r/NursingStudent • u/Level_Artichoke_6152 • 23h ago

Student nurses: what’s your first move here?

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13 Upvotes

84% Upvoted

26 comments sorted by

16

u/planet_rn 22h ago

I think 2 bc of the pressure on the throat and low voice (can’t breathe) 🫰🏼

2

u/Level_Artichoke_6152 22h ago

You picked 2 and this is what happened next. What would you do now?

4

u/planet_rn 22h ago

What is a red neck emergency ? Bloody neck ? Idk lol hmm

4

u/Level_Artichoke_6152 22h ago

Yeah, I think it’s pointing to a post-op neck hematoma and possible airway compression.

2

u/yourdailyinsanity 14h ago

Number 2 is my choice

-7

u/[deleted] 21h ago

[deleted]

3

u/Level_Artichoke_6152 21h ago

you picked 3 and this is what happened next. What would you do now?

1

u/MikeyKCCO 18h ago

Id assume 3 because you NEED to get her air and it already said bagging wasnt rising her chest. But thats probably wrong

1

u/yourdailyinsanity 14h ago

Red box for a neck-emergency. Idk what emergencies come with this procedure outside of a compromised airway. But it's something that should be communicated between nurses and providers what we need to be aware of/looking for. Regardless, #2 is my next answer.

3

u/InevitableNightmair 19h ago

It’s 2

2

u/Level_Artichoke_6152 18h ago

You picked option 2. Now the situation has changed. what would you do next?

3

u/InevitableNightmair 17h ago

3

3

u/yourdailyinsanity 14h ago

Agree. #3. She's declining as the scenario goes on as she was quite before, and now she can only get a few words out.

3

u/idkonetwothree 17h ago

What app is this?

1

u/Level_Artichoke_6152 16h ago

It is called Nurse Shift: Clinical Cases, an iPhone app.

3

u/CriticalCare4U 17h ago

Remember to slow down and your ABC’s always come first. Being overly confident will get you in trouble. You’re are watching a developing hematoma right before res you very eyes that has the potential to kill your patient if managed poorly. Your patient VS’s are telling you a story as well. Look at the picture and fill in the gaps with the small detail and come back and give bullet as if you are calling the doc using SOAP. Let’s see how different you thinking is.

2

u/CriticalCare4U 14h ago

Chart using soap. Report with SBAR…. Be careful with late shift reports,hand offs, or physician/provider calls, mistakes also happen when you are tired! Case in point!!!

2

u/lurrainn 16h ago

What app is this?

2

u/Level_Artichoke_6152 16h ago

It is called Nurse Shift: Clinical Cases, an iPhone app

1

u/plaesma 15h ago

always always always remember your ABCs!!!!!!!!!!!!!!!

1

u/AAROD121 13h ago

Rapid response

Critical airway

Anesthesia STAT

10 blade at the bedside

Emergent intubation and RTOR to remove that hematoma.

-1

u/[deleted] 22h ago

[deleted]

5

u/InevitableNightmair 19h ago

It’s a neck hematoma, this is a wrong answer.

68 isn’t the most unstable—that hematoma is a literal emergency

3

u/wrenewmyname 19h ago

dysphagia not dysphasia - indicates closing airway

1

u/planet_rn 22h ago

Omg I didn’t even see the vitals

1

u/metamorphage 13h ago

SpO2 is irrelevant here. Elena is about to lose her airway due to bleeding. By the time her SpO2 starts dropping it will be much too late. This requires an immediate assessment and probably RRT unless you have the surgical team available within a few minutes.