ATI real life RN Medical Surgical.

Nurse Allyson is planning care for Mr. Gomez. He is coming from the ER. Which of the following data should the nurse include in the plan of care? a. Code status b.ABGs c.Dietary preferences d.Activity Tolerance e. Last dose of bronchodilator medication - answerCode status ABGs Last dose of bronchodilator medication. Nurse Allyson assessed Mr. Gomez's respiratory status. Which of the following actions should Nurse Allyson take? - answerDecrease the oxygen flow Review the five videos below r/t the administration of IVPB cetrifaxone (Rocephin) to Mr. Gomez and reorder the steps in the correct sequence. - answerB, D, A, C, E The nurse is preparing to administer cetrifaxone (Rocephin) 1g IV. Available is cetrifaxone 1g in 100mL sterile water. WHen administering the medication over 30 min, the nurse should set up the IV pump to deliver how many mL/hr? - answer200ml/hr Mr. Gomez's daughter expresses concern to the nurse about her father's skin irritation and itching. Which of the following is a correct response by Nurse Allyson? - answer"I'll be right there" When caring for Mr. Gomez allergic reaction, Nurse Allyson assesses his airway. What is the next appropriate nursing intervention? - answerAssess Mr. Gomez's breathing pattern Which of the following interventions is appropriate to meet the needs of Mr. Gomez's daughter at this time? - answerEncourage Mr. Gomez and his daughter to further express their emotions. Nurse Jessica is caring for Mr. Gomez and is aware that he has a pleural effusion. Which of the following images depicts a pleural effusion? - answerA Nurse Jessica received report from the AP about Mr. Gomez's difficulty breathing and increased anxiety. Which of the following activities should be included in the nurse's plan of care? - answerAssess all tube connections between the chest and the drainage system. Nurse Allyson recognizes that Mr. Gomez has an acute protein deficiency. Which of the following laboratory test results is useful in determining a client's protein nutrition status? - answerPrealbumin: sensitive indicator or protein nutrition status, more so than albumin. Review the list of risk factors to skin breakdown. Which of the following are risk factors that Mr. Gomez exhibit? Select all that apply. - answeralcohol intake history of corticosteroid use limited mobility chronic illness (COPD) Nurse Allyson is planning discharge teaching for Mr. Gomez. Which of the following should be included in the discharge instructions? - answerBegin a pulmonary rehabilitation program