The nurse is caring for a client with Pulmonary Embolism. Findings…

The nurse is caring for a client with Pulmonary Embolism. Findings… The nurse is caring for a client with Pulmonary Embolism. Findings upon admission:Medical History  DM type 2, HTN, COPDVital Signs   BP: 120/72; HR: 109 Sinus Tach with occasional PVCs; RR: 24, T: 100.0 °F, O2: Saturation 94% on 2LPhysical Examination   N: Alert and oriented x 4, RASS +1C: S1S2, all pulses +3, GI: normal bowel sounds, last BM this am R: Bilateral upper lung fields clear and bilateral fields diminished on auscultation GU: clear amber urine  Labs  pH 7.37, paCO2 54, paHCO3 32, paO2 44 on 2LNa+ 147, K+ 5.0, Mg 1.9, Cr 1.5, Glucose 145; Hgb 16, WBC 10; Bands 1; Platelet 345;Infusions Heparin PE Protocol  The nurse is assessing the patient 4-hours later. How should the nurse interpret the findings? For each finding, check mark the box to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of a potentially worsening condition. (5 points)FindingUnrelated to DiagnosisRelated to Diagnosis  Sign of Potential ImprovementSign of Potentially Worsening ConditionpH 7.30, paCO2 70, paHCO3 33, paO2 59 on nonrebreather maskRationale:    Na+143, K+ 3.8, Mg 1.8, Cr 0.8, Glucose 129; anti Xa 0.6 Rationale:     Abdominal pain 3/10 in left upper quadrant Rationale:     BP: 99/65, HR: 120, RR 30, O2 sat 83%Rationale:    ST with 15 PVCs per minuteRationale:    Each question is worth 1 point. (Hand write your answers!)What is this patient’s priority problem?   Based on the new assessment findings, the nurse should include what priority nursing/collaborative interventions in this patient’s plan of care?  The nurse should plan to administer what medication(s) regarding question 2 and 3?   What is the acid base pattern of this patient? pH 7.30, paCO2 70, paHCO3 33, paO2 59  What diagnostic test is most appropriate for a patient with renal insufficiency to have performed to diagnosis a PE?   Health Science Science Nursing COMPLEX CR NR 341 Share QuestionEmailCopy linkComments (0)

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