In the emergency department, a patient's vital signs are: BP 66/40 mm Hg; pulse 140 beats/min; respirations 8 breaths/min and shallow.
The nursing diagnosis is Ineffective breathing pattern related to depression of respiratory center secondary to narcotic overdose. Select the priority outcome. a. Within 4 hours, vital signs will stabilize, with BP above 90/60 mm Hg, pulse less than 100 beats/min, and respirations at or above 12 breaths/min.
b. The patient will correctly describe a plan for home care and achieving a drug-free state before release from the emergency department.
c. Within 6 hours, the patient's breath sounds will be clear bilaterally and throughout lung fields.
d. The patient will demonstrate effective coping skills within 1 week of hospitalization.
e. The patient will identify community resources for treatment of substance abuse.
Question 2
The client can acknowledge the possibility that she exaggerates her symptoms, but she continues to hold on to the belief that something is physically wrong, in the face of evidence to the contrary. The client's diagnosis is most likely to be
1. malingering.
2. hypochondriasis.
3. a conversion reaction.
4. body dysmorphic disorder.
Sharing patient information with colleagues is an important nursing role
Palpation of the Radial Pulse
Average Pulse Rates by Age
Patient Education Follow-up Plan
Patient with osteoarthritis.
Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 3)