Arrange in order of priority the nurse's actions when a patient admitted with an elevated ST-segment myocardial infarction on droplet precautions and oxygen per nasal cannula
for his diagnosed influenza is complaining of shortness of breath with an oxygen saturation of 88%.
1. Call the rapid response team (RRT).
2. Obtain a chest radiograph.
3. Obtain a 12-lead ECG.
4. Initiate a bronchodilator nebulizer treatment.
5. Increase the oxygen concentration 2 L.
6. Repeat the oxygen saturation in 10 minutes.
a. 5, 3, 2, 4, 6, 1
b. 1, 4, 2, 5, 6, 3
c. 4, 5, 6, 3, 1, 2
d. 5, 4, 3, 6, 2, 1
ANS: C
The first step should be to try a bronchodilator first, then increase the oxygen concentration, re-peat the oxygen saturation for changes, then obtain a 12-lead ECG to rule out evolving myocar-dial infarction, call the RRT for their consult, and then obtain a chest radiograph to see if that explains the change in condition. The other options do not present the steps in the correct order.
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