Hesi Case Study Copd with Pneumonia

3494 Words14 Pages
COPD with Pneumonia Jean Flick, RN, MS Meet the Client: Darrel Johnson Darrell Johnson is a 62-year-old who comes to the Emergency Room with a 4-day history of increased sputum production, a change in the character of sputum, increased shortness of breath, and a fever of 101° F. He has a smoking history of 2 packs a day for the past 20 years, and he smoked 1 pack a day prior to that beginning at the age of 14. He reports that he had asthma as a child, and that he has been treated with Albuterol inhalers from time to time as an adult. Mr. Johnson has been hospitalized twice with pneumonia, most recently 2 years ago. Instructions: While taking this case study, all questions must be answered correctly before you will be able to proceed to the next page. For all incorrect answers, select a new response and click the Next button. When all questions have been answered correctly, clicking the Next button will display the next page. Page 1 1. Assessment Physical exam reveals the following: * Vital signs: T 101° F, P 115, R 30, BP 120/80. * Respirations shallow and labored, with use of respiratory accessory muscles. * Increased anteroposterior (AP) diameter of the chest. * Skin dry and warm to touch, with inelastic skin turgor, and fingernail clubbing present. 2. 1. Which assessment is most important for the nurse to complete next? * Auscultate breath sounds. Correct This is the highest priority, since Mr. Johnson is clearly exhibiting respiratory distress. * Determine pupillary response to light. This is not a priority at this time. * Observe for jugular vein distention. This gives information about fluid volume overload. Because of his fever, warm skin, and inelastic skin turgor, Mr. Johnson is more likely experiencing fluid volume deficit. * Palpate pedal pulses. Although this

More about Hesi Case Study Copd with Pneumonia

Open Document