In the emergency department, a patient's vital signs are: BP 66/40 mm Hg; pulse 140 beats/min; respirations 8 breaths/min and shallow
The nursing diagnosis is Ineffective breathing pattern related to depression of respiratory center secondary to narcotic overdose. Select the priority outcome. a. Within 4 hours, vital signs will stabilize, with BP above 90/60 mm Hg, pulse less than 100 beats/min, and respirations at or above 12 breaths/min.
b. The patient will correctly describe a plan for home care and achieving a drug-free state before release from the emergency department.
c. Within 6 hours, the patient's breath sounds will be clear bilaterally and throughout lung fields.
d. The patient will demonstrate effective coping skills within 1 week of hospitalization.
e. The patient will identify community resources for treatment of substance abuse.
A
This short-term outcome is the only one that relates to the patient's physical condition. It is expected that vital signs will return to normal when the CNS depression is alleviated. The patient's respirations are slow and shallow, but there is no evidence of congestion.
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According to the DSM-IV classification system, the condition of mental retardation would be listed under the axis known as ____________________
Fill in the blank(s) with correct word