C.M. is a 69-year-old female who presents to the emergency department with shortness of breath. Subjective data:PMH: HTN, hypothyroidSudden onset shortness of breathDenies chest pain but reports chest tightness and coughCurrent smoker, 1 pack a day for 50 years Objective data:Vital signs: T 37 C, P 92, R 18, BP 144/64Lungs: + inspirational wheeze upper and lower lobes, bilaterallyO2 sat = 90%Skin cool to touchCV = heart rate regular, positive peripheral pulsesNose = + erythema, clear dischargeThroat = erythema Medications: metoprolol 12.5 mg per day, Synthroid 0.50 mcg once per day QuestionsWhat other questions should the nurse ask about the shortness of breath?What other assessments are necessary for this patient?What are some of the causes of shortness of breath?Develop a problem list from objective and subjective data.What should be included in the plan of care?What risk factors are associated with this age group?Based on the readings, what is the most likely cause of shortness of breath for this patient?

Questions nurse should ask about the shortness of breathing: Specific questions about the impact of…

Answered: C.M. is a 69-year-old female who…

Basic Clinical Lab Competencies for Respiratory Care: An Integrated Approach

5th Edition

ISBN:9781285244662

Author:White

Publisher:White

Chapter18: Bronchoscopy Assisting

Section: Chapter Questions

Problem 1SEPT

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C.M. is a 69-year-old female who presents to the emergency department with shortness of breath.

Subjective data:

PMH: HTN, hypothyroid
Sudden onset shortness of breath
Denies chest pain but reports chest tightness and cough
Current smoker, 1 pack a day for 50 years

Objective data:

Vital signs: T 37 C, P 92, R 18, BP 144/64
Lungs: + inspirational wheeze upper and lower lobes, bilaterally
O₂ sat = 90%
Skin cool to touch
CV = heart rate regular, positive peripheral pulses
Nose = + erythema, clear discharge
Throat = erythema

Medications: metoprolol 12.5 mg per day, Synthroid 0.50 mcg once per day

Questions

What other questions should the nurse ask about the shortness of breath?
What other assessments are necessary for this patient?
What are some of the causes of shortness of breath?
Develop a problem list from objective and subjective data.
What should be included in the plan of care?
What risk factors are associated with this age group?
Based on the readings, what is the most likely cause of shortness of breath for this patient?

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