A 67-year-old male is admitted to the medical-surgical unit…
A 67-year-old male is admitted to the medical-surgical unit for acute bronchitis and chronic obstructive pulmonary disease (COPD) exacerbation. Reported symptoms on admission included increased cough with sputum production. The physical examination revealed a barrel chest, diminished lung sounds bilaterally on auscultation, abdominal distention, and 2+ pitting edema in bilateral lower extremities. On the day following admission, the licensed vocational nurse (LVN) assigned to the client notes a productive cough with yellow/green sputum, crackles in the left lower lobe of the lungs while other lobes are diminished, and subjective reports of chills. Vital signs include temperature 101.2° F (38.3° C), pulse 106 beats per minute, respirations 22 breaths per minute, blood pressure 104/68 mmHg, SpO2 94% at 1.5 Liters via nasal cannula (NC). Based on these findings, the LVN assists in creating a plan of care.Based on the clinical presentation, select if the prescription listed is either Indicated (appropriate or necessary), Contraindicated (could be harmful) or Non-Essential (makes no difference or is not necessary) for the client’s care at this time.
Read DetailsThe nurse is reinforcing teaching to an overweight 54-year-o…
The nurse is reinforcing teaching to an overweight 54-year-old client about ways to decrease symptoms of obstructive sleep apnea. Which interventions would be most effective? Select all that apply. One, some or all may be correct.
Read DetailsThe nurse is caring for a client with an exacerbation of ast…
The nurse is caring for a client with an exacerbation of asthma following a viral respiratory illness. When collecting data, the nurse expects to find which clinical characteristics of a severe asthma exacerbation? (Select all that apply. One, some or all may be correct)
Read DetailsThe nurse is caring for a client hospitalized with acute exa…
The nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease (COPD). Which of the following signs and symptoms would the nurse expect to note in this client? Select all that apply.
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