A patient admitted with an elevated ST-segment myocardial infarction on oxygen per nasal cannula for his diagnosed influenza is complaining of shortness of breath with an oxygen satura-tion of 88%. Which action by the RN is best?
a. Increase the oxygen concentration.
b. Ask respiratory therapy to administer an albuterol treatment.
c. Notify the health care provider.
d. Determine if anxiety could be causing the shortness of breath.
B
Feedback
A This action should be delayed until assessing any change after the bronchodilator administration.
B The respiratory therapist should administer a bronchodilator as the first action to assess the patient's response before determining the next action.
C This action should be delayed until assessing any change after the bronchodilator administration.
D This is probably not responsible for the change in condition.
You might also like to view...
The nurse is caring for a client who is beginning doxorubicin (Adriamycin) therapy for breast cancer. When preparing the client for probable side effects, which would the nurse include?
A) Information regarding wigs from the American Cancer Society B) Information about blood donation from the American Red Cross C) Information regarding high caloric meals from a dietician D) Information regarding depression from a mental health association
The nurse is working on a care area that focuses on tertiary prevention. Which goal is most consistent with this focus?
1. Patients at risk for skin breakdown will be turned every 2 hours. 2. Patients with pressure ulcers will have whirlpool therapy as indicated. 3. Patients will be assessed for factors that place them at risk for skin breakdown. 4. Patients are instructed to change positions in bed every 2 hours to prevent skin breakdown.
An occupational nurse is starting a new position with a company with 35 employees. The nurse asks to see the OSHA 300 form, but is told that the company is not required to use that form. How does the nurse reply?
A. You're right. The OSHA 300 logs are voluntary. B. You're right. The OSHA 300 logs should be kept when a company has 50 employees. C. That's incorrect. The OSHA 300 logs should be kept when a company has at least 10 employees. D. Each employee is required to keep their own logs and report injuries as applicable.
Housekeeping personnel are not considered a part of the multidisciplinary team
Indicate whether the statement is true or false.