Decreased level of consciousness may indicate hypoxia and is the priority for

Decreased level of consciousness may indicate hypoxia

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esophagus, and if the tube migrates, the airway can be obstructed. Decreased level of consciousness may indicate hypoxia and is the priority for follow-up.Rationale 4: A darkened area on the heel may indicate a pressure ulcer. This is not the highest-priority finding. Global Rationale: Cognitive Level: Analyzing Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Planning
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Learning Outcome: 38-1 Question 12Type: MCMAThe nurse is caring for a patient with severe liver disease. The nurse notes new ecchymotic areas on the patient’s arms and legs. Which laboratory results will the nurse analyze regarding this finding?Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply. Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Reduction of Risk Potential Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 38-3 Question 13
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Type: MCSA The nurse assesses a patient who has cirrhosis secondary to liver failure. Which finding would require immediate follow-up by the nurse? 4 Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 38-3
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