Answer: number 1, 2, 3 and 6 actions are correct
Explanation:
A staff member can get the electrocardiogram machine and get procedure done even if they are not able to interpret the result, because ancillary personnel are trained to do electrocardiograms. Anyone can notify the x-ray department that the chest x-ray must be done. It is important to delegate this tasks to a specific person.
Increasing the oxygen without a prescription is appropriate in the short term is possible, but the nurse must obtain a prescription when notifying the health care provider. Notifying the health care provider of the change in oxygen saturation is appropriate, but it would be expected that nursing judgment had taken place and the oxygen already was increased from 2 L/min. Telling the certified nursing assistant (CNA) to get a prescription is a great action as a CNA is not allowed to take medical prescriptions (it's a nursing role)
A 42-year-old male is found unresponsive on his couch by a neighbor. During your assessment, you find no signs of trauma and the patient's blood glucose level is 75 mg/dL. His blood pressure is 168/98 mm Hg, his heart rate is 45 beats/min and bounding, and his respirations are 8 breaths/min and irregular. The patient is wearing a medical alert bracelet that states he has hemophilia. You should:
- suspect that he has intracranial bleeding, assist his ventilation, and transport rapidly to an appropriate hospital.
