Difficulty: Medium
Average Score: 77%
Simulated
Passage / Scenario
Nurses' NotesVital Signs
Diagnostic Results
Intake and Output
Postoperative day 1, 0900:
Client admitted following surgical removal of an abdominal abscess. Client alert and oriented to person, place, and time. Lung sounds clear bilaterally. Skin warm and dry to touch. Capillary refill 2 seconds. Radial and pedal pulses 2+. Abdominal wound dressing dry and intact.
The nurse is continuing to assist in the care of the client. For each data collection finding, click to specify if the finding on postoperative day 1 is consistent with hypovolemic shock or pulmonary embolism. Each finding may support more than 1 disease process or none at all.
Rationale
At 0900, findings are normal, not indicating hypovolemic shock or pulmonary embolism.