47. Based on the following chart, which of the following is…
47. Based on the following chart, which of the following is priority? Admitted with history of Emphysema, Gastric Bypass, Anxiety, Fatigue, Pallor and Tachycardia. Current Vital Signs: BP 108/58, HR 116, Respiration Rate 22, O2 Sat 93% on Room Air, Temp. 98.8F. Assessment: Heart rhythm regular. Lungs diminished bibasilar; Nail beds are pale with a capillary refill of 4 seconds. Radial pulses are 2+ and thready. Na+ 138 K+ 4.9 Hgb 8.2 Hct 30 RBC 3.8 WBC 11,000 Platelets 200,000 BUN 11.1 Creatinine 0.7 ABG Results pH 7.38 CO2 37 HCO3 28 PaO2 93 CXR: Negative
Read Details35. The nurse is admitting a male client, and a midstream u…
35. The nurse is admitting a male client, and a midstream urine culture has been ordered. The nurse instructs the client in the proper technique to use when cleaning his penis before obtaining the specimen. The nurse will instruct him to do which of the following?
Read Details41. A patient returns to his room after having a transureth…
41. A patient returns to his room after having a transurethral resection of the prostate (TURP). There is a closed, continuous irrigation system in place. On assessment of the urine, you note that it is bright red blood with several clots. What is the initial action the nurse will perform?
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