On admission of a patient to the postanesthesia care unit (PACU), the blood pressure (BP) is 122/72 mm Hg. Thirty minutes after admission, the BP is 114/62, with a pulse of 74 and warm, dry skin. Which action by the nurse is most appropriate?
Read DetailsA nurse is assessing a patient who is receiving a blood transfusion and finds that the patient is anxiously fidgeting in bed. The patient is afebrile and dyspneic. The nurse auscultates crackles in both lung bases and sees jugular vein distention. On which transfusion complication will the nurse focus interventions?
Read DetailsMrs. T is an 89 year old woman tht arrived in the emergency room by ambulance from her assisted living facility for a (1)hip fracture and possible surgery tomorrow.. (2) She is a DNR with no allergies. (3)She had a fall from her bed and has dementia. She is not complaining of pain since given morphine at 1800. Her skin is intact and she is receiving NS in her right forearm. (4)V/S are stable and family has been notified by the assisted living that she is in the hospital. (5)Contact the surgeon and family upon arrival for assessment.Please select which highlighted area is the stituation within SBAR. Type your answer below (each sentence is a choice).
Read DetailsThe client has received IV solutions for three (3) days through a 20-guage IV catheter placed in the left cephalic vein. On morning rounds the nurse notes the IV site is tender to palpation and a red streak has formed. Which action should the nurse implement first?
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