The nurse is caring for a 78-year-old patient who was hospitalized 2 days earlier with community-acquired pneumonia. Which assessment information is most important to communicate to the health care provider?
a. Scattered crackles bilaterally in the posterior lung bases.
b. Persistent cough that is productive of blood-tinged sputum.
c. Temperature of 101.5 F (38.6 C) after 2 days of IV antibiotic therapy.
d. Decreased oxygen saturation to 90 with 100 O2 by non-rebreather mask.
Question 2
A nurse is caring for a patient with acute respiratory distress syndrome (ARDS) who is receiving mechanical ventilation using synchronized intermittent mandatory ventilation (SIMV).
The settings include fraction of inspired oxygen (FIO2) 80, tidal volume 450, rate 16/minute, and positive end-expiratory pressure (PEEP) 5 cm. Which assessment finding is most important for the nurse to report to the health care provider?
a. Oxygen saturation 99
b. Respiratory rate 22 breaths/minute
c. Crackles audible at lung bases
d. Heart rate 106 beats/minute
Testing Visual Fields by Confrontation: The nurse and patient should be approximately at an eye to e
Coronary artery bypass graft (CABG). The grafts are often obtained from the patient’s saphenous vein
Responsibilities of the nurse manager
Pigmented bands in nail of patient with dark skin