Video Library
Hesi RN Adult Health
Hesi RN Adult Health ( 57 Questions)
Which physician orders would the nurse anticipate being prescribed after reporting these findings? Select all that apply.
Hypoxemia: The patient's oxygen saturation of 94% on room air indicates mild hypoxemia, which means they are not getting enough oxygen into their blood. Supplemental oxygen: Administering oxygen at 2 to 4 liters per minute can help to increase the patient's oxygen saturation and improve their overall oxygenation.
Oxygen saturation goal: Maintaining oxygen saturation at or above 95% is a common goal in patients with hypoxemia, as it helps to ensure that tissues and organs are getting enough oxygen to function properly.
Chest x-ray: A chest x-ray can help to identify potential causes of the patient's hypoxemia, such as pneumonia, atelectasis, pleural effusion, or other lung abnormalities. Two views: Two views of the chest (usually a posterior-anterior and a lateral view) provide a more comprehensive assessment of the lungs and can help to detect subtle abnormalities that might not be visible on a single view.
Complete blood count (CBC): A CBC can provide information about the patient's white blood cell count, which can be elevated in the presence of infection. Basic metabolic panel (BMP): A BMP can assess kidney function and electrolyte levels, which can be affected by various conditions, including infections. Blood cultures: Blood cultures can help to identify the presence of bacteria in the blood, which can be a sign of a serious infection.
Sputum culture and sensitivity: If the patient is coughing up sputum, it can be sent for a culture and sensitivity test to identify the specific bacteria or other organisms that are causing the infection. Targeted antibiotic therapy: This information can help guide the choice of appropriate antibiotic therapy.
Choice A rationale:
Hypoxemia: The patient's oxygen saturation of 94% on room air indicates mild hypoxemia, which means they are not getting enough oxygen into their blood.
Supplemental oxygen: Administering oxygen at 2 to 4 liters per minute can help to increase the patient's oxygen saturation and improve their overall oxygenation.
Choice B rationale:
Oxygen saturation goal: Maintaining oxygen saturation at or above 95% is a common goal in patients with hypoxemia, as it helps to ensure that tissues and organs are getting enough oxygen to function properly.
Choice C rationale:
Chest x-ray: A chest x-ray can help to identify potential causes of the patient's hypoxemia, such as pneumonia, atelectasis, pleural effusion, or other lung abnormalities.
Two views: Two views of the chest (usually a posterior-anterior and a lateral view) provide a more comprehensive assessment of the lungs and can help to detect subtle abnormalities that might not be visible on a single view.
Choice D rationale:
Complete blood count (CBC): A CBC can provide information about the patient's white blood cell count, which can be elevated in the presence of infection.
Basic metabolic panel (BMP): A BMP can assess kidney function and electrolyte levels, which can be affected by various conditions, including infections.
Blood cultures: Blood cultures can help to identify the presence of bacteria in the blood, which can be a sign of a serious infection.
Choice E rationale:
Sputum culture and sensitivity: If the patient is coughing up sputum, it can be sent for a culture and sensitivity test to identify the specific bacteria or other organisms that are causing the infection.
Targeted antibiotic therapy: This information can help guide the choice of appropriate antibiotic therapy.
Choice F rationale:
Antibiotic therapy: Antibiotics are often necessary to treat bacterial infections.
Early initiation: Early initiation of antibiotic therapy is often recommended, especially in patients who are exhibiting signs of infection, such as fever, elevated heart rate, and hypoxemia.