Surgical Tech For Surgical Tech Pos Care
5th Edition
ISBN:9781337648868
Author:Association
Publisher:Association
Chapter8: Emergency Situations And All-hazards Preparation
Section: Chapter Questions
Problem 8.4CS
Related questions
Question
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![DYNAMIC EXHIBIT AND CONSTRUCTED RESPONSE
1.59 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: The nurse is caring for a client who is receiving a transfusion of packed red blood cells. The unit was
hung at 1300. The nurse continues to monitor until the transfusion is complete. Vital signs at baseline;
Temp: 98.3°F; Pulse: 72 bpm; Blood pressure: 130/80; Respiratory rate: 14/min; Sao,: 98% on room air.
1610
1720
1700
Time
1500
Temp: 98.2°F (36.78°C)
P: 68 bpm
Temp: 98.4°F (36.89°C) Temp: 98.5°F (36.94°C) Temp: 98.4°F (36.89°C
P: 72 bpm
P: 69 bpm
P: 70 bpm
BP: 127/74
BP: 130/70
BP: 132/76
BP: 128/74
RR: 16/min
RR: 18/min
RR: 14/min
RR: 18/min
Sao,: 97% on room air
Sao,: 98% on room air
Sao,: 98% on room air
The patient reports
feeling well and denies
any complaints.
Sao,: 97% on room air
The nurse notes the
transfusion is nearly
complete and the
patient continues
without complaint.
The patient verbalizes no
complaints at this time.
The unit of packed red
blood cells is complete.
The nurse discontinues
the infusion, flushes the
IV line, and discards
the blood infusion set
appropriately.
VS check as
documented
VS check as
documented.
VS check as
documented.
IV site check.
IV site check.
IV site check
Patient repositioned for
comfort
Cardiac diet served as
ordered.
At what time(s) did the nurse intervene incorrectly?
01500
01610
01700
01720
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:
- ZTERVENT -OZS
ASSE SSMENT](/v2/_next/image?url=https%3A%2F%2Fcontent.bartleby.com%2Fqna-images%2Fquestion%2Fa31eb279-8223-4b36-a753-0106f6aafbe6%2F78cd555f-269a-4bdf-80a7-ce7c0fb42421%2Fvwggvll_processed.jpeg&w=3840&q=75)
Transcribed Image Text:DYNAMIC EXHIBIT AND CONSTRUCTED RESPONSE
1.59 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: The nurse is caring for a client who is receiving a transfusion of packed red blood cells. The unit was
hung at 1300. The nurse continues to monitor until the transfusion is complete. Vital signs at baseline;
Temp: 98.3°F; Pulse: 72 bpm; Blood pressure: 130/80; Respiratory rate: 14/min; Sao,: 98% on room air.
1610
1720
1700
Time
1500
Temp: 98.2°F (36.78°C)
P: 68 bpm
Temp: 98.4°F (36.89°C) Temp: 98.5°F (36.94°C) Temp: 98.4°F (36.89°C
P: 72 bpm
P: 69 bpm
P: 70 bpm
BP: 127/74
BP: 130/70
BP: 132/76
BP: 128/74
RR: 16/min
RR: 18/min
RR: 14/min
RR: 18/min
Sao,: 97% on room air
Sao,: 98% on room air
Sao,: 98% on room air
The patient reports
feeling well and denies
any complaints.
Sao,: 97% on room air
The nurse notes the
transfusion is nearly
complete and the
patient continues
without complaint.
The patient verbalizes no
complaints at this time.
The unit of packed red
blood cells is complete.
The nurse discontinues
the infusion, flushes the
IV line, and discards
the blood infusion set
appropriately.
VS check as
documented
VS check as
documented.
VS check as
documented.
IV site check.
IV site check.
IV site check
Patient repositioned for
comfort
Cardiac diet served as
ordered.
At what time(s) did the nurse intervene incorrectly?
01500
01610
01700
01720
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:
- ZTERVENT -OZS
ASSE SSMENT
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