Esophagus and if the tube migrates the airway can be

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esophagus, and if the tube migrates, the airway can be obstructed. Decreased level of consciousness may indicatehypoxia 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:AnalyzingClient Need:Physiological IntegrityClient Need Sub:Physiological AdaptationNursing/Integrated Concepts:Nursing Process: Planning
Learning Outcome:38-1Question 12Type:MCMAThe nurse is caring for a patient with severe liver disease. The nurse notes new ecchymotic areas on the patient’sarms 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:ApplyingClient Need:Physiological IntegrityClient Need Sub:Reduction of Risk PotentialNursing/Integrated Concepts:Nursing Process: AssessmentLearning Outcome:38-3Question 13
Type:MCSAThe nurse assesses a patient who has cirrhosis secondary to liver failure. Which finding would require immediatefollow-up by the nurse?4
Global Rationale:Cognitive Level:ApplyingClient Need:Physiological IntegrityClient Need Sub:Physiological AdaptationNursing/Integrated Concepts:Nursing Process: PlanningLearning Outcome:38-3

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Term
Winter
Professor
N/A
Tags
Nursing, Global Rationale

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