The Nurse Is Assessing an Intubated Patient Who Returned from Coronary

question 6

Multiple Choice

The nurse is assessing an intubated patient who returned from coronary artery bypass surgery 3 hours ago.Which assessment finding might indicate that this patient is experiencing pain?

• A) Blood pressure 160/82 mm Hg
• B) Temperature 100.6°F
• C) Heart rate 80 beats/min
• D) Oxygen saturation 95%

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Definitions:

Decubitus Ulcers

Also known as bedsores or pressure ulcers, these are injuries to skin and underlying tissue due to prolonged pressure on the skin.

Collagen Fibers

Strong, flexible protein fibers that form the major component of connective tissue, providing support and structure to tissues and organs.

Skin Microbes

The diverse community of microscopic organisms, including bacteria, fungi, and viruses, that inhabit the skin's ecosystem.

P. Acnes

A bacteria found on the skin that is often associated with the development of acne.