Marjorie McDonald, a 74 year-old female, was admitted to the Emergency Department at 4pm with severe breathlessness. She

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Marjorie
McDonald, a 74 year-old female, was admitted to the Emergency Department at 4pm with severe breathlessness. She
has been diagnosed with chronic obstructive
pulmonary disease 5 years ago. Mrs McDonald has had increasing
shortness of breath, productive cough and fever for the last 7
days. Her GP commenced her on oral antibiotics and prednisone
4 days ago. On admission to the Emergency Department the
clinical manifestations were:
A diagnosis of Acute Infective Exacerbation of Chronic
Obstructive Pulmonary Disease is made.
Question:
Explain in an oral presentation the underlying pathophysiology
of ONE of the clinical manifestations
that Mrs McDonald has presented with
AND
Describe ONE high priority nursing intervention you would do to
improve the clinical manifestation.