The Nurse, When Collecting Data on a Patient 48 Hours

question 17

Multiple Choice

The nurse, when collecting data on a patient 48 hours after surgery for a fractured femoral shaft, notes mental confusion, tachycardia and tachypnea, dyspnea, high blood pressure, and petechiae on the chest and reports the findings to the RN. What nursing interventions are appropriate while awaiting the physician's specific orders? (Select all that apply.?

• A)Place patient in high Fowler's position or raise the head of the bed.
• B)Ask patient to move affected limb to see if pain is worse.
• C)Prepare patient for chest x-ray or lung scan.
• D)Maintain bedrest and keep movement to a minimum.
• E)Administer oxygen.
• F)Prepare patient for arterial blood gas tests.

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