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A patient family is providing information to the nurse who is admitted to the Intensive Care Unit (ICU). The patient has been having shortness of breath and a sudden onset of confusion. The patient is diagnosed with pneumonia. Upon physical examination the respiration rate is 27 breaths/min and he is using his accessory muscles for breathing. Lung sounds are course crackles in the bases when auscultated and mucus membranes are pale. The physician ordered an ABG. The ABGs are PaO2 65mm Hg; PaCO2, 33 mm Hg; HCO3 23mEq/L; and pH 7.47.
Interpret the patient ABG.
Explain some of the difference in the respiratory assessment for an older patient and provide rationales.
Provide rationales as to why crackles would be heard when auscultating lung sounds.
What are some labs and diagnostic test should be anticipated by the nurse; please provide rationales?
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