SR Meds surrrrgggg 28 Questions with 100% Correct Answers | Verified | Latest Update
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SR Meds surrrrgggg
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SR Meds Surrrrgggg
Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. He is restless with slight confusion but is easily orientated with attempts from nurse. Temperatur...
SR Meds surrrrgggg Arthur Thomason, 56 -year -old MVA victim, fourth day post op with a sple nectomy and femur repair. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. He is restless with slight confusion but is easily orientated with attempts from nurse. Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. Skin cool to touch and appears pale. His coughing, to clear his airway, appears ineffective. Recent chest X -ray s hows diffuse bilateral interstitial infiltrates in all lobes. Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. - ✔ ✔ Educ ational Needs Increased acuity Health Change Increased acuity LOC Increased acuity Pain level Normal acuity Psychological Needs Normal acuity Safety Increased acuity Arthur Thomason - ✔ ✔ At risk impaired comfort False Impaired gas exchange True Ineffective airway clearance True Shock False Chronic Confusion False Anxiety/Fear True Failure to Thrive False A.T. Scenario 1 - ✔ ✔ Assess Replace O2 nasal cannula Use therapeutic Notify Doctor A.T. Thomason Scenario 2 - ✔ ✔ Remind Physician Explain to physician Assist physician Obtain recent Reassure patient A.T. Scenario 3 - ✔ ✔ Tap patient Elevate head Call rapid response Start secondary Remain with patient A.T. Scenario 4 - ✔ ✔ Provide verbal report Emergency intubation Assume role Obtain patient record Provide information A.T. Scenario 5 - ✔ ✔ You Explain that his condition You explain that he is receiving You have them remain with you You escort them with you You call his doctor
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