1. A priority nursing intervention for a patient with potential pneumonia is:
a) ordering a chest x-ray immediately
b) Initiating pneumonia standing orders
c) ordering arterial blood gases
d) Initiating IV Normal Saline
2. Which of the following should be the nurse’s primary goal when caring for a patient with AMI?
a) Prevention of dysrhythmias
b) Improving coronary perfusion
c) Minimizing salvage of myocardium
d) Alleviating patient anxiety
Ans1. It a client comes to hospital and with potential pneumonia. Nursing interventions is only 2 she can initiate standing order or iv infusio of normal saline. Rest will be only done by the physician order.
Now patient is potential risk for pneumonia but not diagnosed, IV fluid can be administered as a prophylaxis.
Hence option d is a correct answer.
Ans2 as soon as patient come in the emergency department with acute MYOCARDIAL INFARCTION, GOAL is reperfusion of client via
- oxygen administration
- sublingual nitroglycerin
- adequate analgesic
- aspirin and ECG monitor
These comes under Coronary perfusion
As in the most of the case coronary artery affected and coronary dissection is a primary cause of infartio. Hence option B is a correct answer.
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