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Pro đang tìm kiếm từ khóa Which client in the emergency department would the nurse assess first quizlet? 2022-10-16 05:59:31 san sẻ Thủ Thuật Hướng dẫn trong nội dung bài viết một cách 2021.

Nội dung chính Which of the following clients should the nurse assess first? Which client should the nurse assess first quizlet? Which client would the nurse prioritize when triaging clients in the emergency department? Which client would the nurse assess first after a shift report? Recommended textbook solutions Clinical Reasoning Cases in Nursing 7th EditionJulie S Snyder, Mariann M Harding 2,512 solutions Pharmacology and the Nursing Process 7th EditionJulie S Snyder, Linda Lilley, Shelly Collins 382 solutions The Human Body in Health and Disease 7th EditionGary A. Thibodeau, Kevin T. Patton 1,505 solutions Integrated Electronic Health Records 4th EditionAmy Ensign, M Beth Shanholtzer 485 solutions Recommended textbook solutions Pharmacology and the Nursing Process 7th EditionJulie S Snyder, Linda Lilley, Shelly Collins 382 solutions Clinical Reasoning Cases in Nursing 7th EditionJulie S Snyder, Mariann M Harding 2,512 solutions The Human Body in Health and Disease 7th EditionGary A. Thibodeau, Kevin T. Patton 1,505 solutions Gordis Epidemiology 6th EditionDavid D Celentano, Moyses Szklo 123 solutions Oxygenates the client manually with 100% oxygen Rationale: Suctioning is associated with several complications, including hypoxia, tissue (mucosal) trauma, infection, vagal stimulation, and bronchospasm. Vagal stimulation may result in severe bradycardia, hypotension, heart block, ventricular tachycardia, or asystole. If vagal stimulation occurs, the nurse stops suctioning immediately and oxygenates the client manually with 100% oxygen. Contacting the respiratory therapist will delay the required and immediate intervention. Although regular checks of the ventilator connections are the standard of care for a client undergoing mechanical ventilation, doing so will not alleviate the client’s problem in this situation. An increase in PEEP is not indicated at this time. Clamps the central line catheter Rationale: An air embolism occurs when air enters the central venous system. Signs and symptoms include chest pain, dyspnea, hypoxia, anxiety, tachycardia, hypotension, and a loud churning sound over the pericardium on auscultation. Air may be introduced into the central venous system during insertion of the catheter, tubing changes, or breakage of the catheter. The nurse immediately clamps the catheter, places the client in a lateral Trendelenburg position on the left side to trap the air in the right atrium, and contacts the health care provider. The health care provider may order an electrocardiogram, chest x-ray, and arterial blood gas determinations. Placing the client in a high Fowler position and connecting a syringe to the line and aspirating as much fluid as possible are both incorrect. A victim with an amputated arm Rationale: A triage system identifies and categorizes victims so that those with the most critical but treatable injuries or illnesses are treated first. In one common system, red denotes priority I, yellow is priority II, green is priority III, and black is priority 0. Priority I includes life-threatening problems that need immediate attention such as trauma, chest pain, respiratory distress, chemicals in the eyes, arm or leg amputation, and shock. Priority II includes victims in need of treatment within 20 minutes to 2 hours — for example, a victim with a simple fracture. Priority III is assigned to victims who can wait for treatment, such as people who have sustained sprains or minor lacerations. Priority 0 denotes a victim who is dying or dead, who has sustained massive head trauma, or who is in cardiopulmonary arrest. Checking the client’s pulse oximetry readings Rationale: After a client is transferred from the operating room, the PACU nurse conducts an assessment. The ABCs — airway, breathing, and circulation — must be assessed first. Because the nurse has ensured that the client has a patent airway (airway) and that the respiratory pattern is adequate (breathing), the nurse would next assess circulatory status. The nurse would accomplish this by assessing the client’s pulse, blood pressure, skin color, pulse oximetry, and electrocardiogram status (if the client is attached to a monitor), then evaluating wound status and dressings. Urine output and orientation to the surroundings may also be assessed, but these are not the priority actions. Which of the following clients should the nurse assess first? Which of the following clients should the nurse assess first? *When using the acute versus chronic approach to client care, the nurse should place the priority on the client who has a chest tube and has asymmetrical chest movement because this can indicate a tension pneumothorax. Which client should the nurse assess first quizlet? Which client should the nurse assess first? The antidysrhythmic to the client in ventricular fibrillation. The nurse on the cardiac unit is preparing to administer medications after receiving the morning change-of-shift report. Which client would the nurse prioritize when triaging clients in the emergency department? A nurse is triaging clients in the emergency department (ED). Which client should the nurse prioritize to receive care first? A client experiencing chest pain and diaphoresis would be classified as emergent and would be triaged immediately to a treatment room in the ED. The other clients are more stable. Which client would the nurse assess first after a shift report? Which client should the nurse on the vascular unit assess first after receiving the shift report? The client with an above the knee amputation who needs a full body toàn thân lift to get in the wheelchair.

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