BSN 366 NGN Case Study: Respiratory
An 82-12 months-old lady drove herself to the emergency department (ED) with reviews of
chest ache, shortness of breath, headache, and extreme fatigue. Client states she has been
coughing up a whole lot of "stuff that looks as if egg whites with crimson string in it." Her chest
and stomach are sore from all of the coughing. She has been unable to consume or sleep well
for the past week. Client states that her shortness of breath has brought about such horrific
tension that she can't even listen to read the paper. Client is not able to put flat however is more
snug sitting upright in the "tripod position." Client states she has been having chills and appears
like she has been strolling a fever however does now not have a thermometer at domestic to
check it. - ANS-Pneumonia
Educate customer on incentive spirometer use.
Administer 4L O2 through nasal cannula.
Respiratory Rate.
Intake & Output.
Choose the maximum probable alternatives for the statistics missing from the announcement(s)
through deciding on from the lists of alternatives furnished. - ANS-The nurse teaches the patron
approximately increasing his non-public resistance to pneumonia by way of
receiving an annual influenza vaccine
. The nurse will endorse the customer limit publicity and threat of pneumonia through
common handwashing.
Click to focus on evaluation findings which might be outside ordinary limits. - ANS-Frequent
Cough generating thick yellow mucus along side and incapability to speak in whole sentences
because of cough and shortness of breath.
Skin camping and dry mucous membranes which can indicate dehydration.
HR 104, ninety two/60
RR 32
86% O2 sat.
Skin colour light
Use of accent muscle tissues, crackles, chest ache.
Urine color darkish
Click to signify which interventions the nurse might consist of within the plan of care to guide the
predicted outcomes of ok gasoline alternate or clean airway. - ANS-Adding humidification-
Clear Airway
Administering antipyretics-
Clear Airway
An 82-12 months-old lady drove herself to the emergency department (ED) with reviews of
chest ache, shortness of breath, headache, and extreme fatigue. Client states she has been
coughing up a whole lot of "stuff that looks as if egg whites with crimson string in it." Her chest
and stomach are sore from all of the coughing. She has been unable to consume or sleep well
for the past week. Client states that her shortness of breath has brought about such horrific
tension that she can't even listen to read the paper. Client is not able to put flat however is more
snug sitting upright in the "tripod position." Client states she has been having chills and appears
like she has been strolling a fever however does now not have a thermometer at domestic to
check it. - ANS-Pneumonia
Educate customer on incentive spirometer use.
Administer 4L O2 through nasal cannula.
Respiratory Rate.
Intake & Output.
Choose the maximum probable alternatives for the statistics missing from the announcement(s)
through deciding on from the lists of alternatives furnished. - ANS-The nurse teaches the patron
approximately increasing his non-public resistance to pneumonia by way of
receiving an annual influenza vaccine
. The nurse will endorse the customer limit publicity and threat of pneumonia through
common handwashing.
Click to focus on evaluation findings which might be outside ordinary limits. - ANS-Frequent
Cough generating thick yellow mucus along side and incapability to speak in whole sentences
because of cough and shortness of breath.
Skin camping and dry mucous membranes which can indicate dehydration.
HR 104, ninety two/60
RR 32
86% O2 sat.
Skin colour light
Use of accent muscle tissues, crackles, chest ache.
Urine color darkish
Click to signify which interventions the nurse might consist of within the plan of care to guide the
predicted outcomes of ok gasoline alternate or clean airway. - ANS-Adding humidification-
Clear Airway
Administering antipyretics-
Clear Airway
