Oxygenation Activities
Provide the rationale for the clinical manifestations of asthma
Clinical Manifestations Rationale
Wheezing:
Dyspnea:
Chest tightness:
Cough:
Tachypnea:
Anxiety:
PERF <350:
COPD Case Study
The nurse is caring for a patient, age 72,diagnosed with COPD. Nursing assessment is:
VS: BP: 15292; /HR: 92; RR 22; T 99.2 F; POX 91%
Weight: 110 Kg
Respiratory: cough which has gotten worse over the past 3 days; scattered crackles and crackles
The HCP order the following labs and diagnostic tests with the following results
Hgb: 18.3 mg/dL
ABG
pH: 7.33
CO2: 48
HCO3: 26
PsO2: 78
Pulmonary Function Tests:
TLC: normal
RV: increased
VC: decreased
FEV1: decreased
CXR: enlarged heart
What is the interpretation of the AGGs?
If compensation were to occur, how would that occur?
What do the pulmonary function test results mean?
Does the patient most likely have chronic bronchitis or emphysema?
The nurse is caring for the following patients. Which patient would have the highest risk for developing active TB, if they had TB?
a. A patient who is 41 years old who has a wound infection.
b. A patient who is 56 years old who has cancer.
c. A patient who is 48 years old diagnosed with asthma and was an immigrant from England.
d. A patient who is 74 years old diagnosed with COPD.
A patient diagnosed with cystic fibrosis has a respiratory infection. The nurse knows the most likely cause is:
a. Thick secretions obstructing the bronchi.
b. Inflammation of the bronchioles due to an organism.
c. Increase in the number of globet cell causing an increase in mucous.
d. Destruction of the alveolar walls.
The nurse is aware that the most accurate way to diagnosis TB is:
a. With a TB skin test.
b. With a QuantiFERON-TB Gold test.
c. With a chest x-ray.
d. With 3 sputum specimens on 3 different days.
A patient is complaining of dyspnea. Which of the following clinical manifestations indicate early respiratory distress? Select all that apply.
a. Respiratory acidosis.
b. Sitting upright in a tripod position.
c. HR 132.
d. RR 20 (baseline 14).
e. Restless
f. Skin cold and clammy.
h. Cyanosis.
