Arrange in order of priority the nurse's actions when a patient ...

[fahad]

Arrange in order of priority the nurse's actions when a patient admitted with an elevated ST-segment myocardial infarction on droplet precautions and oxygen per nasal cannula
 
  for his diagnosed influenza is complaining of shortness of breath with an oxygen saturation of 88.
  1. Call the rapid response team (RRT).
  2. Obtain a chest radiograph.
  3. Obtain a 12-lead ECG.
  4. Initiate a bronchodilator nebulizer treatment.
  5. Increase the oxygen concentration 2 L.
  6. Repeat the oxygen saturation in 10 minutes.
  a. 5, 3, 2, 4, 6, 1
  b. 1, 4, 2, 5, 6, 3
  c. 4, 5, 6, 3, 1, 2
  d. 5, 4, 3, 6, 2, 1

Question 2

A patient admitted with an elevated ST-segment myocardial infarction on oxygen per nasal can-nula for his diagnosed influenza continues to experience shortness of breath and has no ECG changes. What is the next best action by the RN is best?
 
  a. Call the patient's wife to have her sit with him to calm him.
  b. Ask the UAP to obtain a blood glucose level.
  c. Call the Rapid Response Team.
  d. Ask the charge nurse to check on the other patients.

[srodz]

Answer to Question 1

ANS: C
The first step should be to try a bronchodilator first, then increase the oxygen concentration, re-peat the oxygen saturation for changes, then obtain a 12-lead ECG to rule out evolving myocar-dial infarction, call the RRT for their consult, and then obtain a chest radiograph to see if that explains the change in condition. The other options do not present the steps in the correct order.

Answer to Question 2

ANS: C
The Rapid Response Team (RRT) should be called to assess the patient's condition. The other options do not address the cause of the change in condition.

[fahad]

TYSM

[Bigfoot1984]

Excellent