Question

mr oakley age 66 has just been admiited to the nursing unit reporting sever chest pain , a frequent productive cough and shortness of breath. physical assesment findings include increased AP chest diameter, finger clubbing and use of accessory muscles. ABG findings include: pH 7.32

Answer 1

3.The patient us having impaired gas exchange related to alveolar hypoventilation. The expected outcomes will be

• Ease of breathing.
• Returning of value of PaO2 and PaCO2 back to normal.

4The nurse would expect

• Administration if supplemental oxygen.
• Assessment of pulmonary function studies to assess the severity of COPD.
• Spirometry is ordered before and after bronchodilation.
• ABG are usually assessed in the severe stagstages.
• Ecg, echocardiogram or gated pool nuclear blood study can be used to evaluate right-sided ventricular and left-sided ventricular failure.

5.Registered nurse, MD, Certified Registered nurse practitioners, social worker, physical therapist, occupational therapist, speech-language pathologist, respiratory therapist, Registered dietitian, case manager, transition guide, pharmacist.