A patient admitted with an elevated ST-segment myocardial ...

[jilianpiloj]

A patient admitted with an elevated ST-segment myocardial infarction (MI) on oxygen per nasal cannula for his diagnosed influenza is complaining of shortness of breath with an oxygen satura-tion of 88.
 
  Respiratory therapy administers an albuterol treatment that provides no change in the oxygen saturation. What is the next best action by the RN is best? a. Obtain a 12-lead ECG.
  b. Notify the health care provider.
  c. Call the patient's wife to have her sit with him to calm him.
  d. Ask the UAP to obtain a blood glucose level.

Question 2

During a presentation to the rest of the team, a nurse explains that reducing the prevalence of pressure ulcers is a major goal of:
 
  a. the Model for Improvement. c. Joint Commission Core Measures.
  b. 100,000 Lives campaign. d. Healthy People 2020.

[Smiles0805]

Answer to Question 1

A

Feedback
A Because this patient was admitted with an MI, evolution of the MI should be ruled out as the source of the shortness of breath.
B This action should be taken after obtaining all the information necessary.
C This does not address the possible underlying problem.
D This does not address the possible underlying problem.

Answer to Question 2

D
One of the primary goals of the Healthy People 2020 initiative for national health (U.S. Department of
Health and Human Services, 2000) is to reduce the prevalence of pressure ulcers.