RESEARCH 3565 Hildegard Lowe Room 303

Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. Patient is alert and cooperative, visually limited and declining. She is on Oxygen at 2L. She has an IV 0.9 normal saline, 125 an hour. Chest x-ray upon admission showed right middle lobe pneumonia. Vital signs are BP: 128/86, P: 105, R: 32, T: 99.8 F, 37.7 C, SaO2: 93%. Plan of care is antibiotic therapy, incentive spirometry, O2 supplementation, and pending labs and blood cultures from the ER. Patient is receiving Rocephin and received Zithromax in the ER. Patient does have a history of Granulomatosis with Polyangiitis but has been stable for 5 years w/o treatment. She is widowed and came to us from the retirement community. She has one daughter who is on her way from out of state; she will be arriving sometime today. Patient states she is allergic to mangos. You responded correctly to 3 out of 6 evaluations: Category Your response Explanation Gas exchange Yes Patient’s oxygen perfusion is compromised at right middle lobe pneumonia Infection Yes Evidence by infection in lungs Sensory perception Yes Patient is visually impaired Pain No No indication of pain at this time Cognition No Patient is alert and oriented Psychosis No No evidence of increased need Scenario 1 You are assisting the patient with their meal; she is lying down now. How would you facilita