Case Study
ATI RN Pharmacology Proctored Exam 2023
A nurse is caring for a client on a medical surgical unit. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The nurse should first follow up on the client'sdropdown anddropdown
Explanation & Rationale
Oxygen Saturation (90%) – This is a drop from the initial 95% and indicates potential hypoxia. The increased respiratory rate and depth may be compensatory mechanisms. Behavioral Findings ("I feel like something is wrong.") – Clients experiencing early signs of deterioration often report a sense of unease. This, combined with agitation, could indicate worsening hypovolemia or hypoxia. The client's low hemoglobin (8.3 g/dL) and hematocrit (32%) suggest significant blood loss during surgery, which could contribute to hypoxia and hemodynamic instability. Immediate follow-up is needed to assess for potential ongoing bleeding, oxygenation issues, or early signs of shock.
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