Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
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DYNAMIC EXHIBIT AND CONSTRUCTED RESPONSE 1.59 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: The nurse is caring for a client who is receiving a transfusion of packed red blood cells. The unit was hung at 1300. The nurse continues to monitor until the transfusion is complete. Vital signs at baseline; Temp: 98.3°F; Pulse: 72 bpm; Blood pressure: 130/80; Respiratory rate: 14/min; Sao,: 98% on room air. 1610 1720 1700 Time 1500 Temp: 98.2°F (36.78°C) P: 68 bpm Temp: 98.4°F (36.89°C) Temp: 98.5°F (36.94°C) Temp: 98.4°F (36.89°C P: 72 bpm P: 69 bpm P: 70 bpm BP: 127/74 BP: 130/70 BP: 132/76 BP: 128/74 RR: 16/min RR: 18/min RR: 14/min RR: 18/min Sao,: 97% on room air Sao,: 98% on room air Sao,: 98% on room air The patient reports feeling well and denies any complaints. Sao,: 97% on room air The nurse notes the transfusion is nearly complete and the patient continues without complaint. The patient verbalizes no complaints at this time. The unit of packed red blood cells is complete. The nurse discontinues the infusion, flushes the IV line, and discards the blood infusion set appropriately. VS check as documented VS check as documented. VS check as documented. IV site check. IV site check. IV site check Patient repositioned for comfort Cardiac diet served as ordered. At what time(s) did the nurse intervene incorrectly? 01500 01610 01700 01720 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: - ZTERVENT -OZS ASSE SSMENT
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Transcribed Image Text:DYNAMIC EXHIBIT AND CONSTRUCTED RESPONSE 1.59 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: The nurse is caring for a client who is receiving a transfusion of packed red blood cells. The unit was hung at 1300. The nurse continues to monitor until the transfusion is complete. Vital signs at baseline; Temp: 98.3°F; Pulse: 72 bpm; Blood pressure: 130/80; Respiratory rate: 14/min; Sao,: 98% on room air. 1610 1720 1700 Time 1500 Temp: 98.2°F (36.78°C) P: 68 bpm Temp: 98.4°F (36.89°C) Temp: 98.5°F (36.94°C) Temp: 98.4°F (36.89°C P: 72 bpm P: 69 bpm P: 70 bpm BP: 127/74 BP: 130/70 BP: 132/76 BP: 128/74 RR: 16/min RR: 18/min RR: 14/min RR: 18/min Sao,: 97% on room air Sao,: 98% on room air Sao,: 98% on room air The patient reports feeling well and denies any complaints. Sao,: 97% on room air The nurse notes the transfusion is nearly complete and the patient continues without complaint. The patient verbalizes no complaints at this time. The unit of packed red blood cells is complete. The nurse discontinues the infusion, flushes the IV line, and discards the blood infusion set appropriately. VS check as documented VS check as documented. VS check as documented. IV site check. IV site check. IV site check Patient repositioned for comfort Cardiac diet served as ordered. At what time(s) did the nurse intervene incorrectly? 01500 01610 01700 01720 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: - ZTERVENT -OZS ASSE SSMENT
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