) a MEDICAL SURGICAL CAS × M MEDICAL SURGICAL NUF X patch-show&courseSessionld-a
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Question
) a MEDICAL SURGICAL CAS × M MEDICAL SURGICAL NUF X patch-show&courseSessionld-a67e80; Case Study, Chapter 23, Management of Patients With Chest and Lower Respiratory Tract Disorders -surgi 70 years of age, is a male patient who is admitted to the medical 1. Harry Smith, unit with acute community-acquired pneumonia. He was diagnosed with paraseptal emphysema 3 years ago. The patient smoked cigarettes one pack per day for 55 years a quit 3 years ago. The patient has a history of hypertension, and diabetes controlled witlh oral diabctic agents. The patient presents with confusion as to time and placc. The famil sated that this is a new change for the patient. The admission vital signs are as follows: pressure 90/50 mm Hg, heart rate 101 bpm, respiratory rate 28 breaths/min, and oximeter on room air is 85%. The CBC is as follows: temperature 101.5 F. The pulse WBC 12,500, platelets 350,000. HCT 30%, and Hgb 10 g/dL. 1.30. Pa0: 55.PaCO:50. HCO 2 5. Chest x-ray results reveal right lower lobe ABG s on room air are pP comsalidation, presence of apical bullae. lattened diaphragm, and a small pleural effusio in the night lower lobc. Lung auscultation revcals sevcrely diminished breath sounds in ihe righi lower lobe and absence of brealh sounds at the base. The breath sounds in the rest of the lungs are slightly decreased The patient complains of fatigue and shortness of heath and cannot finish a shot sentence befone the respiratory rate increases ahove the basclinc and his nait beds and lips turn a bluish tingc and the pulse o is using accesamy musetes. The ximetry decreases to patient coughs
Explanation / Answer
Assessment findings supports the nursing diagnosis for pneumonia in this patient are:
The measures to be taken immediately for the client after gastric bypass:
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