In the ED a 60-year-old man tells the triage nurse that he has limited insurance and does not have a primary provider be

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In The Ed A 60 Year Old Man Tells The Triage Nurse That He Has Limited Insurance And Does Not Have A Primary Provider Be 1 (92.34 KiB) Viewed 70 times

In The Ed A 60 Year Old Man Tells The Triage Nurse That He Has Limited Insurance And Does Not Have A Primary Provider Be 2 (61.64 KiB) Viewed 70 times

In the ED a 60-year-old man tells the triage nurse that he has limited insurance and does not have a primary provider because he lost his job 3 years ago. He presents with a chief complaint of increased shortness of breath and a change in the quantity and color of his sputum. He says he was diagnosed with COPD 6 years ago, but continues to smoke 2 packs per day. He says he usually has little sputum in the morning and that it is clear, but in the last week it has become yellow in color, continues all day, and is difficult to cough out. Heis dyspneic at rest while sitting on the examination table and has difficulty completing a sentence without taking a breath. When asked if he has been on any medications, he told the nurse that he received an inhaler "for breathing" at the free clinic but that ran out a month ago. He does not know the name of the medication but it did help him breathe better a What are your focused priorities with this patient? For instance, what additional questions would you ask him? b. What are some of the physical examination findings you might observe or assess? c. What other tests might be ordered to continue to evaluate this patient and why? After 2 days on the medical surgical unit, the nurse enters the room to find him confused, dyspneic, vital signs are as followed HR 126 BP 108/76 SpO2 87% RR 34 T 98.7 F d. What would your next steps be and why? e. What prescriptions would you expect the provider to order? The results are in! Your patient require intubation based on their current status. The patient is transferred to critical care and placed on a ventilator
Loirinersive Reader Open a What are your focused priorities with this patient? For instance, what additional questions would you ask him? b. What are some of the physical examination findings you might observe or assess? c. What other tests might be ordered to continue to evaluate this patient and why? After 2 days on the medical surgical unit, the nurse enters the room to find him confused, dyspneic, vital signs are as followed:HR 126 BP 108/76 SpO2 87% RR 34 T 987 F. d. What would your next steps be and why? e. What prescriptions would you expect the provider to order? The results are in! Your patient require intubation based on their current status. The patient is transferred to critical care and placed on a ventilator. f. As the oncoming nurse, what is your priority assessment and why? g. What other assessments will need to be done regarding the mechanical ventilator? h. What complications is the patient at risk for? 7 d. As part of an interprofessional team, who should the nurse contact to ensure the patient is receiving the care they require throughout their stay?