The nurse is caring for a 78-year-old patient who was hospitalized 2 days earlier with community-acquired pneumonia. Which assessment information is most important to communicate to the health care provider?
a. Scattered crackles bilaterally in the posterior lung bases.
b. Persistent cough that is productive of blood-tinged sputum.
c. Temperature of 101.5 F (38.6 C) after 2 days of IV antibiotic therapy.
d. Decreased oxygen saturation to 90 with 100 O2 by non-rebreather mask.
Question 2
A nurse is caring for a patient with acute respiratory distress syndrome (ARDS) who is receiving mechanical ventilation using synchronized intermittent mandatory ventilation (SIMV).
The settings include fraction of inspired oxygen (FIO2) 80, tidal volume 450, rate 16/minute, and positive end-expiratory pressure (PEEP) 5 cm. Which assessment finding is most important for the nurse to report to the health care provider?
a. Oxygen saturation 99
b. Respiratory rate 22 breaths/minute
c. Crackles audible at lung bases
d. Heart rate 106 beats/minute
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
The nurse assists the patient in reflecting on his feelings
Patient Teaching
The Kingsley plantation, on Fort George Island in Jacksonville, Florida. Zephaniah Kingsley, the own
Development of the Eyes and Ears: External View - 28 days Embryo