1. Monitor vital signs.
2. Monitor the client's airway.
3. Apply manual pressure over the site.
4. Lower the head of the bed to a flat position.
5. Call the health care provider (HCP) immediately.
162A client experiencing "skipped heart beats" is diagnosed with benign premature ventricular contractions and is placed on metoprolol tartrate (Toprol XL). The client returns to the health care provider's office 1 month later for a checkup. The nurse should implement which type of database when performing an assessment?
1. Follow-up database
2. Emergency database
3. Complete health database
4. Problem-centered database
If the client begins to hemorrhage from the surgical site after radical neck dissection, the nurse elevates the head of the bed to maintain airway patency and prevent aspiration. The nurse applies pressure over the bleeding site and calls the HCP immediately. The nurse also monitors the client's airway and vital signs.
A follow-up database is used in evaluating the status of an identified problem at regular and appropriate intervals. An emergency database is used for rapid collection of data, often compiled concurrently with lifesaving measures. A complete health database is the framework for a complete health history and full physical examination. The information thus obtained describes the current and past health state and forms a baseline against which all future changes can be measured. An episodic (problem-centered) database is used for a limited or short-term problem. It focuses mainly on one problem or one body system.