Solution :
Nursing the care plan
<u>Assessment</u>
To assess the respiratory rate, the depth, the abnormal breathing pattern.
Monitor the behavior of the patient and the mental status for the onset of the restlessness and confusion.
Observe for the nail beds and the cyanosis in the skin.
Monitor the oxygen saturation continuously with the help of a pulse oximeter.
<u>Nursing diagnosis</u>
Impaired the gas impaired exchanged related to the airway obstruction as a evidence by the restless and shortness of the breathing and confusion.
<u>Goals</u>
Improving the gas exchange and also improve the breathing pattern.
<u>Intervention</u>
Position the patient with his or her head elevated from the bed in a semi Flower's position.
<u>Evaluation </u>
The patient can breathe normally and then reduce the restlessness and the confusions.
From Wikipedia:
"The Joint Commission is a United States-based nonprofit tax-exempt 501 organization that accredits more than 22,000 US health care organizations and programs. The international branch accredits medical services from around the world."
The answer is D
Hope this helps
I believe it is 60
not 100 percent sure but i hope this helps
