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e: A client has undergone a Coronary Artery Bypass Graft procedure. SBAR report includes that Internal Mammary has been used to bypass blockage in the Left Anterior Descending artery and nenous veins for the Circumflex and Right Coronary Artery. After an uneventful surgery the client is sferred to the ICU, ne 0830 0930 1000 1100 BP: 92/54 (67) Arouses to verbal stimuli and simple commands. HR: 84/min (NSR) BP: 110/64 Cardiac monitor: CO: 3.6 CO: 2.5 O, sat:100% RR: 14/min BP: 102/64 HR: 90/min in NSR Temperature: 36.8°C (98.2°F) Pulse Oximetry: 100% on Pressure Support Pulmonary Artery S/D: 32/8 O, sat 98 % on 40% Central Venous Pressure: 2 Cardiac Output/Index: 3.7 mm/1.8 mm RR: 16/min PAP: 32/10 CI 2.4 ml supplemental oxygen. Urinary output: 325 mL. Chest tube output: 100 mL. Urinary Output: 525 mL Mediastinal chest tube output: 275 mL Lab results noted: Serum Potassium: 3.3 mEg/L (3.3 mmol/L); Hgb: 9.2 g/dL (92 g/L): Hct: 32% Albumin 5% 500 mL infused. Extubated and placed on 50% venti-mask. Measured urinary and chest tube output. Vital signs and PAP obtained. Urinary and chest tube output measured. Lab studies submitted for current Chemistries, Complete Blood Study, PT, PTT, and INR. Portable chest X-ray obtained for line and ETT placement verification. Stat one-time PCWP obtained as 4 mm. Collaboration with Respiratory Therapy for appropriate ventilatory support and weaning from mechanical ventilation. what time(s) did the nurse intervene incorrectly? 口0830 D0930 ロ1000 ロ1100 at was (were) the incorrect intervention(s)? at should the nurse have done instead? er a short description of the intervention(s) the nurse should have implemented:

e: A client has undergone a Coronary Artery Bypass Graft procedure. SBAR report includes that Internal Mammary has been used to bypass blockage in the Left Anterior Descending artery and nenous veins for the Circumflex and Right Coronary Artery. After an uneventful surgery the client is sferred to the ICU, ne 0830 0930 1000 1100 BP: 92/54 (67) Arouses to verbal stimuli and simple commands. HR: 84/min (NSR) BP: 110/64 Cardiac monitor: CO: 3.6 CO: 2.5 O, sat:100% RR: 14/min BP: 102/64 HR: 90/min in NSR Temperature: 36.8°C (98.2°F) Pulse Oximetry: 100% on Pressure Support Pulmonary Artery S/D: 32/8 O, sat 98 % on 40% Central Venous Pressure: 2 Cardiac Output/Index: 3.7 mm/1.8 mm RR: 16/min PAP: 32/10 CI 2.4 ml supplemental oxygen. Urinary output: 325 mL. Chest tube output: 100 mL. Urinary Output: 525 mL Mediastinal chest tube output: 275 mL Lab results noted: Serum Potassium: 3.3 mEg/L (3.3 mmol/L); Hgb: 9.2 g/dL (92 g/L): Hct: 32% Albumin 5% 500 mL infused. Extubated and placed on 50% venti-mask. Measured urinary and chest tube output. Vital signs and PAP obtained. Urinary and chest tube output measured. Lab studies submitted for current Chemistries, Complete Blood Study, PT, PTT, and INR. Portable chest X-ray obtained for line and ETT placement verification. Stat one-time PCWP obtained as 4 mm. Collaboration with Respiratory Therapy for appropriate ventilatory support and weaning from mechanical ventilation. what time(s) did the nurse intervene incorrectly? 口0830 D0930 ロ1000 ロ1100 at was (were) the incorrect intervention(s)? at should the nurse have done instead? er a short description of the intervention(s) the nurse should have implemented:

Surgical Tech For Surgical Tech Pos Care
Surgical Tech For Surgical Tech Pos Care
5th Edition
ISBN:9781337648868
Author:Association
Publisher:Association
Chapter8: Emergency Situations And All-hazards Preparation
Section: Chapter Questions
Problem 1CS
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Need help with just the last 2 questions of this problem. Description of interventions. Thank you. 

DYNAMIC EXHIBIT AND CONSTRUCTED RESPONSE 1.58 Read the case study below, and refer to the patient's progress and the nursing interventions over time. Refer to the case study when answering the questions. Case: A client has undergone a Coronary Artery Bypass Graft procedure. SBAR report includes that the Internal Mammary has been used to bypass blockage in the Left Anterior Descending artery and saphenous veins for the Circumflex and Right Coronary Artery. After an uneventful surgery the client is transferred to the ICU. Time 0830 0930 1000 1100 BP: 92/54 (67) Arouses to verbal stimuli and simple commands. BP: 110/64 CO: 3.6 CO: 2.5 O, sat:100% h HR: 84/min (NSR) Cardiac monitor: RR: 14/min BP: 102/64 HR: 90/min in NSR Temperature: 36.8°C (98.2°F) Pulse Oximetry: 100% on Pressure Support Pulmonary Artery S/D: 32/80, sat 98 % on 40% RR: 16/min PAP: 32/10 CI 2.4 ml. supplemental oxygen. Urinary output: 325 mL. Chest tube output: 100 mL. Central Venous Pressure: 2 Cardiac Output/Index: 3.7 mm/1.8 mm Urinary Output: 525 mL Lab results noted: Serum Potassium: 3.3 mEg/L (3.3 mmol/L); Hgb: 9.2 g/dL (92 g/L): Hct: 32% Mediastinal chest tube output: 275 mL Albumin 5% 500 mL infused. Extubated and placed on 50% venti-mask. Measured urinary and chest tube Vital signs and PAP obtained. Urinary and chest tube output measured. Lab studies submitted for current Chemistries, Complete Blood Study, PT, PTT, and INR. Portable chest X-ray obtained for line and ETT placement verification. output. Stat one-time PCWP obtained as 4 mm. Collaboration with Respiratory Therapy for appropriate ventilatory support and weaning from mechanical ventilation. At what time(s) did the nurse intervene incorrectly? D0830 00930 ロ1000 ロ1100 What was (were) the incorrect intervention(s)? What should the nurse have done instead? Enter a short description of the intervention(s) the nurse should have implemented: ASSE SSME NT - ZTERVENT -ozS
Transcribed Image Text:DYNAMIC EXHIBIT AND CONSTRUCTED RESPONSE 1.58 Read the case study below, and refer to the patient's progress and the nursing interventions over time. Refer to the case study when answering the questions. Case: A client has undergone a Coronary Artery Bypass Graft procedure. SBAR report includes that the Internal Mammary has been used to bypass blockage in the Left Anterior Descending artery and saphenous veins for the Circumflex and Right Coronary Artery. After an uneventful surgery the client is transferred to the ICU. Time 0830 0930 1000 1100 BP: 92/54 (67) Arouses to verbal stimuli and simple commands. BP: 110/64 CO: 3.6 CO: 2.5 O, sat:100% h HR: 84/min (NSR) Cardiac monitor: RR: 14/min BP: 102/64 HR: 90/min in NSR Temperature: 36.8°C (98.2°F) Pulse Oximetry: 100% on Pressure Support Pulmonary Artery S/D: 32/80, sat 98 % on 40% RR: 16/min PAP: 32/10 CI 2.4 ml. supplemental oxygen. Urinary output: 325 mL. Chest tube output: 100 mL. Central Venous Pressure: 2 Cardiac Output/Index: 3.7 mm/1.8 mm Urinary Output: 525 mL Lab results noted: Serum Potassium: 3.3 mEg/L (3.3 mmol/L); Hgb: 9.2 g/dL (92 g/L): Hct: 32% Mediastinal chest tube output: 275 mL Albumin 5% 500 mL infused. Extubated and placed on 50% venti-mask. Measured urinary and chest tube Vital signs and PAP obtained. Urinary and chest tube output measured. Lab studies submitted for current Chemistries, Complete Blood Study, PT, PTT, and INR. Portable chest X-ray obtained for line and ETT placement verification. output. Stat one-time PCWP obtained as 4 mm. Collaboration with Respiratory Therapy for appropriate ventilatory support and weaning from mechanical ventilation. At what time(s) did the nurse intervene incorrectly? D0830 00930 ロ1000 ロ1100 What was (were) the incorrect intervention(s)? What should the nurse have done instead? Enter a short description of the intervention(s) the nurse should have implemented: ASSE SSME NT - ZTERVENT -ozS
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