« previous next »

Author Question: The nurse cares for a patient who has just had a thoracentesis. Which assessment information ... (Read 97 times)

mrsjacobs44

  • Hero Member
  • *****
  • Posts: 500
on: Jun 25, 2018
The nurse cares for a patient who has just had a thoracentesis. Which assessment information obtained by the nurse is a priority to communicate to the health care provider?
 
  a. Oxygen saturation is 88.
  b. Blood pressure is 145/90 mm Hg.
  c. Respiratory rate is 22 breaths/minute when lying flat.
  d. Pain level is 5 (on 0 to 10 scale) with a deep breath.

Question 2

A patient has just been admitted with probable bacterial pneumonia and sepsis. Which order should the nurse implement first?
 
  a. Chest x-ray via stretcher
  b. Blood cultures from two sites
  c. Ciprofloxacin (Cipro) 400 mg IV
  d. Acetaminophen (Tylenol) rectal suppository


djofnc

  • Sr. Member
  • ****
  • Posts: 318
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A
Oxygen saturation would be expected to improve after a thoracentesis. A saturation of 88 indicates that a complication such as pneumothorax may be occurring. The other assessment data also indicate a need for ongoing assessment or intervention, but the low oxygen saturation is the priority.

Answer to Question 2

ANS: B
Initiating antibiotic therapy rapidly is essential, but it is important that the cultures be obtained before antibiotic administration. The chest x-ray and acetaminophen administration can be done last.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Methicillin-resistant Staphylococcus aureus or MRSA was discovered in 1961 in the United Kingdom. It if often referred to as a superbug. MRSA infections cause more deaths in the United States every year than AIDS.

Methicilli ...
Did you know?

Only one in 10 cancer deaths is caused by the primary tumor. The vast majority of cancer mortality is caused by cells breaking away from the main tumor and metastasizing to other parts of the body, such as the brain, bones, or liver.

Did you know?

The average adult has about 21 square feet of skin.

Did you know?

Vaccines prevent between 2.5 and 4 million deaths every year.

Did you know?

Every 10 seconds, a person in the United States goes to the emergency room complaining of head pain. About 1.2 million visits are for acute migraine attacks.

Head To Toe Assessment Head To Toe Assessment
assessment techniques assessment techniques
The physician uses auscultation to listen to a patient’s heart. The physician uses auscultation to listen to a patient’s heart.
Patient Education Follow-up Plan Patient Education Follow-up Plan
The five skills of the element Collection of Information The five skills of the element Collection of Information
Video: Stimulus (introduction)

For a complete list of videos, visit our video library