Question

History: Mr. Dan Griffith is a 65 year old male who presented to the emergency department with shortness of breath and chest tightness of recent onset. He has a 7 year history of COPD and is on oxygen at home. Physical assessment reveals a respiratory rate of 32 and slightly labored, temperature of 98.9, and SpO2 of 86% while on oxygen via nasal cannula at 2 L/min.

Question: Mr. Griffith is admitted to the pulmonary unit with acute exacerbation of emphysema. Six hours after arriving to the floor, you notice that his respiration rate has dropped from 28 to 8 breaths/min. The nurse notes that Mr. Griffith's oxygen is set at 8 L/min via nasal cannula. Which action should the nurse take next and why?

A: Call respiratory therapy to administer an albuterol treatment
B: Auscultate the patients breath sounds
C: Change the nasal cannula to a mask
D: Decrease the rate of oxygen flow

Answer 1

Question: Mr. Griffith is admitted to the pulmonary unit with acute exacerbation of emphysema. Six hours after arriving to the floor, you notice that his respiration rate has dropped from 28 to 8 breaths/min. The nurse notes that Mr. Griffith's oxygen is set at 8 L/min via nasal cannula. Which action should the nurse take next and why?

A: Call respiratory therapy to administer an albuterol treatment
B: Auscultate the patients breath sounds
C: Change the nasal cannula to a mask
D: Decrease the rate of oxygen flow

Solution:-

2(B) : -Auscultate the patients breath sounds

An exacerbation is difficult to diagnose. In this manner first the essential driver of the exacerbations is identified, if conceivable and after that explicit treatment is administered

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