HESI CASE STUDY - COPD with Pneumonia: Darrell Johnson is a 62-year-old male who comes to the Emergency Department (ED

Darrell Johnson is a 62-year-old male who comes to the Emergency Department (ED) with a 4-day history of increased sputum production, a change in the character of sputum, increased shortness of breath, and a fever of 101° F. He has a smoking history of 2 packs a day for the past 20 years, and he smoked 1 pack a day prior to that, beginning at the age of 14. He reports that he had asthma as a child and that he has been treated with albuterol (Ventolin) inhalers from time to time as an adult. Mr.… Which assessment is most important for the nurse to complete next? Auscultate breath sounds Which assessment finding supports Mr. Johnson's diagnosis of pneumonia? Pulse rate of 115 Based on these ABG results, which acid base imabalance is Mr. Johnson experiencing? Respiratory acidosis Which nursing diagnosis has the highest priority when planning care for Mr. Johnson? Ineffective airway clearance Which nursing action should be implemented before administering the prescribed Unasyn? Obtain a sputum culture The ampicillin (Unasyn) 1 gm IVPB is supplied in 50mL of D5W to be delivered over 30min. The nurse should set the IV pump at how many mL per hour? 100 Which