nochka22

Hi guys, just took my test (school test), and there was a question that I kept going back and forth and could not make up my mind which one to pick as an answer. The question was asking about. which patient does the RN need to see first after receiving the change of shift report. I eliminated 2 asnwers, and 2 were left: 1.) ESRD patient who started experiencing a new frequent oncet of early ventricular contractions, 2.) ARF patient who was Kussmauling with the rate of 26 breaths/ min, HR 100. They both are important, first one I thought was leading towards V-Fib? and the second one was in met. acidosis? So, which one you would assess 1st, correct me if I'm wrong and if someone could explain the rationals would really appreciate. Thank you guys!!!

Hi guys, just took my test (school test), and there was a question that I kept going back and forth and could not make up my mind which one to pick as an answer. The question was asking about. which patient does the RN need to see first after receiving the change of shift report. I eliminated 2 asnwers, and 2 were left: 1.) ESRD patient who started experiencing a new frequent oncet of early ventricular contractions, 2.) ARF patient who was Kussmauling with the rate of 26 breaths/ min, HR 100. They both are important, first one I thought was leading towards V-Fib? and the second one was in met. acidosis? So, which one you would assess 1st, correct me if I'm wrong and if someone could explain the rationals would really appreciate. Thank you guys!!!