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{"id":191336,"date":"2021-12-22T12:32:56","date_gmt":"2021-12-22T12:32:56","guid":{"rendered":"https:\/\/nursingwritershelp.com\/?p=191336"},"modified":"2021-12-22T12:32:56","modified_gmt":"2021-12-22T12:32:56","slug":"discussion-post-answer-please-see-case-study-and-answer-the-9-question-using-the-data-provided-4","status":"publish","type":"post","link":"https:\/\/nursingwritershelp.com\/discussion-post-answer-please-see-case-study-and-answer-the-9-question-using-the-data-provided-4\/","title":{"rendered":"Discussion Post Answer. Please See Case Study And Answer The 9 Question Using The Data Provided."},"content":{"rendered":" <\/p>\n
Patient Profile<\/p>\n
Mr. Artuso is a 63-year-old electrician who came to the emergency department complaining of shortness of breath, morning cough, and swelling in his lower extremities.<\/p>\n
Subjective Data<\/p>\n
Has smoked one pack of cigarettes daily for over 30 years<\/p>\n
Has difficulty breathing when he walks<\/p>\n
Has been sleeping in a recliner to make it easier to breathe<\/p>\n
His shoes are tight at the end of the day<\/p>\n
Objective Data<\/p>\n
Physical Examination<\/p>\n
Blood pressure 125\/90, pulse 90, temperature 98.4\u00b0 F, respirations 32<\/p>\n
Increased anterior-posterior diameter<\/p>\n
Breath sounds diminished with prolonged expiration<\/p>\n
2+ peripheral edema bilateral lower extremities<\/p>\n
Thin with muscle wasting<\/p>\n
Respirations labored<\/p>\n
Diagnostic Studies<\/p>\n
Arterial blood gases: pH 7.32, SaO2 86%, PaCO2 55 mm Hg, PaO2 70 mm Hg<\/p>\n
Chest x-ray shows hyperinflation of lungs<\/p>\n
FEV1 65%<\/p>\n
Question 1<\/p>\n
What in Mr. Artuso\u2019s history is commonly associated with pulmonary problems?<\/p>\n
Question 2<\/p>\n
Interpret Mr. Artuso\u2019s arterial blood gases.<\/p>\n
Question 3<\/p>\n
What is a likely medical diagnosis for Mr. Artuso?<\/p>\n
Question 4<\/p>\n
What assessment data and diagnostic study results led you to this diagnosis?<\/p>\n
Question 5<\/p>\n
What complication associated with this diagnosis does Mr. Artuso also have? What clinical manifestation led you to that and what is the cause of it?<\/p>\n
Question 6<\/p>\n
What are the priority nursing diagnoses for Mr. Artuso at this time?<\/p>\n
Question 7<\/p>\n
What interventions are indicated for Mr. Artuso and what outcome is expected for each intervention?<\/p>\n
Question 8<\/p>\n
As part of patient teaching, is it \u201ctoo late\u201d to encourage Mr. Artuso to stop smoking? Why?<\/p>\n
Question 9<\/p>\n
What other teaching needs would you review with Mr. Artuso while he is hospitalized?<\/p>\n \n