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Medical-Surgical Nursing 9th Edition by Sharon Lewis ,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher
Edition 9ISBN: 978-0323086783Medical-Surgical Nursing 9th Edition by Sharon Lewis ,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher
Edition 9ISBN: 978-0323086783 Exercise 6
You are assigned to care for the following three patients in the intensive care unit (ICU). There are two other RNs and two unlicensed assistive personnel (UAP) on duty to care for a total of 12 patients currently in the unit.
Patients
G)N., a 58-year-old African American man, was admitted to the ICU after falling out of a tree onto a lit gas grill. He has partial-thickness burns on his face, neck, and upper trunk. He has undergone surgical repair of right tibia and left hip fractures as well as debridement of a severely lacerated right leg. His voice is slightly hoarse and he is coughing up sooty sputum. He is receiving O₂ at 4 L/min via nasal cannula and hisO₂ saturation is 93%. His WBC count is 26,400/ L (26.4 × 10 9 /L) with 80% neutrophils (10% bands).
J)N., a 35-year-old African American woman, was transferred to the ICU from the clinical unit last evening with acute respiratory failure. She was diagnosed 2 days ago with AIDS and Pneumocystis jiroveci pneumonia (PCP). Prior to this hospital admission she had consistently refused antiretroviral therapy (ART) because she could not afford it. She was started on oral trimethoprim/sulfamethoxazole (Bactrim) and combination antiretroviral therapy. However, her respiratory distress worsened and she was transferred to the ICU for intubation and mechanical ventilation. She is started on IV Bactrim and corticosteroid therapy.
S)S., a 63-year-old white woman with lung cancer, has been receiving chemotherapy on an outpatient basis. She completed her third treatment 5 days ago and has been experiencing nausea and vomiting for 2 days even though she has been using ondansetron (Zofran). She was initially admitted to the medical unit but was transferred to the ICU for closer monitoring after becoming severely hypotensive overnight. Her most recent blood pressure was 98/50
J)N.'s ventilator tubing had become disconnected. You quickly reconnect her tubing and she settles down as her oxygenation improves. You ask the UAP to obtain vital signs on all your patients while you begin a more thorough assessment of J.N.
S)S.'s morning laboratory results reveal a serum potassium level of 2.8 mEq/L. You notify the health care provider and obtain an order for IV potassium. During infusion of the potassium aliquots, you prioritize assessment of S.S.'s
A) bowel function.
B) cardiac rhythm.
C) muscle strength.
D) level of consciousness.
Patients
G)N., a 58-year-old African American man, was admitted to the ICU after falling out of a tree onto a lit gas grill. He has partial-thickness burns on his face, neck, and upper trunk. He has undergone surgical repair of right tibia and left hip fractures as well as debridement of a severely lacerated right leg. His voice is slightly hoarse and he is coughing up sooty sputum. He is receiving O₂ at 4 L/min via nasal cannula and hisO₂ saturation is 93%. His WBC count is 26,400/ L (26.4 × 10 9 /L) with 80% neutrophils (10% bands).
J)N., a 35-year-old African American woman, was transferred to the ICU from the clinical unit last evening with acute respiratory failure. She was diagnosed 2 days ago with AIDS and Pneumocystis jiroveci pneumonia (PCP). Prior to this hospital admission she had consistently refused antiretroviral therapy (ART) because she could not afford it. She was started on oral trimethoprim/sulfamethoxazole (Bactrim) and combination antiretroviral therapy. However, her respiratory distress worsened and she was transferred to the ICU for intubation and mechanical ventilation. She is started on IV Bactrim and corticosteroid therapy.
S)S., a 63-year-old white woman with lung cancer, has been receiving chemotherapy on an outpatient basis. She completed her third treatment 5 days ago and has been experiencing nausea and vomiting for 2 days even though she has been using ondansetron (Zofran). She was initially admitted to the medical unit but was transferred to the ICU for closer monitoring after becoming severely hypotensive overnight. Her most recent blood pressure was 98/50
J)N.'s ventilator tubing had become disconnected. You quickly reconnect her tubing and she settles down as her oxygenation improves. You ask the UAP to obtain vital signs on all your patients while you begin a more thorough assessment of J.N.
S)S.'s morning laboratory results reveal a serum potassium level of 2.8 mEq/L. You notify the health care provider and obtain an order for IV potassium. During infusion of the potassium aliquots, you prioritize assessment of S.S.'s
A) bowel function.
B) cardiac rhythm.
C) muscle strength.
D) level of consciousness.
Explanation
Verified
Verified
The option (a) is incorrect.
A cancer pa...
Medical-Surgical Nursing 9th Edition by Sharon Lewis ,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher
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