List three (3) clinical manifestations a nurse would note in
a client experiencing cardiac tamponade.
Three clinical manifestations the nurse would note are low BP,
radiating chest pain to back, shoulders or neck, trouble
breathing and discomfort relieved by sitting or leaning forward
Suggested Medical Surgical Learning Activity: Heart
Failure
After providing AM care to a client receiving mechanical
ventilation via an endotracheal tube, the nurse notes a sudden
decrease in the pulse oximetry reading. How will the nurse
assess endotracheal tube placement?
The nurse will obtain a chest x-ray to check for placement
Suggested Adult Med Surg Learning Activity: Mechanical
Ventilation
The nurse is assessing a client with acute respiratory distress
syndrome who is receiving 100% oxygen via mechanical
ventilation . List three (3) assessments findings that would
indicate an improvement in the client’s condition.
Assessment findings the nurse would note as indicators of
improvement are capillary refill, heart rate, blood pressure and
ABGs
Suggested Adult Med Surg Learning Activity: Mechanical
Ventilation
A nurse is discussing the plan of care for a client with
Alzheimer’s and his family. Identify three (3) resources the
nurse can share to help with the plan of care and home
support.
Three resources a nurse can share with the family are
referrals to in home services, referrals to community
resources, respite and hospice care resources.
The nurse answers a client’s call bell to find the client’s
abdominal wound bleeding and after a brief assessment
discovers the wound has eviscerated. Identify the priority
interventions the nurse must perform.
Priority interventions are to notify the provider, cover the
evisceration with a sterile saline soaked dressing, stay with
patient and transfer to surgery
Suggested Adult Med Surg Learning
Activity: Postoperative Care
This study source was downloaded by 100000881663784 from CourseHero.com on 09-10-2024 18:14:08 GMT -05:00
https://www.coursehero.com/file/65933555/Cap-Med-Surg-Remediationdocx/
a client experiencing cardiac tamponade.
Three clinical manifestations the nurse would note are low BP,
radiating chest pain to back, shoulders or neck, trouble
breathing and discomfort relieved by sitting or leaning forward
Suggested Medical Surgical Learning Activity: Heart
Failure
After providing AM care to a client receiving mechanical
ventilation via an endotracheal tube, the nurse notes a sudden
decrease in the pulse oximetry reading. How will the nurse
assess endotracheal tube placement?
The nurse will obtain a chest x-ray to check for placement
Suggested Adult Med Surg Learning Activity: Mechanical
Ventilation
The nurse is assessing a client with acute respiratory distress
syndrome who is receiving 100% oxygen via mechanical
ventilation . List three (3) assessments findings that would
indicate an improvement in the client’s condition.
Assessment findings the nurse would note as indicators of
improvement are capillary refill, heart rate, blood pressure and
ABGs
Suggested Adult Med Surg Learning Activity: Mechanical
Ventilation
A nurse is discussing the plan of care for a client with
Alzheimer’s and his family. Identify three (3) resources the
nurse can share to help with the plan of care and home
support.
Three resources a nurse can share with the family are
referrals to in home services, referrals to community
resources, respite and hospice care resources.
The nurse answers a client’s call bell to find the client’s
abdominal wound bleeding and after a brief assessment
discovers the wound has eviscerated. Identify the priority
interventions the nurse must perform.
Priority interventions are to notify the provider, cover the
evisceration with a sterile saline soaked dressing, stay with
patient and transfer to surgery
Suggested Adult Med Surg Learning
Activity: Postoperative Care
This study source was downloaded by 100000881663784 from CourseHero.com on 09-10-2024 18:14:08 GMT -05:00
https://www.coursehero.com/file/65933555/Cap-Med-Surg-Remediationdocx/
