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

question 23

Multiple Choice

In the emergency department, a patient's vital signs are BP 66/40 mm Hg; pulse 140 beats/minute; respirations 8 breaths/minute and shallow. The nursing diagnosis is Ineffective breathing pattern related to depression of respiratory center secondary to opioid 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/minute, and respirations at or above 12 breaths/minute.
• 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:

Nurse

A healthcare professional specialized in providing care and support to patients, promoting health, and preventing illness.

Violation

An act that goes against a law, rule, or code of conduct; an infringement.

Patient's Dignity

The respect for the inherent value and worth of each individual patient, recognizing their rights, privacy, and self-esteem in medical care.

Suffering Related

Refers to aspects or conditions that are associated with experiencing pain, distress, or hardship.