Read the case study below, and refer to the patient's progress and the nursing interventions over time. Refer to the case study when answering the questions. Case: A client has undergone a Coronary Artery Bypass Graft procedure. SBAR report includes that the Internal Mammary has been used to bypass blockage in the Left Anterior Descending artery and saphenous veins for the Circumflex and Right Coronary Artery. After an uneventful surgery the client is transferred to the ICU. Time 0830 0930 1000 1100 BP: 92/54 (67) Arouses to verbal stimuli and simple commands. BP: 102/64 BP: 110/64 CO: 3.6 CO: 2.5 O, sat:100% HR: 84/min (NSR) Cardiac monitor: RR: 14/min HR: 90/min in NSR Temperature: 36.8°C (98.2 F) Pulse Oximetry: 100% on Pressure Support Pulmonary Artery S/D: 32/8 O, sat 98 % on 40% Central Venous Pressure: 2 Urinary output: 325 ml. RR: 16/min PAP: 32/10 CI 2.4 ml supplemental oxygen. Cardiac Output/Index: 3.7 mm/1.8 mm Chest tube output: 100 mL. Urinary Output: 525 mL Lab results noted: Serum Potassium: 3.3 mEg/L (3.3 mmol/L); Hgb: 9.2 g/dL (92 g/L): Hct: 3296 Mediastinal chest tube output: 275 mL Albumin 5% 500 mL infused. Extubated and placed on 50% venti-mask. Measured urinary and chest tube Vital aigns and PAP obtained. Urinary and chest tube output measured. Lab studies submitted for current Chemistries, Complete Blood Study, PT, PTT, and INR. Portable chest X-ray obtained for line and ETT placement verification. output. Stat one-time PCWP obtained as 4 mm. Collaboration with Respiratory Therapy for appropriate ventilatory support and weaning from mechanical ventilation. At what time(s) did the nurse intervene incorrectly? D0830 D0930 ロ1000 ロ1100 What was (were) the incorrect intervention(s)? What should the nurse have done instead? ASSE SSME NT - ZTE RVENTIONS
Read the case study below, and refer to the patient's progress and the nursing interventions over time. Refer to the case study when answering the questions. Case: A client has undergone a Coronary Artery Bypass Graft procedure. SBAR report includes that the Internal Mammary has been used to bypass blockage in the Left Anterior Descending artery and saphenous veins for the Circumflex and Right Coronary Artery. After an uneventful surgery the client is transferred to the ICU. Time 0830 0930 1000 1100 BP: 92/54 (67) Arouses to verbal stimuli and simple commands. BP: 102/64 BP: 110/64 CO: 3.6 CO: 2.5 O, sat:100% HR: 84/min (NSR) Cardiac monitor: RR: 14/min HR: 90/min in NSR Temperature: 36.8°C (98.2 F) Pulse Oximetry: 100% on Pressure Support Pulmonary Artery S/D: 32/8 O, sat 98 % on 40% Central Venous Pressure: 2 Urinary output: 325 ml. RR: 16/min PAP: 32/10 CI 2.4 ml supplemental oxygen. Cardiac Output/Index: 3.7 mm/1.8 mm Chest tube output: 100 mL. Urinary Output: 525 mL Lab results noted: Serum Potassium: 3.3 mEg/L (3.3 mmol/L); Hgb: 9.2 g/dL (92 g/L): Hct: 3296 Mediastinal chest tube output: 275 mL Albumin 5% 500 mL infused. Extubated and placed on 50% venti-mask. Measured urinary and chest tube Vital aigns and PAP obtained. Urinary and chest tube output measured. Lab studies submitted for current Chemistries, Complete Blood Study, PT, PTT, and INR. Portable chest X-ray obtained for line and ETT placement verification. output. Stat one-time PCWP obtained as 4 mm. Collaboration with Respiratory Therapy for appropriate ventilatory support and weaning from mechanical ventilation. At what time(s) did the nurse intervene incorrectly? D0830 D0930 ロ1000 ロ1100 What was (were) the incorrect intervention(s)? What should the nurse have done instead? ASSE SSME NT - ZTE RVENTIONS
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
Related questions
Question
Need help with this. Also provided an explanation.
Transcribed Image Text:DYNAMIC EXHIBIT AND CONSTRUCTED RESPONSE
1.58 Read the case study below, and refer to the patient's progress and the nursing interventions over time. Refer
to the case study when answering the questions.
Case: A client has undergone a Coronary Artery Bypass Graft procedure. SBAR report includes that
the Internal Mammary has been used to bypass blockage in the Left Anterior Descending artery and
saphenous veins for the Circumflex and Right Coronary Artery. After an uneventful surgery the client is
transferred to the ICU.
Time
0830
0930
1000
1100
BP: 92/54 (67)
Arouses to verbal stimuli
and simple commands.
BP: 110/64
CO: 3.6
CO: 2.5
O, sat:100% h
HR: 84/min (NSR)
Cardiac monitor:
RR: 14/min
BP: 102/64
HR: 90/min in NSR
Temperature: 36.8°C
(98.2°F)
Pulse Oximetry: 100% on
Pressure Support
Pulmonary Artery S/D: 32/80, sat 98 % on 40%
RR: 16/min
PAP: 32/10
CI 2.4 ml.
supplemental oxygen.
Urinary output: 325 mL.
Chest tube output: 100
mL.
Central Venous Pressure: 2
Cardiac Output/Index: 3.7
mm/1.8 mm
Urinary Output: 525 mL
Lab results noted: Serum
Potassium: 3.3 mEg/L
(3.3 mmol/L); Hgb:
9.2 g/dL (92 g/L): Hct:
32%
Mediastinal chest tube
output: 275 mL
Albumin 5% 500 mL
infused.
Extubated and placed
on 50% venti-mask.
Measured
urinary and
chest tube
Vital signs and PAP obtained. Urinary
and chest tube output measured.
Lab studies submitted
for current Chemistries,
Complete Blood Study,
PT, PTT, and INR.
Portable chest X-ray
obtained for line and ETT
placement verification.
output.
Stat one-time PCWP
obtained as 4 mm.
Collaboration with
Respiratory Therapy for
appropriate ventilatory
support and weaning from
mechanical ventilation.
At what time(s) did the nurse intervene incorrectly?
D0830
00930
ロ1000
ロ1100
What was (were) the incorrect intervention(s)?
What should the nurse have done instead?
Enter a short description of the intervention(s) the nurse should have implemented:
ASSE SSME NT
- ZTERVENT -ozS
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