NURS108 RESPIRATORY CASE STUDY 1
NURS108 Respiratory Case Study
Schoolcraft College
, NURS108 RESPIRATORY CASE STUDY 2
NURS108 Respiratory Case Study
PATIENT NAME AGE
Russell Cole-Smith 67 years old
MEDICAL DIAGNOSIS ALLERGIES CODE STATUS
Community Acquired Pneumonia None Full Code
ABNORMAL NURSING ASSESSMENT FINDINGS, PATHOPYSIOLOGY, CITATION
Respiratory: productive cough and nasal discharge from the onset of bacterial buildup in the
lungs (Hinkle & Cheever, 2019, p. 537) shortness of breath from respiratory distress (Hinkle &
Cheever, 2019, p. 535) rhonchi caused by secretions/narrowed tracheobronchial passages
(Hinkle & Cheever, 2019, p. 483) crackles caused by fluid buildup/collapsed alveoli (Hinkle &
Cheever, 2019, p. 483) purulent sputum from bacterial buildup in the lungs (Hinkle & Cheever,
2019, p. 542) and tachypnea from increased immune response workload (Hinkle & Cheever,
2019, p. 543).
Cardiac: tachycardia caused by immune system exertion in older adults (Hinkle & Cheever,
2019, p. 540)
GI: hypoactive bowel sounds and a lack of flatus likely from reduced mobility (Hinkle &
Cheever, 2019, p. 1288).
GU: amber color from dehydration (Hinkle & Cheever, 2019, p. 1548).
Neurologic: decrease in LOC and orientation from stress of illness (Hinkle & Cheever, 2019, p.
171).
Integument: previous stroke caused a left residual facial droop (Hinkle & Cheever, p. 81) fever
and erythematous oropharynx from inflammation response (Hinkle & Cheever, 2019, p. 107)
poor skin turgor from dehydration (Hinkle & Cheever, 2019, p. 234).
DIAGNOSTIC TESTS/LABS
Lab Analysis What is causing the abnormal value (pathophysiology) &
Citation (no explanation needed for normal values)
WBC High The presence of infection, like pneumonia, or inflammation
elevate the WBC (Hinkle & Cheever, 2019, p. 1044).
HGB Low Typically, low levels are associated with anemia, and given the
pt’s use of aspirin, underlying bleeding could be causing this
(Hinkle & Cheever, 2019, p. 914).
HCT Low Due to HCT’s proportional relationship with HGB and their
shared dependance on the plasma volume, it can be suggested
they share the same cause (Hinkle & Cheever, 2019, p. 914).
Platelet Normal
Glucose High Administration of steroids, like prednisone, may lead to
hyperglycemia in the hospital setting (Hinkle & Cheever, 2019,
p. 1528).
BUN Normal
Creatinine Normal
Sodium Low Factors like the use of diuretics, renal disease, hyperglycemia,
NURS108 Respiratory Case Study
Schoolcraft College
, NURS108 RESPIRATORY CASE STUDY 2
NURS108 Respiratory Case Study
PATIENT NAME AGE
Russell Cole-Smith 67 years old
MEDICAL DIAGNOSIS ALLERGIES CODE STATUS
Community Acquired Pneumonia None Full Code
ABNORMAL NURSING ASSESSMENT FINDINGS, PATHOPYSIOLOGY, CITATION
Respiratory: productive cough and nasal discharge from the onset of bacterial buildup in the
lungs (Hinkle & Cheever, 2019, p. 537) shortness of breath from respiratory distress (Hinkle &
Cheever, 2019, p. 535) rhonchi caused by secretions/narrowed tracheobronchial passages
(Hinkle & Cheever, 2019, p. 483) crackles caused by fluid buildup/collapsed alveoli (Hinkle &
Cheever, 2019, p. 483) purulent sputum from bacterial buildup in the lungs (Hinkle & Cheever,
2019, p. 542) and tachypnea from increased immune response workload (Hinkle & Cheever,
2019, p. 543).
Cardiac: tachycardia caused by immune system exertion in older adults (Hinkle & Cheever,
2019, p. 540)
GI: hypoactive bowel sounds and a lack of flatus likely from reduced mobility (Hinkle &
Cheever, 2019, p. 1288).
GU: amber color from dehydration (Hinkle & Cheever, 2019, p. 1548).
Neurologic: decrease in LOC and orientation from stress of illness (Hinkle & Cheever, 2019, p.
171).
Integument: previous stroke caused a left residual facial droop (Hinkle & Cheever, p. 81) fever
and erythematous oropharynx from inflammation response (Hinkle & Cheever, 2019, p. 107)
poor skin turgor from dehydration (Hinkle & Cheever, 2019, p. 234).
DIAGNOSTIC TESTS/LABS
Lab Analysis What is causing the abnormal value (pathophysiology) &
Citation (no explanation needed for normal values)
WBC High The presence of infection, like pneumonia, or inflammation
elevate the WBC (Hinkle & Cheever, 2019, p. 1044).
HGB Low Typically, low levels are associated with anemia, and given the
pt’s use of aspirin, underlying bleeding could be causing this
(Hinkle & Cheever, 2019, p. 914).
HCT Low Due to HCT’s proportional relationship with HGB and their
shared dependance on the plasma volume, it can be suggested
they share the same cause (Hinkle & Cheever, 2019, p. 914).
Platelet Normal
Glucose High Administration of steroids, like prednisone, may lead to
hyperglycemia in the hospital setting (Hinkle & Cheever, 2019,
p. 1528).
BUN Normal
Creatinine Normal
Sodium Low Factors like the use of diuretics, renal disease, hyperglycemia,
