1. Prioritize delivery of care between multiple patients?: Debbie O'Connor.
Her current condition is unstable.
2. Priority intervention for Debbie O'Connor?: Call Provider to Request
Oxygen via Venturi Mask.
3. How should you proceed?: Notify Charge Nurse Angela about the
situation and ask her to contact the admitting provider about a venturi
mask for Mrs. O'Connor.
4. Which statement most accurately represents best practice regarding the
administering of oxygen when the provider cannot be reached?: Oxygen
de- livery over 2 L/hr generally requires provider orders. However,
many facilities have protocols in place to allow nurses to administer
oxygen to patients in emergency situations.
5. How should you explain the situation to Angela?: Debbie O'Connor's
1/
, breath- ing and oxygen levels are deteriorating; I couldn't reach her
provider after two tries. Her vitals have significantly deteriorated over
the past thirty minutes. Her tempera- ture is 99°F, blood pressure is
132/88 mmHg, heart rate is 105 bpm, respiratory rate is 32, and O2 sat
is 74% on 2L O2. Could you try contacting Dr. Tremblay yourself and
requesting orders for a venturi mask?
6. Why is it important to give Charge Nurse Angela the appropriate amount
of information?: Irrelevant information can cause delay in the patient's
care and in Charge Nurse Angela's call to Dr. Tremblay; without
specific details, she can't proceed at all.
7. Dr. Tremblay isn't picking up. Do you know what the next step is?: Call
the Department Head and ask them to implement the venturi mask
orders.
8. Why should the Department Head be contacted?: If the admitting
provider is unreachable, the Department Head is the next available
2/
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