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ito mu-u-k2.00 l / NUR%204 150%20Discus NUR 4150 Discussion Board 8 Please revie

ID: 124930 • Letter: I

Question

ito mu-u-k2.00 l / NUR%204 150%20Discus NUR 4150 Discussion Board 8 Please review the case study below and answer questions related to the case with complete sentences where applicable. Multiple choice questions may be answered with identifying the correct letter. APA format is not required for this response. A response to your colleague is not required for this discussion board Scenario You are on duty in the emergency department (ED) when a "code blue" is called. As the code nurse, you grab the crash cart and run to the code, which is in the employee lounge of the operating room. On the couch, you find a nurse, Z.H, unconscious, dusky, and barely breathing 1. What immediate assessment of Z.H. do you need to perform? t intervention has the greatest priority?

Explanation / Answer

Ans 1:

Nurse ZH is unconscious and , dusky and breathing barely.

The initial assessment will consist of

Respiratory system: shortness of breath, hypoxia,chest movements,airway entry,respiratory rate

Blood pressure : decreased blood pressure, hypotension /hypertension

Vital signs: temperature,respiration,pulse( check carotid pulse), blood pressure

Level of conciousness: unconscious

Cyanosis: check for bluish discoloration of skin , mucous membrane,lips, nails due to decreased blood perfusion.

Ans:2

Supporting respiration by manually ventilating her will be the top priority intervention because patients is breathing barely ; having signs of dysnea so that supplemental oxygen will prevent cerebral hypoxia, and will improve blood perfusion.

After that connect portable ECG machine to know the heart rhythm /function as there is disturbances are seen in conductive system of heart because of hypoxia.

Establish Iv line to correct the underlying cause

Obtain STAT toxicology screen test to know the cause.

Ans 3:

constricted pupils, and Bradypnea( abnormal slow breathing) findings suggest opioid overdose.

Ans 4:

This ECG Pattern reveals Sinus bradyCardia in which Sino Atrial node fires at a rate of less than 60 beats/ min. The P wave and QRS complex are normal.