Concept explainers
To discuss:
The two priority nursing diagnoses and list two or three appropriate interventions to be implemented based on the initial condition of Mr. E.
Case summary:
Mr. E is a 75-year-old who is admitted in the hospital for suspected pneumonia. 48-hours after admission, Mr. E was dyspneic with abnormal lung sounds in both upper and lower base of the lung and he coughs and spits thick yellow sputum. His vitals showed blood pressure of 88/42 mm Hg, pulse rate of 110 beats/min, respiration of 32 breaths/min, and SpO2 of 82%. Mr. E had difficulty in speaking and unable to lie flat, a non-rebreather mask at oxygen of 60% was kept for him. His arterial blood gas level showed respiratory acidosis and PaO2 was 65 mm Hg with pH of 7.30 and SpO2 of 80%. Mr. E spent 5 days in the ICU and 2 weeks in a transitional care unit and discharged with home oxygen therapy. The discharge plan states that he should start an outpatient rehabilitation program after 1 month.

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Chapter 41 Solutions
Fundamentals of Nursing - With Gray Morris Calculate With Confidence
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