Mr. Woodby, a 37-year-old male, has aproductive cough, headache, andcomplainsof chilling. When he arrives atyour clinic his vital signs are: temperature103.2 °F, pulse 86, respirations 22, andblood pressure 146/92. His oxygensaturation is 90%. The healthcare providerhas ordered a sputum culture andsensitivity. (Learning Objectives 4, 6, 9,10)1.When you return to assist Mr. Woodby inobtaining the sputum specimen, he askswhy the healthcare provider is ordering thistest. How do you respond?2. Mr. Woodby expresses concern abouttransmitting his infection to his youngchildren. What can you teach him to helpprevent the spread of his infection?3.What is the single best way the nurse canprevent the spread of Mr. Woodby'sinfection to other clients at the clinic?

Patient is mr. Woodby . 37 years old male . He has productive cough and also has headache with…

Answered: Mr. Woodby, a 37-year-old male, has a…

Basic Clinical Lab Competencies for Respiratory Care: An Integrated Approach

5th Edition

ISBN:9781285244662

Author:White

Publisher:White

Chapter11: Documentation And Goals Assessment

Section: Chapter Questions

Problem 10SEPT

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A 77-year-old man seeks medical attention because of shortness of breath onminimal exertion. His chest X-ray reveals a right-sided pleural effusion. Theaspirated fluid is straw colored and clear. The protein concentration is low, andthe specific gravity is 1.011(low). Which of the following is the most likely causeof the effusion.A- TuberculosisB- Left ventricular heart failureC- lung cancerD- Pneumonia
A 60-year-old man with a long history of cigarette smoking and chronic obstructive pulmonarydisease is hospitalized with increasing shortness of breath, increasing sputum production, andlow-grade fever over a three-day period. His blood pressure is 100/ 80mmHg, pulse is 110 perminute, respiratory rate is 28 per minute, temperature is 38. 2℃. The patient is mildly cyanotic. The following arterial blood gases were obtained on room air: CaO2max =20ml/dL, CaO2 =15ml/dL, PaO2，= 50mmHg, C(a-v)O2 = 4ml/dL. Questions :1.What is the most appropriate type of hypoxia for this patient?2. What are the common causes of this type hypoxia?3. What are the characteristic alterations of blood O2 in this type hypoxia?4. What is the colour of skin and mucous membranes in this type
Patient Paquito was brought to the hospital accompanied by her wife with a chief complaint of DOB, productive cough. Vital signs: BP 140/90 mmHg , RR 22cpm, PR 90 bpm , Temp: 38.5Patient was seen and examined by Dr. Macabalug and was diagnosed with Asthma. Upon assessment, he is conscious and coherent and has mentioned that he has been experiencing easy fatigability. Upon auscultation, wheezes were noted at the lower chest and still complaining of DOB.According to the him it was his second time to be hospitalized. . He often experience colds, cough, headache and fever. And according to him he has allergies in “malalansang pagkain” such as fish, eggs, chicken, shell fish. He often takes OTC drugs to treat his illness. He was hospitalized last December 2005 due to pain in the chest area and DOB at GFND for a week. He was born in Ilagan, Isabela on the year 1941, he got married at the age of 22 at Ilagan and was blessed with 5 child and 26 grand children. He currently lives at San…
Mr. Woodby, a 37-year-old male, has a productive cough, headache, and complains of chilling. When he arrives at your clinic his vital signs are: temperature 103.2°F, pulse 86, respirations 22, and blood pressure 146/92. His oxygen saturation is 90%. The healthcare provider has ordered a sputum culture and sensitivity. (Learning Objectives 4, 6, 9,10) Mr. Woodby, a 37-year-old male, has a productive cough, headache, and complains of chilling. When he arrives at your clinic his vital signs are: temperature 103.2°F, pulse 86, respirations 22, and blood pressure 146/92. His oxygen saturation is 90%. The healthcare provider has ordered a sputum culture and sensitivity. 1.When you return to assist Mr. Woodby in obtaining the sputum specimen, he asks why the healthcare provider is ordering this test. How do you respond? 2. Mr. Woodby expresses concern about transmitting his infection to his young children. What can you teach him to help prevent the spread of his infection?…
if a patient tests positive for a tb test, why will the physician follow up with a chest x-ray of the patient's lungs?
Mrs. Jones is a 68 yr old woman, alert and oriented, presents to the ED with complaints of chest tightness, shortness of breath and congested cough. States she has been taking cough medicine but has gotten no better.On examination, vital signs are BP 112/72, pulse is 96, respiratory rate 28 and temp of 102.5 F. Oxygen saturation is 92%.What other assessment data would be useful to help understand Mrs. Jones symptoms?Discuss what factors might place patient for risk for pneumonia
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.
1. A 3-year-old girl is brought to the physician by her mother because of a 2-day history of cough and runny nose. She attends a day-care center. The mother says that the patient’s appetite and activity levels are only mildly decreased and that she sleeps through the night. Her temperature is 37.8C (100 F) pulse is 100/min, and respirations are 19/min. Physical examination shows mildly injected conjunctivae, clear nasal discharge, and mild pharyngitis. A throat culture grows viridans streptococci. A heterophile antibody titer is negative. Which of the following is most likely the diagnosis?A. Common ColdB. Infectious mononucleosis c. croup d. pertussis e. streptococcal pharyngitis 2. A 33-year-old woman comes to the physician’s office because of increasing fatigue and shortness of breath over the past 2 years. She has also noted chest pressure with exertion and recently almost fainted while walking. Examination shows increased jugular venous distention, a right ventricular heave,…
Please answer the case study below.Case Study 3:An 18-year-old man with no significant past medical history presented to the emergencydepartment with a history of cough and shortness of breath with exertion, along withsubjective fevers, chills, and rigors. He was noted to be hypoxic (low oxygen saturation level)on examination. The chest X-ray showed bilateral infiltrates in a diffuse butterfly patterninvolving both central lung fields. The patient reported a history of IV drug use, with frequentsharing of needles.Case study presentation should include the following:1. Case2. Patient initials (Ex. 50-year-old man)3. History of the present illness (Symptoms and may include the physical exam of the patient)4. Chief Complaints (Ex. Morning stiffness in his joints for over a year) 5. Diagnosis and Causative agent6. Pathophysiology7. Treatment and Management8. References
1. A previously healthy 25-year-old-woman comes to the emergency department because of a 3-day history of fever, chest pain, and rapidly progressive shortness of breath. Use of an over-the-counter cold medication has not relieved her symptoms. She has no history of serious illness and takes no other medications. Her temperature is 40oC (104o F), pulse is 128/min and regular, respirations are 28/min and blood pressure is 80/54 mm Hg. Physical examination shows jugular venous distention and weak pulses in all extremities. Auscultation of the chest shows diffuse crackles bilaterally, muffled heart sounds, and a soft S2 gallop. After 30 minutes she goes into ventricular fibrillation and cannot be resuscitated. At autopsy, the heart is diffusely pale and floppy with focal petechiae, all chambers are markedly dilated.Histologic examination of cardiac tissue shows a lymphocytic infiltrate and myocardial necrosis. Which of the following infectious agents is the most likely cause these…
why is it necessary for exposure assessments to be accurate?
A child diagnosed with strep throat 3 days ago enters the clinic crying hysterically. The parent tells the practical nurse (PN) that the child screams in pain even with a light touch. The child is short of breath and anxious. Which manifestations warrant immediate intervention by the PN? A Red, hot, and swollen joints. B Pulse oximetry of 88% 02 saturation. C Slightly raised rash with ragged edges. D Heart rate 110 beats/minute.

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