Question

4 CBC REPORT Hemoglobin 10.5 g/dL 37% White blood cell count (WBC) 24,000/mma Platelet count 120,000/mma Hematocrit Which result causes you the most concern? Add the rationale for your selection. ASSIGNMENT #2 You are assigned 2 clients however client assignment #1 acuity causes you to reassign client # 2 who has: Admitted yesterday with pyelonephritis and hyperglycemia Receiving regular insulin infusion (Novolin R) IV using insulin sliding Temp decreased from 102F to 100.6F now. Ceftizoxime IV started yesterday -scale protocols Blood glucose monitoring every hour Which staff member will you assign the client? Underline and provide rationale for the selection with 10 years experience on the to your step-down unit for the day. Newly-graduated RN who fisished a 3-month orientation and this is the first day solo without a preceptor On-call RN with 5 years experience on the step-down unit who will be able to arrive in 1 hour Experienced RN from a staffing agency who is orienting to the unit today for a 6-month assignment. After 15 minutes of oxygen using the nonrebreather mask the client's oxygen saturation remains at 88 % to 89 % . Which problem statement describes the complication the client is experiencing? Underline and provide rationale for the selection- Oxygenation R/T increased hypoxemia AEB aspiration pneumonia Oxygenation R/T increased hypoxemia AEB pulmonary embolism Oxygenation R/T increased hypoxemia AEB tension pneumothorax Oxygenation R/T increased hypoxemia AEB acute respiratory distress syndrome

Answer 1

1. I will assign the on call RN with 5 years experience in the step down unit who will be able to arrive in an hour. Because rest of others are all new to the unit and don't have the experience and orientation of this unit .

2. The correct option is oxygenation R/T increases hypoxemia AEB acute respiratory distress syndrome because in acute respiratory distress syndrome the respiratory drive decreases and hence the saturation .

3. The correct option is - The patient may need mechanical ventilation, I think you should should come and evaluate now because according to the assessment done by you his saturation is not in normal range and you are recommending the physician to have an evaluation done to confirm and to take action to prevent complications .

4. The action to be done first is to place the patient on bilevel positive airway pressure ventilation because according to ABC resuscitation protocol iand priority wise respiration is the first thing to maintain a life .