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Pneumonia AH2 CS

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Professor Johanna Ramirez

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Place in order the interventions that are priority to least priority. 

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•Your assessment findings are  •VS: 154/78; 105; RR=32; T=103 F. SPO2 88% on room air.  •You auscultate decreased breath sound in the left lower lobe posteriorly and hear crackles in left upper lobe  •Positive cough with rust colored sputum  •Appears to be adequately hydrated. SELECT 2 PRIORITIES 

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ORDERS:  Vitals Q 4 hours, NS at 125ml/hr, Draw blood cultures, 1GM of Ceftriaxone BID IV, CBC and BMP, Duonebs Q4 hours, O2 via NC at 2 liters maintain 90%.  Which 3 orders are the priority?

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•The pharmacy sends up 1 GM Ceftriaxone in 100 mls of normal saline to be administered over 30 min  •At what rate will you set your pump? 

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You recieve her labs back and what labs would alert the nurse the most? Select all that apply. 

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How will you help to provide airway clearance for Ms. AP, Select all that apply. 

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 Which kind of pneumonia does Mrs. AP have? 

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