0200 nursing assessment: The patient is beginning to cough more frequently and complains of chest tightness
0200 nursing assessment: The patient is beginning to cough more frequently and complains of chest tightness. Respiratory assessment indicates inspiratory and expiratory wheezes in bilateral lungs. You call the physician and obtain the following telephone orders:
IV D5/0.9 NS at 125 mL/hr
Oxygen at 2 L/min/NP
Albuterol inhaler 2 puffs q4h
Metaproterenol nebulizer treatment 0.3 mL (5%) in 2.5 mL NS q4h prn
ABG, sputum for eosinophils
Methylprednisolone sodium 125 mg IVP q6h
Check oxygen saturation with pulse oximeter q2h
Call physician with ABG results
Based on the Physician’s telephone orders which nursing interventions require immediate follow up?
What nursing actions can you delegate/assign to the personal support worker?
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0200 nursing assessment: The patient is beginning to cough more frequently and complains of chest tightness
0200 nursing assessment: The patient is beginning to cough more frequently and complains of chest tightness....
0200 nursing assessment: The patient is beginning to cough more frequently and complains of chest tightness. Respiratory assessment indicates inspiratory and expiratory wheezes in bilateral lungs. You call the physician and obtain the following telephone orders. Based on the Physician’s telephone orders which nursing interventions require immediate follow up and why? IV D5/0.9 NS at 125 mL/hr Oxygen at 2 L/min/NP Albuterol inhaler 2 puffs q4h Metaproterenol nebulizer treatment 0.3 mL (5%) in 2.5 mL NS q4h prn ABG, sputum...
0200 nursing assessment: The patient is beginning to cough more frequently and complains of chest tightness....
0200 nursing assessment: The patient is beginning to cough more frequently and complains of chest tightness. Respiratory assessment indicates inspiratory and expiratory wheezes in bilateral lungs. You call the physician and obtain the following telephone orders: IV D5/0.9 NS at 125 ml/h Oxygen at 2 L/min/NP Albuterol inhaler 2 puffs q4h Metaproterenol nebulizer treatment 0.3 mL. (5%) in 2.5 mL NS 94h pm ABG, sputum for eosinophils Methylprednisolone sodium 125 mg IVP q6h Check oxygen saturation with pulse oximeter q2h...
Scenario It is 1130 and M.N., age 65, is being admitted to your surgical floor after...
Scenario It is 1130 and M.N., age 65, is being admitted to your surgical floor after having undergone an open cholecystectomy for acute cholecystitis. She has a nasogastric tube to continuous low wall suction, one peripheral intravenous (IV) line, and a large abdominal dressing. Her orders are as follows. Chart View Physician's Orders Clear liquid diet; progress low-fat diet as tolerated D5 ½ NS with 40 mEq KCl at 125 mL/hr Turn, cough, and deep breathe q2h Incentive spirometer q2h...
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0200 nursing assessment: The patient is beginning to cough more frequently and complains of chest tightness. Respiratory assessment indicates inspiratory and expiratory wheezes in bilateral lungs. You call the physician and obtain the following telephone orders: IV D5/0.9 NS at 125 ml/h Oxygen at 2 L/min/NP Albuterol inhaler 2 puffs q4h Metaproterenol nebulizer treatment 0.3 mL. (5%) in 2.5 mL NS 94h pm ABG, sputum for eosinophils Methylprednisolone sodium 125 mg IVP q6h Check oxygen saturation with pulse oximeter q2h...
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