1. The client with the electrical burn is brought to the emergency room department. The entrance wound is on the right hand and the exit wound is on the left foot. Which intervention should the nurse implement first?
-Place sterile gauze on the entrance and exit wounds. or - Assess the client’s vital signs. or - Monitor the client’s pulse oximetry. or - Place the patient on cardiac telemetry.
2. The staff nurse is caring for a client who was diagnosed with COLON cancer and IS status post resection with ileostomy placement. Which client problem is a priority for post-op day 1?
- Ineffective coping, or Fluid and electrolyte imbalance, or Risk for infection or, Potential for suicidal thought
Q. No 1. Answer :
Answer is '' monitor the clients pulse oximetry''.
because all burns may decreases the blood circulation due to injury so that air way obstruction may come, it may leads to arrest.
* so immediate assessment is oxygen saturation level monitoring by pulse oximetry.
* then can check the vital signs.
Q. No 2 . Answer :
Answer is the priority for post operative day one is '' Risk for infection''.
because all post operative clients have less immune power and they may get easily infections , if we will not maintain aseptic techniques they may go to sepsis and still more problematic to clients, so we have to maintain full and good aseptic techniques during earlier post operative days .
1. The client with the electrical burn is brought to the emergency room department. The entrance...
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