CBC REPORT Hemoglobin

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CBC REPORT Hemoglobin

CBC REPORT Hemoglobin  Get help  at

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?  Get help at 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 Using SBAR format, indicate how you should best communicate your concern about the situation with the physician. Underline and provide rationale for the selection The client’s oximetry is 88 % to 90 % after 15-minutes receiving a nonrebreather mask I’m calling to report dyspnea and worsening of the hypoxemia. The client may need mechanical ventilation, I think you should come and evaluate now. The client had an appendectomy 2 days ago, has had purulent drainage and hasn’t had any respiratory issues until today. The surgeon requests the hospital intensivist to consult. The following prescriptions are ordered. Which will you implement first? Underline and provide rationale for the selection Place the client on bilevel positive airway pressure ventilation Obtain an intubation tray and assist with intubation Administer nebulized albuterol every 4 hours Obtain blood, urine and abdominal drainage cultures The client is transferred to ICU and intubated, ET placement is confirmed using the most accurate technique. What do you use to evaluate the positioning of the tube? Underline and provide rationale for the selection Chest radiograph report Auscultate breath sounds bilaterally Use continuous wave-from capnography Check pulse oximetry level

 
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