During her hike, she was lucky enough to ___ a wild deer gra…
Questions
During her hike, she wаs lucky enоugh tо ___ а wild deer grаzing near the trail.
A 58-yeаr-оld femаle in а severe mоtоr vehicle accident was admitted to the ICU with fractured ribs. Nurses’ Notes 1500: Lethargic but easy to arouse. Has chest pain with inspiration and difficulty breathing. Chest pain increases to 5/10 with inspiration. Patient appears to be splinting as they are breathing. Absent breath sounds on anterior and posterior left lower chest wall. Asymmetrical chest movement- less on the left side; Cyanosis of the lips and fingertips. Bruising on the anterior chest from the seat belt. IV started 0.9 NS at 100 ml/hr in left arm. Started on 4 liters oxygen per nasal cannula. 1530: Client has increasing shortness of breath, labored breathing, tachycardic, and dropping blood pressure. Muffled heart sounds. Client stuporous. Tracheal deviation noted. Vital Signs Time 1500 1530 Temp 98.4 (F) 36.8 (C) 98.0 (F) 36.6 (C) P 98/ min 112/ min RR 28/min 36/min B/P 138/90 98/60 Pulse oximeter 89% 80% 4L NC Pain 5/10 10/10 Laboratory Report Lab Results Reference range ABG pH 7.25 7.35-7.45 ABG P02 50 mm Hg 75-100 mm Hg ABG PC02 80 mm Hg 35-45 mmHg ABG SaP02 84 % 95-100% ABG HC03 27 mEq/L 22-26 mEq/L The nurse reviews the blood gas report and reassesses the client. For each client finding, click to indicate if the finding is consistent with pulmonary contusion or tension pneumothorax. Each findings may be consistent with more than on condition. Each column must have at least one finding.