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Exhibits

Choose the most likely options for the information missing from the statement by selecting from the lists of options provided.

Based on the information that the nurse has about the client, he likely has

related to
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}

  • Hypoxia is a condition in which there is a deficiency of oxygen in the tissues, which is consistent with the client’s low oxygen saturation of 89% on room air and 97% on supplemental oxygen.
  • The diminished concentration of inhaled oxygen refers to the inadequate oxygen availability, which is a significant concern in pneumonia as it affects gas exchange in the lungs, leading to hypoxia.


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Related Questions

Correct Answer is B

Explanation

A. Performing postural drainage immediately after meals can lead to discomfort or aspiration; it is usually advised to wait at least one hour after eating.
B. This statement is correct, as postural drainage involves positioning the client in various positions to help mobilize secretions from different lung segments, typically five positions are used.
C. Shallow and fast breathing is not recommended during postural drainage; deep breathing is encouraged to facilitate effective clearance of secretions.
D. Obtaining an arterial blood gas (ABG) is not routinely necessary before postural drainage; the focus is on mobilizing secretions.

Correct Answer is []

Explanation

Condition: The combination of severe abdominal pain, elevated inflammatory markers, and risk factors, along with the need for urgent care and surgical evaluation, suggests that GERD may be a significant underlying issue, especially in the context of potential complications.

Actions to Take

  1. Prepare for surgery: Given the client's presentation of severe abdominal pain, elevated white blood cell count, and possible abdominal rigidity, surgical intervention may be necessary to rule out conditions like acute cholecystitis or perforation.
  2. Transfer to high-risk level of care: Due to the client's elevated vital signs, including tachycardia and fever, along with the severe pain radiating to the shoulder, close monitoring in a high-risk area is warranted.

Parameters to Monitor

  1. Pain: Regular assessment of the client's pain level is crucial to evaluate the effectiveness of interventions and to monitor any changes in the severity of the pain.
  2. Signs and symptoms of abdominal perforation: Monitoring for indications such as increased abdominal tenderness, rigidity, fever, and changes in vital signs is essential to detect any complications promptly.

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