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monroe025 monroe025
wrote...
Posts: 97
10 years ago
The PN notifies the charge nurse that the oxygen saturation level of the client in the isolation room has decreased to 88%. Mr. Young contacts the unit respiratory therapist immediately about this change

9.Which action should the respiratory therapist take?

   A. Write a prescription for an inhaled bronchodilator.
    B. Increase the rate of oxygen being administered.
    C. Evaluate the sputum culture and sensitivity report.
    D. Turn and position the client every 2 hours.

I am thinking A or B?


The client with cirrhosis is preparing for discharge the following day. The RN caring for this client seeks Mr. Young's assistance in coordinating discharge plans.

10. Mr. Young consults with the case manager about which aspect of the client's care?

    A. Evaluating the client's risk of liver failure after discharge.
   B.  Providing discharge teaching about the medications to be taken at home.
    C. Initiating a referral for durable medical equipment and home health care.
    D. Establishing the plan of care to be implemented by the home care nurses.



A newly licensed nurse is assigned the care of a client with an intravenous heparin infusion. The client has a prescribed heparin protocol, and based on the lab results, the client's heparin dosage should be increased by 200 units/hour.

11.It is best for the newly licensed RN to collaborate with which team member to ensure that the dosage is adjusted correctly?

  A.  The medical unit charge nurse, Mr. Young.
   B. The pharmacist assigned to the medical unit.
   C. The RN who is precepting the newly licensed nurse.
   D. The RN who cared for the client the previous day.



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11 Replies

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Replies
wrote...
10 years ago
I believe it is B. Respiratory therapists do not write prescriptions, Doctors do, but they can increase oxygen.
monroe025 Author
wrote...
10 years ago
I'm thinking B too. Thanks.
wrote...
Staff Member
10 years ago
I believe it is B. Respiratory therapists do not write prescriptions, Doctors do, but they can increase oxygen.

Any thoughts on the others?
- Master of Science in Biology
- Bachelor of Science
wrote...
10 years ago Edited: 10 years ago, joline
It is always, always ABC airway breathing circulation. The 88% sao2 is low that means the patient is severely acidic PaO2 50, so increase oxygen first than the rest can happen after Ventury is a good way or a non-re-breather mask 100%
Post Merge: 10 years ago

 10-- C you involve the manager for home health, he will need someone to take care of him at home. Think at the fluid retention that needs to be drained, the pain he is in, inability to eat.. he needs home health.

Post Merge: 10 years ago

11 B
wrote...
10 years ago
Does anyone have the rest of the answers to management of a medical unit? I have some I can trade...
wrote...
10 years ago
11 is C
wrote...
Staff Member
10 years ago
Monroe, can I mark this topic solved?
- Master of Science in Biology
- Bachelor of Science
monroe025 Author
wrote...
10 years ago
Yes! Sorry I forgot to. Thanks
wrote...
Staff Member
10 years ago
Yes! Sorry I forgot to. Thanks

Did you end up finding that TB you were asking about?
- Master of Science in Biology
- Bachelor of Science
monroe025 Author
wrote...
9 years ago
Yes! Sorry I forgot to. Thanks

Did you end up finding that TB you were asking about?

Nah, just did it myself  Slight Smile
wrote...
9 years ago
Grinning Face The answer is B. RT does not write prescriptions. A client with respiratory issues should have PRN medications for bronchiodilators [Albuterol] since it is a rescue medication. B would be the only logical choice. C should have been done already to Dx the isolation. D is done for all patients.   
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