subject
Medicine, 19.05.2020 20:13 ariel8308

Joe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a history of COPD. Today, he presents to the emergency department in respiratory distress with retracting respirations of 26 breaths/min, BP is 154/76 mm Hg, pulse is 120 beats/min, and temperature is 37°C. His skin color is pale gray, his chest is barrel-shaped, and he uses accessory muscles to breathe; he appears anxious and is sitting in a tripod position. His nail beds are bluish in color; his oxygen saturation by pulse oximetry is 72%. Chest auscultation reveals wheezes and decreased-to-absent breath sounds in bilateral bases. Hyperresonance is noted upon chest wall percussion. Chest x-ray showed atelectasis bilaterally in the bases. Mr. Ritter coughs with minimal amounts of clear sputum. A 12-lead ECG recorded his heart rate as 140 beats/min, rapid, and irregular with an interpretation by the physician as atrial fibrillation. Upon further exam, the left lower extremity is edematous warm and tender to touch. Determine:1. What subjective and objective data can the nurse gather from the information available about Mr. Ritter in the given scenario? 2. What questions would you ask Mr. Ritter during the interview portion of the health assessment related to his symptoms, SOB, chest pain, cardiac rate and rhythm? 3. What findings from the given scenario represent abnormal objective data?

ansver
Answers: 3

Another question on Medicine

question
Medicine, 03.07.2019 19:10
Characteristics of moderate sedation include: a. difficult arousal b. independent and continuous maintenance of a patent airway c. no experienced amnesia d. hemodynamic instability
Answers: 2
question
Medicine, 09.07.2019 19:20
Just how far should an employee go with loyalty? are there boundaries?
Answers: 3
question
Medicine, 09.07.2019 20:10
Why do you think people write one way and speak to people a different way?
Answers: 3
question
Medicine, 09.07.2019 20:10
Mrs. h, age 42 years, is experiencing severe rheumatoid arthritis in her wrists, fingers, and knees. the joints are quite inflamed, red, and swollen. she is sitting rigidly in a chair and refuses to put on a sweater, even though she is shivering, or let anyone touch her arms. she has been prescribed an analgesic and an anti-inflammatory drug, but her dose is not due for another hour. she is feeling nauseated, so she has not eaten for the past 8 hours. based on patient history and the signs and symptoms, discuss how the effects of pain are exacerbating her condition.
Answers: 1
You know the right answer?
Joe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a history of CO...
Questions
question
Mathematics, 06.11.2021 05:50
question
History, 06.11.2021 06:00
question
Mathematics, 06.11.2021 06:00
Questions on the website: 13722361