What are the normal vs parameters for tprbp02

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Assignment:

Case Study

Resident 1: Mrs. Betty Smith

Mrs. Betty Smith is assigned to you at a LTC facility. Mrs. Smith is an 83-year old female who has a history of Chronic Obstructive Pulmonary Disease (COPD). Mrs. Smith is alert and oriented to person, place, time, and situation (A & O x 4), and she is ambulatory with a walker. You are assigned to take her VS which are as follows: Temperature (T) 97.5 ° F, Pulse (P) 110 bpm, Respirations (R) 24 rr, Blood Pressure (BP) 116/64 mmHg, Oxygen Saturation (02) 84%, on 2 liters of oxygen per nasal cannula (2L/NC). She tells you that she feels like she is not getting any oxygen. Answer the following questions based on this scenario.

  1. What are the normal VS parameters for TPRBP02?
  2. Which of Mrs. Smiths' vital signs are not within normal limits (WNL)?
  3. Mrs. Smith's complains of "not getting any oxygen." What are 3 things within your scope of practice that you can do before reporting it and the abnormal VS to the nurse?
  4. Mrs. Smith has COPD. Explain what this condition is and how it might affect her VS.
  5. What are some age-related changes of the respiratory system that might also be affecting Mrs. Smith?

Resident 2: Mr. Howard Johnson

Your next resident for VS is Mr. Howard Johnson. He is a 72-year old male who has a history of hypertension (HTN) and Coronary Artery Disease (CAD). Mr. Johnson is (A & O x 4), and mostly scoots around in his wheelchair to get from his room to the dining room. His VS are as follows: (T) 98.4 °F, (P) 114 bpm, (R) 16 rr, (BP) 170/98 mmHg, (02) 92% RA. While taking his vital signs, he is sweaty, slightly pale, and complains of c/o chest pain. Answer the following questions based on this scenario.

  1. Which of Mr. Johnson's VS are not WNL? What interventions should you do next that is within your scope of practice?
  2. Considering what you noticed about Mr. Johnson while taking his vitals and what you have learned from your cardiovascular lecture, what condition could Mr. Johnson be experiencing?
  3. Mr. Johnson has CAD. Explain this condition and differentiate it from normal age-related changes of the cardiovascular system.

Reference no: EM133272421

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