A Nurse Evaluates the Following Data in a Client's Chart

question 15

Multiple Choice

A nurse evaluates the following data in a client's chart:

Based on this information,which action should the nurse take first?

• A) Assess the client's vital signs and initiate continuous telemetry monitoring.
• B) Contact the provider and express concerns related to the wound treatment prescribed.
• C) Consult the wound care nurse to apply the VAC device.
• D) Obtain a prescription for a low-fat, high-protein diet with vitamin supplements.

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Definitions:

Standard Deviation

A measure of the amount of variation or dispersion of a set of values, indicating how spread out the values are from the mean.

Inspiratory Reserve Volume (IRV)

The additional amount of air that can be inhaled after a normal inhalation, increasing lung volume beyond the tidal volume.

Expiratory Reserve Volume (ERV)

The additional amount of air that can be forcibly exhaled after a normal exhalation.

Functional Residual Capacity (FRC)

The volume of air remaining in the lungs after a normal, passive exhalation, critical for gas exchange between breaths.