Answer the following DQ

20Jan 2022 by

A patient was scheduled to go for cardiac procedure at 9 am. Because of a low hematocrit, the physician ordered the patient to get 2 units of blood prior to the procedure. The nurse confirmed the order and administered the first unit of blood through the patients intravenous line per hospital protocol. The first unit was administered with no problem, but about 30 minutes after second unit, the nurse noticed the patients oxygen monitor showed 92% down from 95% and continued to drop to 90%. The nurse began 2 liters of oxygen via nasal cannula. The nurse reviewed the patients medical history and noted he had a condition called heart failure which makes him vulnerable to fluid overload. By that time the patient was becoming anxious and the nurse reassured the patient that he was working to address his shortness of breath. The nurse listened to the patients lungs and noted crackles which had not been there before and also noticed the amount of fluids that had been taken in were much less than the patients urine output. The nurse called the physician and reported his assessment and initial interventions. The physician ordered intravenous Lasix, a diuretic, and the patient began urinating in large amounts and his breathing started to return to normal. Using Box 1-4 ANA Standards of Nursing Practice and Professional Performance (See Taylor book, page 18) as a guide, answer the following questions:
* Which of the standards of nursing practice and professional performance was the nurse meeting within this clinical scenario? Support your answer.
* Based on your own conceptualization of nursing at the present time, which of the standards of practice or standards of professional performance resonate most to you as an individual. Elaborate on your answer.

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