A client had a total abdominal hysterectomy with bilateral salpingo-oophorectomy and pelvic lymph node dissection 2 days ago. The nurse finds the client short of breath, tachycardic, and anxious. What intervention takes priority?
a. Assess oxygen saturation and apply oxy-gen if needed.
b. Have the client cough and deep breathe or use the spirometer.
c. Call respiratory therapy to provide a ne-bulizer treatment.
d. Prepare to administer furosemide (Lasix) IV push.
A
Pulmonary embolism is a risk of major abdominal surgery. The client is exhibiting signs of pul-monary embolism. The nurse should first assess and treat oxygenation problems, then notify the Rapid Response Team. Pulmonary hygiene will not be aggressive enough to help this client. No indications suggest that the client needs a nebulizer treatment. Lasix is not warranted.
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_____ involves accounting for patient factors, the intrinsic risks that a patient brings to the health care encounter in the form of clinical and/or demographic factors, before drawing conclusions about the meaning of different values for indicators
Fill in the blank(s) with correct word
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a. provide distractional activities such as television b. encourage client to participate in facility activities c. request a consultation with a psychiatrist d. allow the client to remain in his or her room
The nurse performs all of the following actions when examining the anus EXCEPT
a. ask the patient to take a breath in and hold it b. glove and lubricate a finger and rotate the inserted finger 360 degrees c. assess for anal sphincter weakness d. document perianal varicosities as hemorrhoids