What is the potential cause for john coming to the ed

Reference no: EM133228157

John, a 50-year-old Caucasian man, comes to the emergency department with worsening dyspnea, fever, cough, and increased purulent sputum production. He is accompanied by his sister, who says John has been experiencing shortness of breath, feeling fatigued, and has not been thinking clearly.

His sister states that John has had a cold for the past three days, which he tried to manage with Tylenol.

According to past medical history, John has been a smoker for 30 years and has quit one year ago when he was diagnosed with stage II (moderate) chronic obstructive pulmonary disease. Since being diagnosed, John has been taking salbutamol PRN and tiotropium bromide (Spiriva) daily. He has no other medical conditions, and no known allergies.

Upon physical examination, the nurse notes John's vital signs are:

Blood pressure - 130/84

Respiratory rate - 28/min

Heart rate - 110/min

Oxygen saturation - 87%

Temperature - 38.1ºC

The client is using accessory muscles to breathe, has audible expiratory wheezing and inspiratory crackles, and diminished breath sounds in lower lobes upon auscultation.

Question 1: What is the potential cause for John coming to the ED?

Question 2: What body stance/position do you expect John to be in?

Question 3: What are some of the medications that John is likely to be given specific to his admission diagnosis?

Question 4: What are some of the nursing actions that will most likely be ordered?

Question 5: John asks the nurse, "I quit a year ago, how come this happened to me?" What would be the nurse's response?

Question 6: What client-teaching can the nurse implement when John is ready to be discharged?

Reference no: EM133228157

Questions Cloud

Eliminating inter company gains and losses : An affiliated group of corporations may elect to be taxed as a single unit, thereby eliminating intercompany gains and losses.

What potential barriers do you see to implementation : what potential barriers do you see to implementation of practum project of the adolescent population in the school setting. How could you plan to overcome them?

Role of hormones : In this discussion you will look at the role of hormones. Consider how hormones work in the body.

Business to managing sales-inventory and expenses : Finance is the backbone of any business. From raising capital to start a business to managing sales, inventory and expenses.

What is the potential cause for john coming to the ed : What is the potential cause for John coming to the ED and What body stance/position do you expect John to be in?

Dscribe how social worker served in role of case manager : Review "Case Study: Sarah," found in the course text. Describe how the social worker served in the role of case manager for Sarah

How can standardized terminologies integrate knowledge : How can standardized terminologies (or an agreed-upon single terminology) integrate knowledge into routine clinical practice in future systems?

Identify one healthcare-related issue : Identify one healthcare-related issue that affects your current nursing practice and discuss a plan for your participation/role as a BSN nurse in the political

How are things being exchanged and transported : Where might you find these and what is being exchanged and transported? How (in general) are things being exchanged and transported?

User Account

All Pages