Question

0200 nursing assessment: The patient is beginning to cough more frequently and complains of chest tightness. Respiratory assessment indicates inspiratory and expiratory wheezes in bilateral lungs. You call the physician and obtain the following telephone orders: IV D5/0.9 NS at 125 ml/h Oxygen at 2 L/min/NP Albuterol inhaler 2 puffs q4h Metaproterenol nebulizer treatment 0.3 mL. (5%) in 2.5 mL NS 94h pm ABG, sputum for eosinophils Methylprednisolone sodium 125 mg IVP q6h Check oxygen saturation with pulse oximeter q2h Call physician with ABG results Based on the Physician's telephone orders which nursing interventions require immediate follow up? What nursing actions can you delegate/assign to the personal support worker?

Answer 1

After physician telephone orders, nurse should follow up with patient's oxygen saturation level with pulse oximeter immediately.

Personal support worker can be assigned to check the breathing and oxygen Saturation frequently. And also check for nebulizers of the patient. If the patient is getting tensed the personal support worker should calm him down with his communication skills giving emotional support.