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How does pneumonia affect perfusion? Devepol a nursing care plan using the nursing process for a patient impaired perfusion due to pneumonia.
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- What are the nursing considerations when administering Intravenous Fluids/Blood Transfusions? Give the nursing considerations of these.While assessing a patient in the PACU, a nurse notesincreased wound drainage, restlessness, a decreasing blood pressure, and an increase in the pulse rate. The nurse inter-prets these findings as most likely indicating: a. Thrombophlebitisb. Atelectasisc. Infectiond. HemorrhageA nurse is monitoring a patient who is receiving an IVinfusion of normal saline. The patient is apprehensive andpresents with a pounding headache, rapid pulse rate, chills,and dyspnea. What would be the nurse’s priority interventionrelated to these symptoms?a. Discontinue the infusion immediately, monitor vitalsigns, and report findings to primary care providerimmediately.b. Slow the rate of infusion, notify the primary care providerimmediately and monitor vital signs.c. Pinch off the catheter or secure the system to prevent entryof air, place the patient in the Trendelenburg position, andcall for assistance.d. Discontinue the infusion immediately, apply warm, moistcompresses to the site, and restart the IV at another site.
- All of the following are the most common ways that patients with HF present in a primary care setting except_____________? Fluid retention Sleep apnea Dyspnea Decrease exercise toleranceList the nursing diagnosis for a bedridden patient who is at risk for blood clot For the nursing diagnosis include what it is related to and evidenced by and short term and long term goalThe nurse is preparing the change-of-shift report for a client who has a 265 ml secondary infusion that was started 2 hours ago at a rate of 85 ml/hour via an infusion pump. The nurse should report that how many ml remain to be infused by the on coming nurse?
- A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?Blood pressure 105/64 mm HgHeart rate 98/ minUrine output of 280 mL within 8 hrUrine negative for ketonesPREVIOUSCONTINUE31\deg FSnowSearchHow do you identify a client according to facility/agency policy prior to administration of red blood /blood products? (e.g., order for administration, correct type, correct client, crossmatching complete, consent obtained). Briefly discuss the 2 nurse verification process.After receiving 2/L of normal saline, the central venous pressure (CVP) for a patient who has septic shock is 12 mmHg, but the blood pressure is still 82/40 mmHg. The nurse will anticipate an order for: 1. Norepinephrine (Levophed) 2. Furosemide (Lasix) 3. Sodium Nitroprusside (Nitropress) 4. Nitroglycerin (Nitrostat)
- A patient asks about other types of blood thinners with less side effects what is the role of the nurse during this situation, what is the next step to take for your patient?What nursing interventions are necessary for a nurse to use a CVAD to obtain blood samples? What is the procedure for blood collection? What assessments are necessary pre and post collection?The nurse is preparing to infuse a liter of normal saline over 4 hours IV to a patient who experienced a hemolytic reaction to blood. The drop factor is 15 gtt/mL. Calculate the drip factor. Enter the numeral only. Round to the nearest whole number.