The nurse collaborates with the trauma team to admit and sta…
The nurse collaborates with the trauma team to admit and stabilize a 19-year-old male client following a snowmobiling accident. According to the report from emergency medical services, the client was snowmobiling with friends when he was thrown from the snowmobile and hit a tree head-first. A friend started cardiopulmonary resuscitation. The client was intubated en route and presents now for stabilization. The nurse collects the client’s vital signs: temperature 36C, heart rate 72 beats/min and regular, respiratory rate 16 breaths/min as set on the ventilator (no breathing over ventilator rate noted), oxygen saturation 99% on 40% FiO2, blood pressure 130/82 mmHg. Complete the bowtie diagram below by selecting an option to specify: Which condition the client is most likely experiencing (A) Two actions the nurse should take to address that condition (B) Two parameters the nurse should monitor to assess the client’s progress (C) Use your clinical judgment to select the best answer(s). What condition is the client most likely experiencing (A)? Write your answer in the blank below. _______ What two actions should the nurse take to address that condition (B)? Write your answer in the blank below. _______ What are the two parameters the nurse should monitor to assess the client’s progress (C)? Write your answer in the blank below. _______
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