RESPIRATORY
CASE STUDY: RESPIRATORY
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CASE STUDY: Respiratory
Med-Surg. Respiratory Case studies
#1 Patient Profile: A 62-year-old female client with a history of COPD is admitted to the hospital with an acute exacerbation and left-sided pneumonia. The nurse observes increased anterior-posterior diameter of the chest, reddish-blue skin tone, and prolonged expiratory phase when breathing. Admission vital signs: temperature 101.5 F (oral), blood pressure 154/92, heart rate 110, and respiratory rate 26 breaths/minute.
Critical Thinking Questions: Answer each question thoroughly and with details:
- What nursing diagnosis is the priority for this patient and why?
- During the initial physical assessment of the patient, the patient exhibits a frequent cough with copious purulent secretions expectorated. This assessment finding is compatible with which etiology of pneumonia? What type of nursing care would you then provide?
- What should the nutritional plan for this patient include? Explain why?
- To optimize oxygenation for this patient with left-side pneumonia, what body position should be encouraged and why? What positive is contraindicated for this patient?
- The patient says that she is beginning to feel slightly “short of breath”. What is the appropriate choice in initiating supplemental oxygen in this patient? Explain your rationale.
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