years; can present as a hard, painless mass; gynecomastia can be present. can be noninvasive or invasive (most common); common sites of ..., Med/Surg Final: ATI questions & Module questions Flashcards | Quizlet. 4.0 (12 reviews) What is the cause of a 'non-mechanical' bowel obstruction? A. A tumor or twisting of the …, B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field. C. procedure is delayed 1hr because the provider receives an emergency call. D. nurse turns to speak to someone who enters through the door behind the nurse. E. clients hand brushes against the outer edge of the sterile field. B, C, D. , Study with Quizlet and memorize flashcards containing terms like Respiratory Alkalosis S/S, A nurse is contributing to the plan of care for an older adult client who is at risk for Osteoporosis. ... ATI RN Adult Medical Surgical Practice 2019 -2023 with NGN. 194 terms. eljon25. Preview. med surg ati proctored exam (Sent) 100 terms. kim ..., Top creator on Quizlet ... Swift River Med-Surg. 18 terms. bmw061913. Preview. Exam 3 . 19 terms. jamielgray521. Preview. NURS 507_Bowel/Urinary Elimination Exam 3 Prep., Medications: Analgesics. Opioids (morphine sulfate) are used in the first 24 hr with the acute onset of stones. ☐ Opioid agents are used to treat moderate to severe pain. These drugs act on the mu and kappa receptors that help alleviate pain. Activation of these receptors produces analgesia (pain relief), respiratory depression, euphoria ..., Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing teaching with a client who has mitral valve disease. Which of following statements by the client indicates an understanding of the disease process? A. "I should call my doctor if I get a headache." B. "I might develop gastric reflux." C. "I might develop excessive bruising." D. "I should call my doctor if ... , Study with Quizlet and memorize flashcards containing terms like What is a hemorrhagic stroke?, What is the prognosis for hemorrhagic stroke?, What is the tx for a hemorrhagic stroke? and more. Fresh features from the #1 AI-enhanced learning platform., thyroid crisis s/s. sudden elevation in temp. increased pulse. rapid resp. HCO3 levels. 22-26. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for patients with GI issues. Which pt is most likely to need a guaiac (hemoccult) test, Gastritis caused, A pt has stomachitis., A client is admitted to the surgical unit after sustaining a compound fracture of the left femur. The client is alert and oriented with the following vital signs: T 99.4 F, P 88, R 20, B/P 94/58. The nurse notes a 4 cm. area of bright red blood on the pressure dressing on the left lower extremity., B. A nurse is caring for a client who has cervical ..., Acute kidney injury (AKI) Sudden cessation of renal function that occurs when blood flow to the kidneys is significantly compromised. Clinical manifestations occur abruptly with AKI. AKI is comprised of four phases: Onset - Begins with the onset of the event, ends when oliguria develops, and lasts for hours to days., Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is to have his chest tube removed. Which fo the following actions should the nurse take? - Cover the insertion site with a hydrocolloid dressing after removal. - Provide pain medication immediately after removal. - Instruct the client to perform the Valsalva maneuver during removal. - Delegate ..., Study with Quizlet and memorize flashcards containing terms like Thyroid Storm sign, Complications of immobility, Quad cane use with hemiplegia and more. ... MED SURG ATI REVIEW BEFORE TEST. 58 terms. jennaleigh_cornetto. Med-Surg ATI. 237 terms. laurenwojtonik. Med Surg ATI. 124 terms. emma_romano2. Med/Surg ATI final. 313 terms., Our nursing test bank includes over 6,500 nursing practice questions covering a wide range of nursing topics from medical- surgical nursing to nursing pharmacology …, 1. Q. what does a bone marrow biopsy do? A. provides diagnostic info about how the bone marrow is functioning. 2. Q. Describe the process of blood testing. A. Preprocedure: use …, Weakness, diaphoresis, hunger, nausea, shakiness & confusion. Expected findings of hyperglycemia. Dehydration, decreased skin turgor, kussmaul respiration & ketonuria. Nursing actions for 72 post-op above the knee amputation. - evaluate and assess residual limb 72 hrs after amputation. - assist client to prone for 20-30 minutes q3-4 hrs. , Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is to have his chest tube removed. Which of the following actions should the nurse take? A. Cover the insertion site with a hydrocolloid dressing after removal B. Provide pain medication immediately after removal C. Instruct the client to perform the Valsalva maneuver during removal D. Delegate ..., Apply ice to the skin over the snakebite wound. a. Immobilize the limb at the level of the heart. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has been applying silver sulfadiazine cream to a deep partial-thickness arm burn for the past 2 weeks., View ATI Medical-Surgical_ Oncology Flashcards _ Quizlet.pdf from BSN 10000 at De Lasalle University Dasmariñas. 11/12/21, 5:26 PM ATI Medical-Surgical: Oncology Flashcards | Quizlet Study sets,, a) Administer proparacaine eye drops into the affected eye. b) places strip of pH paper on to the cul- de- sac of the affected eye. c) collect information about the irritant that caused an injury (assess first) d) instill 0.9% sodium chloride solution into the affected eye., Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 3 days postoperative following a right total hip arthroplasty. While transferring to a chair, the client cries in pain. The nurse should assess the client for which of the following manifestations of dislocation of the hip prosthesis? - Bulging in the area over …, Med surg 2 Learn with flashcards, games, and more — for free. ... ATI RN Adult Medical Surgical Practice B 2023. 90 terms. Renegade1079. Preview. CELL 220 LAB #7. 51 terms. Erin_Martin877. Preview. 4a. FB, Puncture Wounds, & GSW. ... Quizlet for Schools; Language Country. United States ..., Study with Quizlet and memorize flashcards containing terms like The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis who is scheduled for surgery in 2 hours. The client begins to complain of increased abdominal pain and begins to vomit. On assessment, the nurse notes that the abdomen is distended and bowel ...