Question 1 April West, a 44-year-old female client, arrived to themedical-surgical unit from the PAC

Question 1 April West, a 44-year-old female client, arrived to themedical-surgical unit from the PACU after a partial abdominal hysterectomy (ovaries and fallopian tubes remain). The client has an 18-gauge IV site per right forearm (FA) with D5RL at 125 mL/hr infusing per IV infusion pump. The lower horizontal abdominal dressing with ABD pad folded in half and covered with a Tegaderm is dry and intact. The JP drain has 30 mL of sanguineous drainage present. Thigh-high ant embolism stockings are intact, and there are orders for pneumatic compression boots to be in place while in bed. A Foley catheter is draining clear amber urine without sediments, and there is 150 mL of urine in the collection bag. The LPN/LVN received report from the PACU nurse before the client arrived and now needs to perform assessments to prevent postoperative complications. a. What initial assessment should the LPN/LVN perform when the client arrives from PACU?b. What additional assessments need to be made in order to prevent postoperative complications Question 2 A small group of five high school students were playing around in chemistry class after school to see how easy it is for terrorists to make chemical bombs and accidentally mixed up an organophosphate compound very similar to a nerve agent much like the nicotinic-receptor poisons. They were found by the janitor who was cleaning up. He called 911 and they were all brought in to the ED, including the janitor, who also inhaled the fumes upon entering the room. Two of the five were exposed to the liquid, Jim and Don, when it overflowed, affecting their hands and arms. The other three, John, Tom, and Pete, inhaled the fumes. John was standing directly over the beaker while Tom and Pete were standing next to the beaker.a. Who do you assess first? Does each have varying degrees of exposure? Triage these six clients according to their symptoms.b. What is the treatment for this poisoning?c. What is their prognosis and why?d. Could this leak out into the community and become a chemical disaster? How Health Science Science Nursing NURSI 101 Share QuestionEmailCopy link Comments (0)

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