According to the medical record a patient is classified as an ASA I. The nurse assessing this patient would plan care for which situation?
1. A patient with severe chronic illness
2. A normally healthy patient
3. A patient with a mild underlying illness
4. A patient whose organs are being harvested for transplant
2
Rationale 1: A patient with severe chronic illness is classified as ASA III or ASA IV.
Rationale 2: A healthy, normal patient is classified as ASA I.
Rationale 3: A patient with mild systemic disease is classified as ASA II.
Rationale 4: A patient who is brain dead and whose organs are being removed for transplant is classified as ASA VI.
You might also like to view...
You are caring for an adult patient with a tracheostomy who is being mechanically ventilated. His pulse oximetry reading is 85%, heart rate is 113 beats/min, and respiratory rate is 30 breaths/min. The patient is very restless
His respirations are labored, and you hear gurgling sounds. You auscultate crackles and rhonchi in both lungs. What is the most appropriate action to take? a. Call the respiratory therapist to check the ventilator settings. b. Provide endotracheal suctioning. c. Provide tracheostomy care. d. Notify the physician of the patient's signs of fluid overload.
A patient with nasal trauma has clear, watery fluid dripping from the nose. After testing, the nurse learns this fluid contains glucose. What should this finding indicate to the nurse?
1. There is a fracture of the ethmoid or sphenoid sinus. 2. The patient needs to be suctioned. 3. Cerebrospinal fluid is present. 4. The patient has coryza.
The nurse is participating in a quality improvement study to collect data about a client concern. List purpose of the data. (Select all that apply.)
1. Understand structures 2. Control processes 3. Improve structures 4. Establish baselines 5. Measure improvement 6. Identify the blame
Which nursing diagnosis would be most useful for clients with anxiety disorders?
A. Excess fluid volume B. Disturbed body image C. Ineffective role performance D. Disturbed personal identity