Edward is a 68-year-old male patient has been admitted for community acquired pneumonia (CAP). Upon arrival
Edward is a 68-year-old male patient has been admitted for community acquired pneumonia (CAP). Upon arrival to the unit, he’s on oxygen via nasal canula. He has shortness of breath on exertion but able to transfer to the bed with minimal assistance. 1. What should the nurse focus on during assessment and what findings do should they expect to see? 2. What ER lab results should the nurse ask about during bedside report? 3. What orders does the nurse expect from the provider? After assessing the patient, the nurse gathers: Edward is AAOx3. SOB noted on exertion and with speaking. He has an occasional productive cough with sputum. Upon assessment, crackles are heard in all lung fields. Skin is warm and dry with a 22g IV in right arm. He voids independently in urinal, and verbalizes understanding of call light and fall precautions. BP 124/62 Sp0O2 92% on NC 2L HR 98 bpm and regular Ht 173 cm RR 20 bpm Wt 61 kg Temp 38.4°C The PA and lateral two-view chest XR findings are consistent with the diagnosis of community acquired pneumonia including lobar consolidations and moderate interstitial infiltrates. CBC results: WBC 14,000 cells/mcLL Bands 10% Neutrophils 60% Eosinophils 2% Basophils 2% Lymphocytes 20% 4. Which nursing interventions would be prioritized at this time? 5. What signs and symptoms should the nurse be aware of and notify the provider about? 6. What additional orders might the nurse anticipate? 7. In regards to the patient’s plan of care, are there any past medical history/background concerns that are prevalent?
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