Question 2Oxygenation - Patient 2Patient DataHistory and Physical Nurses' Notes Imaging Studies↑0800The 77-year-old male client has a productive cough with thick, green secretions.Heart sounds are muffled. Breath sounds are diminished bilaterally withinspiratory and expiratory wheezes noted. The client denies pain, rating his pain a0 on a 0-to-10 pain scale. He reports dyspnea (difficulty breathing). His chest isbarrel shaped. The client ate only 25% of his breakfast today.Vital signs: temperature 98.4° F (36.9° C), pulse 96 beats/minute and regular,respirations 24 breaths/minute and labored, BP 140/74 mmHg, oxygen saturation90% at rest on 2 L of oxygen via nasal cannula.The nurse reviews assessment data and health history from the medical record.Which finding indicates this client is experiencing impaired oxygenation? Select all that apply.Productive coughMuffled heart soundsDiminished breath soundsWheezingDyspneaBarrel-shaped chestOxygen saturation of 90%History of smoking cigarettesHistory of hyperlipidemiaX-ray findings of increased density in right lower lobeStudy mode ONK

In this case, we will discuss about the evaluation of a 77-year-old male patient who is showing…

Answered: Oxygenation Patient 2 Patient Data…

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

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107 A 23-year-old woman comes to the physician because of a 3-hour history of sharp left chest wall pain when she breathes deeply or coughs. She also has an 8-day history of fever, headache, nasal congestion, and productive cough. Her temperature is 38°C (100 4°F), and respirations are 18/min Physical examination shows decreased breath sounds over the left posterior hemithorax. A chest x-ray shows left lower lobe pneumonia and a pleural effusion on the left. Sensory fibers in which of the following nerves most likely transmit the pain sensation from the chest wall when this patient coughs? A) Cardiac plexus B) Intercostal nerves C) Long thoracic nerve D) Thoracic splanchnic nerves E) Vagus nerve
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A 60-year old male patient, right-handed, single, tricycle driver is diagnosed with R CVD infarct, at day 5 post-ictus. On personal social history, the patient is living in a bungalo house with his 70-year old sister and her 20-year old son. Upon evaluation, the patient is awake, dysarthric, but manages to follow commands. The following are the pertinent physical examination findings: Shallow R nasolabial fold, fair gutturals, lingual, (+) gag reflexTone and reflex: hypotonic, hyporeflexive left upper and lower extremitiesMotor: MMT 0/5 left upper and lower extremities, 5/5 on right upper and lower extremitiesSensory: 50% deficit on left upper and lower extremitiesOther systemic physical examination findings were unremarkableFunctional assessment: moderately assisted in all ADLs The patient will be progressed from bed mobility skills to transitions to sitting. How will this be instructed?
Mrs blaze a 68 years old female visit her primary care provider office she has not been feeling well. Mrs blaze tells the nurse that she has been experiencing regular episodes of shortness of breath and fatigue for the last 2 weeks she does not have fever or productive cough. Upon assessment the client states that she has been smoking one pack of cigarettes per day for the past 40 years. 1 explain the normal age related changes that are occurring in Mrs blaze respiratory system. 2. Explain the normal process of inspiration and expiration. 3. Describe the physiological process that is occurring when Mrs blaze becomes short of breath.
MAKE A TRADITIONAL CHARTING Patient 4hr Postop, awakens easily, oriented X 3 but groggy, incision site in front of Left ear extending and around the ear and into neck-approximately 6inches in length-without dressing. C. Jones, RN. No swelling or bleeding, bluish discoloration below left ear noted, sutures intact. Jackson-Pratt drain in left neck below ear with 20 ml blood drainage measured. C. Jones RN. Drains remains secured in place with suture and anchored to left anterior chess wall with tape. Patient denied pain buy stated she felt nauseated and promptly vomited 100ml of clear fluid. Pt. attempted to get OOB(out of bed) to ambulate to bathroom with assistance but felt dizzy upon standing. Assisted to lie down in bed. Voided 200ml clear, yellow urine in bed pan. Pt. encourage to deep breath and cough gbt, and turn frequent in bed, Lung sound clear bilaterally. Antiembolism stockings applied to both lower extremities. C. Jones RN Explanation given regarding these preventive…
You are working a shift from 0700 to 1500, and Mr. Persaud is under your care. He is undergoing nasogastric aspiration with the following orders. Primary IV: D5NS @.95.mL/hr. Replace nasogastric drainage with RL over 3 hours at the beginning of each 8-hour shift via IV piggy-back. Shift report: D5NS: 825 mL RL: 425 mL N/G drainage: 185 mL Show all calculations. a) What volume of D5NS is required over the course of your shift? b) At what time will you begin infusing primary IV fluid? c) At what rate will you administer D5NS? d) At what rate will you administer RL? e) How much primary IV fluid will remain in the IV bag at 1400?
What are the medication for congenital diaphragmatic hernia ? Thank you.
A 60-year old male patient, right-handed, single, tricycle driver is diagnosed with R CVD infarct, at day 5 post-ictus. On personal social history, the patient is living in a bungalo house with his 70-year old sister and her 20-year old son. Upon evaluation, the patient is awake, dysarthric, but manages to follow commands. The following are the pertinent physical examination findings: Shallow R nasolabial fold, fair gutturals, lingual, (+) gag reflexTone and reflex: hypotonic, hyporeflexive left upper and lower extremitiesMotor: MMT 0/5 left upper and lower extremities, 5/5 on right upper and lower extremitiesSensory: 50% deficit on left upper and lower extremitiesOther systemic physical examination findings were unremarkableFunctional assessment: moderately assisted in all ADLs The short-term goal for the patient is to be minimally assisted in bed mobility. What are two bed mobility activities to teach this patient to achieve this goal.
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Mr. JKL is a 69 yr old white male complaining of shortness of breath during activities and sometimes at rest. He does not report any myocardial ischemia symptoms and is treated for hypertension and prostate cancer (diagnosed 5 years prior). The patient quit smoking 3 years ago and smoked on average 2 packs per day for 51 years. He was admitted to the hospital 4 months ago due to respiratory symptoms. The patient is not on supplemental oxygen, his oxygen saturation is 95%, and he reports some shortness of breath with a dyspnea rating of 5 (1-7 scale). The patient is sedentary, rarely walks outside of his home, and does not engage in sports or recreational activities. Mr. JKL's preexercise medical exam results: BMI = 31.8 Resting heart rate = 85 Blood pressure = 144/98 Enlarged anteroposterior chest diameter and decreased breath sounds and prolonged exhalation Current medications: Atrovent inhaler 8 puffs twice per day Doxapram HCL, 50 mg 3 times daily Furosemide, 40 mg 4 times daily…
Assignments, Chapter 86, Respiratory Disorders Written Assignments Prepare a chart that describes the following diagnostic tests, including the reasons for each: • Lung scan ● ● LIONS Lung perfusion scan Pulmonary angiography Learning Objective(s) 1 he

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