An 84 year old female patient has been admitted to the hospital for exacerbation of COPD. The patient has a history of lung cancer, presently in remission. The patient is a widow who lives alone, is functionally independent in her ADLs. She has a child who lives out of state. History of being a former pack/day smoker and quit over 20 years ago. The nurse doing his rounds finds the following on assessment. Vitals: T102.1(oral), P102 (regular), R24, BP128/63, SPO2 86% on 2L NC Noted barrel chest presentation Productive cough with dark red sputum Noted wheezing on auscultation visible shortness of breath, dyspnea on exertion abdomen soft, round, and non-tender shaking with chills Questions: 1. What signs and symptoms are of concern in this patient's presentation? 2. What could these be telling you is happening to the patient? 3. Of the concerning symptoms, which of these is a priority? Please explain your answer. 4. What can we do to stabilize this patient? Why?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
icon
Related questions
Question

An 84 year old female patient has been admitted to the hospital for exacerbation of COPD. The patient has a history of lung cancer, presently in remission. The patient is a widow who lives alone, is functionally independent in her ADLs. She has a child who lives out of state. History of being a former pack/day smoker and quit over 20 years ago. The nurse doing his rounds finds the following on assessment.

  • Vitals: T102.1(oral), P102 (regular), R24, BP128/63, SPO86% on 2L NC
  • Noted barrel chest presentation
  • Productive cough with dark red sputum
  • Noted wheezing on auscultation
  • visible shortness of breath, dyspnea on exertion
  • abdomen soft, round, and non-tender
  • shaking with chills

Questions:

1. What signs and symptoms are of concern in this patient's presentation?

2. What could these be telling you is happening to the patient?

3. Of the concerning symptoms, which of these is a priority? Please explain your answer.

4. What can we do to stabilize this patient? Why?

Expert Solution
trending now

Trending now

This is a popular solution!

steps

Step by step

Solved in 6 steps

Blurred answer
Similar questions
  • SEE MORE QUESTIONS
Recommended textbooks for you
Phlebotomy Essentials
Phlebotomy Essentials
Nursing
ISBN:
9781451194524
Author:
Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:
JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession…
Gould's Pathophysiology for the Health Profession…
Nursing
ISBN:
9780323414425
Author:
Robert J Hubert BS
Publisher:
Saunders
Fundamentals Of Nursing
Fundamentals Of Nursing
Nursing
ISBN:
9781496362179
Author:
Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:
Wolters Kluwer,
Fundamentals of Nursing, 9e
Fundamentals of Nursing, 9e
Nursing
ISBN:
9780323327404
Author:
Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:
Elsevier Science
Study Guide for Gould's Pathophysiology for the H…
Study Guide for Gould's Pathophysiology for the H…
Nursing
ISBN:
9780323414142
Author:
Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:
Saunders
Issues and Ethics in the Helping Professions (Min…
Issues and Ethics in the Helping Professions (Min…
Nursing
ISBN:
9781337406291
Author:
Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:
Cengage Learning