This topic contains a solution. Click here to go to the answer

Author Question: The nurse is caring for a 78-year-old patient who was hospitalized 2 days earlier with ... (Read 126 times)

kamilo84

  • Sr. Member
  • ****
  • Posts: 495
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



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

vseab

  • Sr. Member
  • ****
  • Posts: 323
Answer to Question 1

ANS: D
The patient's low SpO2 despite receiving a high fraction of inspired oxygen (FIO2) indicates the possibility of acute respiratory distress syndrome (ARDS). The patient's blood-tinged sputum and scattered crackles are not unusual in a patient with pneumonia, although they do require continued monitoring. The continued temperature elevation indicates a possible need to change antibiotics, but this is not as urgent a concern as the progression toward hypoxemia despite an increase in O2 flow rate.

Answer to Question 2

ANS: A
The FIO2 of 80 increases the risk for oxygen toxicity. Because the patient's O2 saturation is 99, a decrease in FIO2 is indicated to avoid toxicity. The other patient data would be typical for a patient with ARDS and would not need to be urgently reported to the health care provider.



kamilo84

  • Sr. Member
  • ****
  • Posts: 495

vseab

  • Sr. Member
  • ****
  • Posts: 323

 

Did you know?

Drying your hands with a paper towel will reduce the bacterial count on your hands by 45–60%.

Did you know?

The term bacteria was devised in the 19th century by German biologist Ferdinand Cohn. He based it on the Greek word "bakterion" meaning a small rod or staff. Cohn is considered to be the father of modern bacteriology.

Did you know?

The B-complex vitamins and vitamin C are not stored in the body and must be replaced each day.

Did you know?

Blood in the urine can be a sign of a kidney stone, glomerulonephritis, or other kidney problems.

Did you know?

Cutaneous mucormycosis is a rare fungal infection that has been fatal in at least 29% of cases, and in as many as 83% of cases, depending on the patient's health prior to infection. It has occurred often after natural disasters such as tornados, and early treatment is essential.

For a complete list of videos, visit our video library