In the Emergency Department,a Patient's Vital Signs Are BP 66/40

question 13

Multiple Choice

In the emergency department,a patient's vital signs are BP 66/40 mm Hg; pulse 140 beats/min; respirations 8 breaths/min and shallow.The nursing diagnosis is Ineffective breathing pattern related to depression of respiratory center secondary to narcotic intoxication.Select the priority outcome.

• A) The patient will demonstrate effective coping skills and identify community resources for treatment of substance abuse within 1 week of hospitalization.
• B) Within 4 hours, vital signs will stabilize, with BP above 90/60 mm Hg, pulse less than 100 beats/min, and respirations at or above 12 breaths/min.
• C) The patient will correctly describe a plan for home care and achieving a drug-free state before release from the emergency department.
• D) Within 6 hours, the patient's breath sounds will be clear bilaterally and throughout lung fields.

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Definitions:

Strikes

A work stoppage caused by the mass refusal of employees to work, usually in protest against work conditions, pay levels, or company policies.

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Concessions made by workers to management, often in the form of reduced wages, benefits, or working conditions, typically in exchange for job security.