Identify 1 nursing problem based on the case given. 3. What could be a possible treatment that can help relieve the symptoms presented by the client.
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A 60 year old male comes to the Emergency Room because of shortness of breath. He informed the nurse that over the last 2 years he experiences out breath during exertion and it is gradual, and it has been a worse for the past week, including a worsening productive cough. During interview he reveals that he coughs almost every morning as well, and this has been going on for even longer, perhaps 4-5 years. The cough is now productive of yellowish-brownish sputum.
Vital Signs : BP:140/90 mmHg, HR:100, RR: 29 bpm, Temp:36.9, O2 Sat: 93% vial Nasal Cannula 4 lpm.
1. Bases of the case given, What symptom/s would indicate the client is having COPD? Give at least 3.
2. Identify 1 nursing problem based on the case given.
3. What could be a possible treatment that can help relieve the symptoms presented by the client.
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- Mr. Whaley is a 65-year-old man with a history of COPD who presents to his primary care provider’s (PCP) office complaining of a productive cough off and on for 2 years and shortness of breath for the last 3 days. He reports that he has had several chest colds in the last few years, but this time it won’t go away. His wife says he has been feverish for a few days, but doesn’t have a specific temperature to report. He reports smoking a pack of cigarettes a day for 25 years plus the occasional cigar. Upon further assessment, Mr. Whaley has crackles throughout the lower lobes of his lungs, with occasional expiratory wheezes throughout the lung fields. His vital signs are as follows: BP 142/86 mmHg HR 102 bpm RR 32 bpm Temp 102.3F SpO2 86% on room air The nurse locates a portable oxygen tank and places the patient on 2 lpm oxygen via nasal cannula. Based on these findings, Mr. Whaley’s PCP decides to call an ambulance to send Mr. Whaley to the Emergency Department (ED). While waiting…Mr. Whaley is a 65-year-old man with a history of COPD who presents to his primary care provider’s (PCP) office complaining of a productive cough off and on for 2 years and shortness of breath for the last 3 days. He reports that he has had several chest colds in the last few years, but this time it won’t go away. His wife says he has been feverish for a few days, but doesn’t have a specific temperature to report. He reports smoking a pack of cigarettes a day for 25 years plus the occasional cigar. Upon further assessment, Mr. Whaley has crackles throughout the lower lobes of his lungs, with occasional expiratory wheezes throughout the lung fields. His vital signs are as follows: BP 142/86 mmHg HR 102 bpm RR 32 bpm Temp 102.3F SpO2 86% on room air The nurse locates a portable oxygen tank and places the patient on 2 lpm oxygen via nasal cannula. Based on these findings, Mr. Whaley’s PCP decides to call an ambulance to send Mr. Whaley to the Emergency Department (ED). While waiting…A 7-year-old boy comes to the clinic with a chronic cough. His mother reports he has a cough most of the day and sometimes 2 or 3 nights a month. This has happened off and on for 1 year but worse in the Spring. He also coughs when he plays sports. After numerous lab and diagnostic studies, he was diagnosed with asthma. His personal best with a peak flow meter is 200. Detailed Soap note needed with Icd code and reflection of the dx and why the treatments and the dx were made
- Mr. Whaley is a 65-year-old man with a history of COPD who presents to his primary care provider’s (PCP) office complaining of a productive cough off and on for 2 years and shortness of breath for the last 3 days. He reports that he has had several chest colds in the last few years, but this time it won’t go away. His wife says he has been feverish for a few days, but doesn’t have a specific temperature to report. He reports smoking a pack of cigarettes a day for 25 years plus the occasional cigar. Upon further assessment, Mr. Whaley has crackles throughout the lower lobes of his lungs, with occasional expiratory wheezes throughout the lung fields. His vital signs are as follows: BP 142/86 mmHg HR 102 bpm RR 32 bpm Temp 102.3F SpO2 86% on room air The nurse locates a portable oxygen tank and places the patient on 2 lpm oxygen via nasal cannula. Based on these findings, Mr. Whaley’s PCP decides to call an ambulance to send Mr. Whaley to the Emergency Department (ED).…13) A 55-year-old man presents with an irntant dry cough with persistent bloody sputum for 2 months. No history of fever and expectoration. Physical examination showed no cyanosis, but clubbing fingers (toes) were obvious. The most likely diagnosis is () A Chronic lung abscess B Bronchiectasis C Invasive tuberculosis D bronchial lung cancer E Pneumococcal pneumoniaA 5-month-old girl is brought to the emer- gency department by her parents because she is “turning blue." She is cyanotic, weak, and dyspneic. Her parents state that she has expe- rienced similar episodes in the past, but never this severe. Physical examination reveals the lungs are clear to auscultation, with no wheez- ing, rales, or rhonchi. Cardiac examination reveals a regular rate and rhythm, normal S1, single S2, a grade III rough systolic murmur at the left sternal border in the third intercos- tal space, and a palpable right ventricular lift. Echocardiography demonstrates unusual posi- tioning of the aorta, which overrides both the left and right ventricles in the long axis view. In this condition, the primary developmental defect occurs in which portion of the primitive heart? (A) Bulbus cordis (B) Conal septum (C) Left and right horns of the sinus venosus (D) Primitive atria (E) Primitive ventricle
- . Howard Long, 50 years of age, is a male patient diagnosed with bronchiectasis. He has smoked 1 pack per day of cigarettes for 35 years. He has a long history of recurrent bronchial infections. He has a chronic productive cough with copious amounts of purulent sputum. The patient complains that he is short of breath, even at rest. He has clubbing of his fingers. The chest CT scan reveals bronchial dilation. (Learning Objectives 2, 5, and 6) a.How should the nurse explain to the patient and family the pathophysiology of bronchiectasis as it is related to the symptoms the patient is experiencing? b.How should the nurse explain to the patient and family the goals of medical management that may be used to treat bronchiectasis? c.What does the nursing management for bronchiectasis entail?4. Male patient Howard Long, 50 year of age , has been identified as having bronchiectasis. For 35 years, he smoked one pack of cigarettes per day. He's had recurrent bronchial infections for a very long time. He constantly produces a lot of purulent sputum while coughing. Even when at rest, the patient laments being out of breath. The tips of his fingers are clubbed. Bronchial dilatation can be seen on the chest CT scan. (Learning Objectives 2, 5, and 6) a.How should the nurse explain to the patient and family the pathophysiology of bronchiectasis as it is related to the symptoms the patient is experiencing? b.How should the nurse explain to the patient and family the goals of medical management that may be used to treat bronchiectasis? c.What does the nursing management for bronchiectasis entail?A 29-year-old previously healthy female presented with a productive cough, fever to 102 oF, and severe headache. She had cervical adenopathy (swollen glands), although she had a nonerythematous throat with no exudate. Chest examination showed crackles bilaterally at the lung base with decreased breath sounds diffusely. This finding was confirmed by chest film that showed bilateral multifocal areas of patchy consolidation. Her neck was not stiff, but because of the severity of the headache, she was admitted to the neurologic service. A spinal fluid was obtained and was negative for bacteria, cryptococcus, and acid-fast smear. Blood cultures and sputum cultures did not produce a pathogen. The patient did not improve on ceftriaxone. On day 3 she was started on erythromycin. On day 4, cold agglutinins were done and were positive. The patient gradually improved although the headache, photophobia, and cough continued for some time QUESTIONS: 1. What is the agent of this disease?…
- A 30-year-old man is brought to the emergency department with a knife wound to the chest. On visual inspection, asymmetry of chest movement during inspiration, displacement of the trachea, and absence of breath sounds on the side of the wound are noted. His neck veins are distended, and his pulse is rapid and thready. A rapid diagnosis of tension pneumothorax is made. Discuss the pathogenesis of pneumothorax21. A 70-year-old man is brought to the emergency department because of a 3-day history of fever and progressive shortness of breath. He also has a history of cough productive of yellow sputum that has recently become thick and green. He has smoked 1 to 2 packs of cigarettes daily for 40 years. His temperature is 40°C (104°F), and respirations are 22/min. Physical examination shows decreased breath sounds. A chest x-ray shows right lower lobe infiltrates surrounding a 3-cm, rounded lesion containing an air-fluid level. Which of the following immune cell activities most likely predominates in the center of this lesion? A) B-lymphocyte antibody production B) Macrophage free-radical generation C) Natural killer cell-mediated killing D) Segmented neutrophil acid hydrolase activation E) T-lymphocyte perforin synthesis WA 21-year-old man with a past medical history of asthma presented with acute worsening shortness of breath overnight with no identifiable trigger. The patient had experienced this symptom for three weeks although less severe initially. He also stated that the symptom was accompanied by cough, chest tightness, and pain across the anterior chest but could not clearly describe the characteristics of the pain. The difficult breathing was worsened with lying flat. He denied any history of smoking. On initial presentation, his vital signs included a temperature of 36.7°C, a blood pressure of 119/83 mmHg, a heart rate of 105 beats/min, respiratory rate of 18 breaths/min, and an oxygen saturation of 97% on room air. The patient was 170.2 cm tall and weighed 57.2 kg and BMI of 19.79 kg/m2. Physical examination revealed a distressed and ill-appearing male. Cardiopulmonary examination was notable for tachycardia, tachypnea, and decreased breath sounds in both upper lung fields. Laboratory results…