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 75 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?

In 1835 it was discovered that a disease of silkworms known as muscardine could be transferred from one silkworm to another, and was caused by a fungus.

Did you know?

Asthma attacks and symptoms usually get started by specific triggers (such as viruses, allergies, gases, and air particles). You should talk to your doctor about these triggers and find ways to avoid or get rid of them.

Did you know?

Stroke kills people from all ethnic backgrounds, but the people at highest risk for fatal strokes are: black men, black women, Asian men, white men, and white women.

Did you know?

Never take aspirin without food because it is likely to irritate your stomach. Never give aspirin to children under age 12. Overdoses of aspirin have the potential to cause deafness.

Did you know?

If you use artificial sweeteners, such as cyclamates, your eyes may be more sensitive to light. Other factors that will make your eyes more sensitive to light include use of antibiotics, oral contraceptives, hypertension medications, diuretics, and antidiabetic medications.

For a complete list of videos, visit our video library