What additional interventions do you need to institute for this patient?
Answer:
- Connect the Salem Sump to continuous low-wall suction and keep him on NPO status in case surgical intervention is necessary.
- Connect him to continuous pulse oximetry, place a cardiac monitor, and initiate automated blood pressure monitoring.
- Clean K.L. and change the bed linen. Institute measures to protect him from cold.
- Start a second IV infusion of 0.9% NS with an 18-gauge catheter and prepare blood transfusion equipment.
- Maintain K.L. on bed rest.
- Insert a Foley catheter if ordered and initiate intake and output with hourly urine output monitoring.
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To prevent dislodging of the endotracheal tube during transfer of the patient to another facility, the nurse will
A) hold the tube during transfer. B) use only an oral airway for transfer. C) have a family member ride to hold the tube. D) sedate the patient.
A child, aged 4 years, has been referred to the mental health clinic for evaluation of hyperactive,
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A patient is admitted with a leg wound with a large amount of pus exudate. The nurse realizes the pus formation indicates
1. macrophages circulating in the blood. 2. neutrophils arrived at the wound as the first line of defense to remove foreign matter. 3. natural killer lymphocytes circulating through the lymph. 4. the complement system causing cellular destruction.
Which viral sexually transmitted infection is characterized by a primary infection followed by recurrent episodes?
a. Herpes simplex virus (HSV)-2 b. Human papillomavirus (HPV) c. Human immunodeficiency virus (HIV) d. Cytomegalovirus (CMV)