Question
The patient’s vital signs are as follows:
HR: 128 bpm, regular, and bounding
RR: 8 rpm, irregular, shallow, labored
BP: 148/92 mmHg
SpO2: 88% on room air
Pupils: PERRLA
Skin: cool, pale, diaphoretic
Lung sounds: bilaterally present
BGL: 90
What are your impressions of the patient’s presentation? What is your field diagnosis? What treatments and medications would you give and how? If you would withhold medications or treatments, explain why. Describe how you would care for this patient in as much detail as possible and explain your thought process.
Expert Solution
This question has been solved!
Explore an expertly crafted, step-by-step solution for a thorough understanding of key concepts.
Step by stepSolved in 2 steps
Knowledge Booster
Similar questions
- Ben, a 36-year-old male, arrives in the Emergency Department (ED) after a motor vehicle accident. His abdomen is rigid, and he has multiple contusions and lacerations.Telemetry strip:Vital signs: Heart Rate- 150bpm, Respiration Rate- 30bpm, Blood Pressure (BP)- 80/40 mmHg, SaO2- 96% on Room AirLab values: Haematocrit- 29.2 % (N: 42- 52 % male), Haemoglobin- 80 g/L (N: 140-180 g/dL male), White Blood Count- 6 X 109 g/L (N: 6 to 22 X 109 g/L), Platelets- 80 X 103 /mcL (N: 150 × 103 to 450 × 103/mcL). All other lab values are within normal range.Q1. Identify two (2) priority problems you will address for Ben Q2. Discuss with rationale two (2) nursing interventions for each of the priority problem that you have identified abovearrow_forwardIt has been determined from the laparotomy that Mr Johns has a haemorrhage. Provide details of the nursing care required for someone that has haemorrhaged in the acute setting following surgery. You should provide a minimum of 4 nursing care requirements for Mr Johns (easy and simple)arrow_forwardA nurse is caring for a preschooler on the pediatric unit. Exhibit 1 Provider Prescriptions Day 1, 2350: Admit for observation. Obtain vital signs every 4 hr and PRN. Administer oxygen 2 L/min via nasal cannula to maintain oxygen saturation above 95%. Initiate saline lock. Administer ceftriaxone 250 mg IV every 12 hr. Administer acetaminophen oral suspension 240 mg every 4 hr PRN for temperature greater than 38° C (100.4° F). Place on regular diet and encourage oral fluids of preschooler's choice. Monitor intake and output every 8 hr. Exhibit 2 Assessment Day 2, 0030: Preschooler lying on bed, awake and alert. Breath sounds with wheezing auscultated on expiration on the right side. Nonproductive cough with no retractions or nasal flaring observed. Abdomen soft and nondistended, bowel sounds active in all four quadrants. Preschooler reports headache and pain in abdomen. Rates pain in abdomen as a 2 on a 0 to 10 FACES pain scale. Exhibit 3 Vital Signs Day 2, 0030: Temperature 38.1°…arrow_forward
- A patient with sharp chest pain has observations: Respiratory rate 24, spo2 93, heart rate 115 blood pressure 100/60, what should be the nursing and pharmacological interventions and considerations needed to be done? as well as what assessments should be performed?arrow_forwardA patient admitted to an acute care facility with pneumonia is receiving supplemental oxygen, 2 L/ minute via nasal prongs. The patient’s history includes chronic obstructive pulmonary disease (COPD) and coronary artery disease (CAD), because of these history findings ,the Nurse closely monitors the oxygen flow and the patient's respiratory status Explain the pathophysiology of Chronic Obstructive Pulmonary Disease (COPD) Which complication may arise if the patient receives a high oxygen concentration? List two (2) nursing Interventions with rationales for this patient mark for each nursing intervention 2 marks for each rationalearrow_forwardClient number 1: 50-year old male who had a heart attack and stent placed with normal vital signs Client number 2: 46-year-old female with full-thickness burns to the leg who needs to have dressings changed Client number 3: 33-year-old male firefighter who has fallen and broken his right femur after surgery with pain in his leg Client number 4: 18-year-old male with wheezing and labored respirations unrelieved by an inhaler Client number 5: 74-year-old female with new onset dementia awaiting lab results Client number 6: 52-year-old female who has been recently diagnoses with diabetes type 2 and is getting discharged List the clients and care from the highest to lowest priorityarrow_forward
- Match the descriptions with the correct heart chamber. contains high oxygenated blood which as just returned from the lungs contains low oxygenated blood which as just returned from the body contains high oxygenated blood that is being pumped out into the systemic circuit contains low oxygenated blood that is being pumped out into the pulmonary circuit pulmonary veins are attached to this chamber the pulmonary trunk is attached to this chamber the aorta is attached to this chamber the vena cavas are attached to this chamber houses the papillary muscles and the chordae tendinaea that are attached to the mitral valve houses the papillary muscles and the chordae tendinaea that are attached to the tricuspid valve blood leaving this chamber must travel thorough the bicuspid valve blood leaving this chamber must travel thorough the right atrioventricular valve blood…arrow_forwardA 67yo male is admitted to the unit with a dx of CHF. Pt states, “I get short of breath before I’m able to make it up one flight of stairs to my room.” He also reports having to take frequent breaks while doing everyday activities. During your assessment you observe his skin to be pale pink, with swelling in his hand and feet. You also notice pt leaning forward in the bed to breathe with labored breath sounds.arrow_forwardnurse intervention for Mr. Reddy is a 62 yo presenting to ED at 1500hrs. He was preparing the gas cylinder for a Sunday BBQ when it suddenly exploded while he was trying to connect the hose. Family standing by tried to extinguish the fire with their hands and tried to remove his clothing. Burns 30% TBSA – Face, hands, bilateral lower limbs. Complaints of severe pain and burning 10/10. Past Medical History: Hypertension, Type II DM Regular medications – Candesartan 8mg, Glimepiride 4mg, Metformin 500mg and Pravastatin 20mg. Fully vaccinated against COVID.arrow_forward
- Explain well with proper answer.arrow_forwardWhat clinical manifestation would the nurse expect to find in a client who is experiencing anaphylaxis? Dilated bronchioles, constriction of peripheral blood vessels, decreased capillary permeability. Asthma, deep vein thrombosis, encephalopathy Narrowing of the bronchioles, dilation of the peripheral blood vessels, increased capillary permeability. Left-sided heart failure, pulmonary embolism, urinary tract infection.arrow_forwardWhich nursing interventions would be appropriate for clients who have absent breath sounds because of suffocation due to smoke inhalation during a fire ? Select all that apply. One, some, or all responses may be correct. Using the jaw-thrust maneuver Preparing to intubate Removing or suctioning any foreign bodies Preparing for needle thoracostomy and chest tube insertion Inserting oropharyngeal or nasopharyngeal airway, endotracheal tube, and cricothyroidotomyarrow_forward
arrow_back_ios
SEE MORE QUESTIONS
arrow_forward_ios