Your patient is mechanically ventilated for COPD exacerbation. The patient indicated he cannot get enough air. You notice increased respiratory rate and tachycardia. The patient is most likely experiencing:
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a. bronchospasm. |
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b. myocardial infarction. |
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c. pneumothorax. |
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d. pulmonary embolism. |
COPD is chronic obstructive pulmonary disease . In this there is an irreversible damage to the respiratory tract and air exchanging system . Inflammation of the airways occur which is irreversible. When the patient indicated he cannot get enough air means bronchospasm has occurred . Bronchospasm means spasm of the bronchial smooth muscles causing narrowing of the airway.
Your patient is mechanically ventilated for COPD exacerbation. The patient indicated he cannot get enough air. You notic...
B. Your second patient is 64 years old with chronic obstructive pulmonary disease (COPD). He caught a cold a week ago and presents to the clinic with areen sputum and increased shortness of breath. He had a fever at the beginning of the cold. but does not have a fever today. Current medications are Symbicort (budesonide/formoterol) and lisinopril. On examination, he is afebrile, with respiratory rate 18, heart rate 104, blood pressure 135/70 mm Hg, and SaO2 93 %. Lung...
1. Which of the following statements is true regarding a 4-year-old patient, 20kg experiencing a severe asthma exacerbation. VS:HR 130, RR 45, BP 105/68, Sats 84% A. Therapy includes albuterol, oral steroids, oxygen B. The patient is experiencing increased pulmonary resistance c. Patient should be intubated if the PCO2 is 58 on an arterial blood gas 10mg/hr of continuous albuterol E. He may receive nebulized albuterol with helium to improve drug delivery to the distal lung areas 2. A 2...
Chronic Obstructive Disease (COPD) D.Z., a 65-year-old man, is admitted to a medical floor for exacerbation of his chronic obstructive pulmonary disease (COPD; emphysema). He has a past medical history (PMH) of hypertension (HTN), which has been well controlled by enalapril (Vasotec) for the past 6 years, and a diagnosis (Dx) of pneumonia yearly for the past 3 years. He appears as a cachectic man who is experiencing difficulty breathing at rest. He reports cough productive of thick yellow-green sputum....
Chronic Obstructive Disease (COPD) D.Z., a 65-year-old man, is admitted to a medical floor for exacerbation of his chronic obstructive pulmonary disease (COPD; emphysema). He has a past medical history (PMH) of hypertension (HTN), which has been well controlled by enalapril (Vasotec) for the past 6 years, and a diagnosis (Dx) of pneumonia yearly for the past 3 years. He appears as a cachectic man who is experiencing difficulty breathing at rest. He reports cough productive of thick yellow-green sputum....
D.Z., a 65-year-old man, is admitted to a medical floor for exacerbation of his chronic obstructive pulmonary disease (COPD; emphysema). He has a past medical history (PMH) of hypertension (HTN), which has been well controlled by enalapril (Vasotec) for the past 6 years, and a diagnosis (Dx) of pneumonia yearly for the past 3 years. He appears as a cachectic man who is experiencing difficulty breathing at rest. He reports cough productive of thick yellow-green sputum. D.Z. seems irritable and...
just needed to verified my answers.
A 28-year-old male patient presents to the Emergency Department reporting a sudden onset of right-sided chest pain that is worse with taking a deep breath, in addition to a frequent dry cough. He has diminished lung sounds on the right side and jugı venous distension. His heart rate is 120, his respiratory rate is 28, his blood pressure is 88/42, and his oxygen saturation is 90%. The emergency nurse suspects: 31. a. pleural effusion....
study guide for fundamentals of nursing 9780803669079
224 UNIT 4 Clinical skills and Care ha diagnosis the time of day 35. As you assess your patient with a dark skin tone, you notice that the color of her skin is ashen. What will you do next? a. Increase the temperature of the room because the patient is most likely too cold. b. Assess the patient's mucous membranes, palms, and soles of the feet for evidence of cyanosis. c. Ask the...
True or False: A respiratory rate consistently less than 10 or greater than 60 breaths per minute in a child of any age is abnormal and suggests the presence of a potentially serious problem. True False True or False: PALS management of respiratory distress/failure is adjusted based on the severity of the current condition. True False True or False: Shock may occur with a normal, increased, or decreased systemic arterial pressure. True False True or False: Respiratory failure or shock...
4. Your completed work should be submitted to your lecture instructor on time by the due date indicated on the syllabus. History of Present Illness H.J. presented to the emergency department (ED) late one evening complaining of a "racing heartbeat". She is an overweight, 69-year-old white female, who has been experiencing increasing shortness of breath for the past two months and marked swelling of the ankles and feet for the past three weeks. She feels very weak and tired most...
28. A nurse is assisting a physician to remove a chest tube. The nurse should instruct the client to A. Exhale slowly C. stay very still B. Inhale and exhale quickly D. perform the valsava maneuvevr 29. While changing the taping of a tracheostomy tube, the male client coughs and the tube dislodges. The initial action is to A. Call the physician to reinsert the tube B. Call the respiratory therapy department to reinsert the tracheostomy C. Cover the tracheostomy...