A 58-year-old client with severe chronic obstructive pulmonary disease (COPD) developed an increased cough and dyspnea o

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A 58 Year Old Client With Severe Chronic Obstructive Pulmonary Disease Copd Developed An Increased Cough And Dyspnea O 1 (51.49 KiB) Viewed 50 times

A 58-year-old client with severe chronic obstructive pulmonary disease (COPD) developed an increased cough and dyspnea over the past week. Current client findings include: Lethargic but responds appropriately to direct questions • Vital signs: heart rate = 89 beats/min, respirations = 28 breaths/min, BP = 144/68 mm Hg, oxygen saturation : 85% (on room air (RA) • Wheezes present throughout bilateral lung fields Arterial blood gas (ABG) results: pH = 7.34, Paco,- 55 mm Hg, Pao - 68 mm Hg, HCO - 30 mEq/L (30 mmol/L) The nurse consults with the registered nurse and primary health care provider to develop a coordinated plan of care, which includes: Bi-level positive airway pressure (BiPAP) therapy Albuterol nebulizer Supplemental oxygen, 2 L/min After implementing care, the nurse reassesses the client. For each client finding, indicate if the client's condition has improved, has not changed, or has declined. Place an X in the appropriate space. Assessment Finding Improved Not Changed Declined Pao = 75 mm Hg Stuporous Lung fields clear throughout Paco = 65 mm Hg BP = 145/66 mm Hg