Maurice Arviso is a 60-year-old Native American male directly admitted from his provider's office to the inpatient medical unit with community-acquired pneumonia. Maurice is determined to maintain his independence and dignity and refuses assistance with personal care, even though he experiences shortness of breath with any exertion. Just before the scenario begins, Maurice attempts to use the urinal independently and spills urine on the bed and floor.
1: Mr. Arviso states, "I am short of breath." What assessment findings should the nurse obtain?
2: What questions would be appropriate for a nurse to ask when gathering subjective data for Mr. Arviso?
3: List objective manifestations associated with dyspnea?
4. Growth & Development:
a. Why does Mr. Peterson's age predispose him to pneumonia?
b. What developmental (Erikson) stage is Mr. Arviso, and how does his current situation contribute to this stage of development?
5. Culture & Diversity
a. What are some cultural risk factors for pneumonia?
Nurse should find out if that SOB is along with exertion or not, relieved by lying or sitting upright. If that makes to get awake at night.
2. Sujective data regarding do you experience fatigue, weakness. Are you suffering from muscle aches?, di you experience loss of apetite. Are u experiencing sharp or stabbing chest pain
3. Objective manifestations related to dyspnea are shoertness of breath on exertion, wheezing, rapid shallow breathing, pulse oximetry less than 90%,
4. With advancing age, immune system weakens. As a result it
predisposes to infections like pneumonia.
b. Middle adulthood in which they may feel a sense of contribution
to world by work or through family. They may experience lack of
purpose and experience stagnation. This may make them physically,
psychologically and socially passive and predispose them to
infection
Maurice Arviso is a 60-year-old Native American male directly admitted from his provider's office to the...
Wallace Peterson is a 69-year-old male with a 6-year history of chronic obstructive pulmonary disease who presented to the emergency department at 0100 on Tuesday morning with moderate respiratory distress, a productive cough, and a fever. He was admitted to the inpatient medical-surgical unit for treatment of pneumonia. Questions 1: What are the early signs and symptoms of inadequate oxygenation? 2: Is maintaining oxygen saturation greater than 88% adequate for this patient? 3: What type of pneumonia does this patient...
Wallace Peterson is a 69-year-old male with a 6-year history of chronic obstructive pulmonary disease who presented to the emergency department at 0100 on Tuesday morning with moderate respiratory distress, a productive cough, and a fever. He was admitted to the inpatient medical-surgical unit for treatment of pneumonia. Questions 1: What are the early signs and symptoms of inadequate oxygenation? 2: Is maintaining oxygen saturation greater than 88% adequate for this patient? 3: What type of pneumonia does this patient...
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Case Scenario: NB is a 32-year-old Native American admitted to the ED after his wife found him unconscious on the bathroom floor. NB is now lethargic and slow to respond to tactile-verbal stimuli, but answers questions appropriately when awake. NB complains of abdominal pain and nausea. NB’s wife states he was diagnosed with diabetes last year after an admission to the hospital for diabetic coma. NB stopped taking his insulin two days ago because of nausea and “flu-like” symptoms. NB...
Case Scenario: NB is a 32-year-old Native American admitted to the ED after his wife found him unconscious on the bathroom floor. NB is now lethargic and slow to respond to tactile-verbal stimuli, but answers questions appropriately when awake. NB complains of abdominal pain and nausea. NB’s wife states he was diagnosed with diabetes last year after an admission to the hospital for diabetic coma. NB stopped taking his insulin two days ago because of nausea and “flu-like” symptoms. NB...
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Charles is a 60-year-old male who was discharged from hospital 3 days ago for an acute flare-up of his chronic condition. It is 8:30 pm and he is calling nurse triage with increased dyspnea and orthopnea. He says he hasn’t done anything different since being discharged but is still feeling very tired all day- “more than usual”. He says his shortness of breath is worse when lying flat, so he slept in his recliner last night. Charles says he has...