The 48-year-old patient is brought via ambulance to the emergency room after being found unresponsive by her son. She has a prescription for transdermal fentanyl patches for treatment of cancer pain related to her breast cancer that has metastasized to her pelvis. The patient’s heart rate is 72 bpm, respiratory rate is 4 breaths per minute, and her oxygen saturation is 88%. Her arterial blood gas results are: pH 7.21, PaCO₂ 72 mmHg, PaO₂ 74, HCO₃¯ 23. A thorough assessment reveals 2 fentanyl patches on the patient’s skin. The nurse advocates for which initial action?
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- Physiological Adaptation
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- Category: Physiological Adaptation
- Difficulty: 3
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Additional Physiological Adaptation Questions
- Question Type: Multiple Choice - Select One
- Difficulty: 8
The patient with an automated implantable cardioverter-defibrillator (AICD) experiences a discharge of the device. The nurse reports this event to the provider with the knowledge that the patient experienced which arrhythmia?
- Question Type: Multiple Choice - Select One
- Difficulty: 4
The nurse in a tertiary medical center with attached pediatric hospital is caring for the 28-year-old gravida 3 para 2 woman who is 40-weeks pregnant and presents to the labor and delivery unit 1 hour after spontaneous rupture of membranes. Patient had good prenatal care, an amniotic fluid index of 12, and pregnancy is complicated only by the antenatal diagnosis of fetal single ventricle anatomy. Labor is progressing well and the fetus is tolerating contractions well with moderate variability in fetal heart tones. The nurse is most concerned with having which item in the delivery room?
- Question Type: Multiple Choice - Select One
- Difficulty: 8
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