You are transporting an elderly woman who fell in a nursing home and has outward rotation of her left leg. She has a lengthy medical history, including dementia. Currently, she is very quiet and receiving oxygen through a nasal cannula. She is laying supine on the floor. During your reassessment, you note her to be alert but confused, with slightly accelerated respirations and a strong radial pulse. You also note that her SpO2 has dropped from 97 percent on scene to 91 percent. You should:
A) request ALS assistance.
B) perform a head-tilt/chin-lift maneuver.
C) apply a nonrebreather.
D) start positive pressure ventilation.
Question 2
Which of the following information obtained during the history taking would lead you to suspect that emphysema is the cause of the patient's respiratory distress?
A) The patient has a history of Marfan's disease.
B) History of smoking a pack of cigarettes a day.
C) The patient has had a cough and fever for three days.
D) You can hear audible stridor upon inhalation.
NANDA international nursing diagnosis 2
Who Makes The Decisions at Home?
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Effective Leadership and Management in Nursing, 9th Edition