Valencia College BSC 2093C
HESI Case Study: COPD with Pneumonia Questions Verified and
Provided with A+ Graded Answers Latest Updated 2026
The physical examination reveals the following: Auscultate breath sounds.
Vital signs: temperature 101.6° F (38.6° C), heart
rate 110 beats/minute, respirations 32
breaths/minute, blood pressure 132/78 mmHg.
Respirations shallow and labored, with use of
respiratory accessory muscles.
Increased anteroposterior (AP) diameter of the
chest.
Skin dry and warm to touch, with inelastic skin
turgor, and fingernail clubbing present.
1.Which assessment is most important for the nurse
to complete next?
2. With a diagnosis of pneumonia, which Oxygen saturation 90%.
assessment finding warrants immediate
intervention by the nurse?
pH 7.25 7.35 to 7.45 7.35 to 7.45 Respiratory acidosis.
pCO2 58 35 to 45 mmHg 35 to 45 mmHg
HCO3 26 21 to 28 mEq/L 21 to 28 mmol/L
pO2 87 80 to 100 mmHg 80 to 100 mmHg
3. The ABG results indicate that the client is
experiencing which acid-base imbalance?
4. Which nursing problem has the highest priority Ineffective airway clearance.
when the nurse is planning care for the client?
5. Which assessment finding warrants immediate Kussmal respirations.
intervention by the nurse?
6. Which nursing action should be implemented Obtain a sputum culture with sensitivity.
before the prescribed levofloxacin is
administered?
7. The levofloxacin 500 mg IVPB is supplied in 100 33
mL of 5% dextrose to be delivered over 60
minutes. There is no IV pump available, so the
nurse will infuse the antibiotic by gravity. The drop
factor on the tubing is 20 gtts/mL. The nurse
should set the IVPB to infuse at how many gtts per
min? (Enter numerical value only. If rounding is
necessary, round to the whole number.)
8. While the client is undergoing nebulizer Monitor pulse and blood pressure.
treatments with albuterol, which assessment is it
most important for the nurse to perform?
HESI Case Study: COPD with Pneumonia Questions Verified and
Provided with A+ Graded Answers Latest Updated 2026
The physical examination reveals the following: Auscultate breath sounds.
Vital signs: temperature 101.6° F (38.6° C), heart
rate 110 beats/minute, respirations 32
breaths/minute, blood pressure 132/78 mmHg.
Respirations shallow and labored, with use of
respiratory accessory muscles.
Increased anteroposterior (AP) diameter of the
chest.
Skin dry and warm to touch, with inelastic skin
turgor, and fingernail clubbing present.
1.Which assessment is most important for the nurse
to complete next?
2. With a diagnosis of pneumonia, which Oxygen saturation 90%.
assessment finding warrants immediate
intervention by the nurse?
pH 7.25 7.35 to 7.45 7.35 to 7.45 Respiratory acidosis.
pCO2 58 35 to 45 mmHg 35 to 45 mmHg
HCO3 26 21 to 28 mEq/L 21 to 28 mmol/L
pO2 87 80 to 100 mmHg 80 to 100 mmHg
3. The ABG results indicate that the client is
experiencing which acid-base imbalance?
4. Which nursing problem has the highest priority Ineffective airway clearance.
when the nurse is planning care for the client?
5. Which assessment finding warrants immediate Kussmal respirations.
intervention by the nurse?
6. Which nursing action should be implemented Obtain a sputum culture with sensitivity.
before the prescribed levofloxacin is
administered?
7. The levofloxacin 500 mg IVPB is supplied in 100 33
mL of 5% dextrose to be delivered over 60
minutes. There is no IV pump available, so the
nurse will infuse the antibiotic by gravity. The drop
factor on the tubing is 20 gtts/mL. The nurse
should set the IVPB to infuse at how many gtts per
min? (Enter numerical value only. If rounding is
necessary, round to the whole number.)
8. While the client is undergoing nebulizer Monitor pulse and blood pressure.
treatments with albuterol, which assessment is it
most important for the nurse to perform?
