Nokea
Nurses' Notes
Diagnostic Results
Day 1:
1000:
A peripherally inserted central catheter (PICC) is inserted into left arm. Dressing dry and intact. Bilateral breath sounds clear and present throughout.
1200:
Parenteral nutrition started through PICC line infusing at 75 mL/hr.
Day 3:
0800:
Client is lethargic and reports thirst and frequent urination. Bilateral breath sounds clear and present throughout.
A nurse is reviewing the medical record of a client who has a paralytic ileus.
Select words from the choices below to fill in each blank in the following sentence:
The findings in the client's medical record indicate----and----.
Correct Answer: A, C
Rationale: A: Thirst and urination suggest dehydration. C: Lethargy and polyuria indicate hyperglycemia from parenteral nutrition.