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CC Case 2 Ubuhlungu obukhulu pg. 217

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P
UProfesa Johanna Ramirez

Amaslayidi (21)

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Name the top 3 priorities? 

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Based on the priortiy concerns which actions should the nurse perform?

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Which of these factors predispose the client to be transferred to the Burn Care Center? 

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The nurse reviews the agency policy on burn classification. What assumptions can the nurse make based on the burn being second degree and partial thickness? 

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10 -

The nurse uses numerical rating scale to assess Molly's pain. Which other pain assessment tool is the next best method to assess Molly's physical pain and psychological distress? 

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The nurse develops the plan of care and notes the providers prescriptions. In what order should the nurse perform the intervention?

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The patient gets hooked up to a PCA pump with Hydromorphone 1mg/ml, loading dose 2mg, basal rate 2mg, demand dose 1mg, lock out 20 mintes. The patient loc decreases and RR 10, what medication would the nurse need to have on hand? 

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The nurse is reviewing the side effects of naloxone. What clinical manifestations can the nurse expect to find after administration? 

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The nurse considers the teaching comonents and importance in helping Molly have adequate pain control. Before the teaching, what is most important for the nurse to assess?

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The nurse is preparing to teach about the PCA machine and important considerations. Which instructions are essential for the nurse to give the client? Select all that apply.

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