Sponsoring a meeting with the monitor technicians to understand their barriers in the cardiac monitoring process
The answer to this question is C. If in case you are not too familiar with process mapping, this is the type of process that you can do wherein you would create various charts to illustrate the flow of different processes. There are different macro perspectives that are required to ensure that the various processes are done well.
If there are some things that need to be improved, then the will be easier to see when this process is done. This type of process is done not to showcase hierarchy or the importance of certain tasks more than the others. Rather, it just shows how certain processes can be done to achieve the type of workflow that people are aiming for.
Most jobs at one time or another require the worker to think critically in order to figure out or resolve a problem. The same can be said for a CNL or the clinical nurse leader. She or he must make decisions for their patients.
Sometimes, the answers are not easy, but they must be figured out. If you were a clinical nurse leader on the telemetry unit, you would be monitoring patients who need the utmost care because their condition is critical. At this time, you are also training a newly graduated nurse.
This nurse is just beginning and doesn’t get everything right. At the same time, it is important for both nurses to think critically especially when the CNL has to discuss with the physician the rationale for discontinuing cardiac monitoring in the hospice.
Is she taking the vital signs in the morning or evening? Prior to or after taking the medication?
A nurse is someone who should know the different conditions that people are going through. Someone who enters the hospital who is suffering from sickle cell anemia should be asked, “Are you more fatigued than usual?” If the patient answers yes, then this may be a symptom of the condition. The answer to this question is letter A.
Those who have sickle cell anemia may have lower immunity which means that they may become prone to bacteria and viruses. There are also some who may get lung and heart injury after. This blood disorder can be inherited. If you have relatives who have the condition, there is a higher chance that you will get this condition too.
This is a sign that the nurse should lower the height of the enema container which is letter B. Abdominal cramping might mean that the patient will not be able to retain the fluid which means that the enema will prove to be ineffective. It is not advisable for the nurse to stop the infusion because the patient will not be able to get anything out of the situation in the process.
It is also not advisable to advance the enema even further as the patient will not be able to take more and it may worsen the cramping that the patient is feeling. The best solution is to slow the enema so that it will not cause cramps to the patient and it will be very effective.
C. you ll likely start on clear fluids once bowel sounds can be heard.
There are several symptoms of decreased cardiac output, although not everyone will experience all of the possible symptoms. The symptoms could include tachycardia, which is a fast heart rate, weak, irregular pulse, confusion, clammy skin, and swelling of ankles, feet, or belly. There are necessary assessments done to check for decreased cardiac output. The assessment would include, checking pulse, measure heart rate, heart sounds, respiration, blood pressure, check for chest pain, chest x-ray, and an echocardiogram.
You should also check the oxygen saturation and pulse oximetry and edema in the feet and ankles. The pulse would be weak and irregular, heart rate more than 60 beats per minute, soft and irregular heart sounds, shallow breathing with dyspnea, low blood pressure, and chest pain. An x-ray may show fluid buildup or heart enlargement, and an echo may show enlargement of the heart with fast pumping and possibly not filling correctly.
Hypovolemia is another name for hemorrhagic shock because in this disorder the person has lost a lot of blood for one reason or another. There are specific signs to look for before someone is going into hemorrhagic shock.
Shock is a common symptom that is life-threatening that occurs to someone when they have been involved in an accident where the body is reacting negatively to the problem. Blood is then not able to go to the places in the body that it should be going to.
There are certain signs to look for including cool skin, shallow breathing, weakness, increased pulse, confusion, dull eyes, anxiety, thirst, fatigue and rapid heart rate to name a few. When seeing these signs, shock should be expected.