A 58-year-old male patient came to the ER with the following chief complaints: “I can only walk about 50 steps before I become short of breath”. “I use 2 pillows at night to help me breathe.” Absent cough. Diminished breath sounds in bilateral lower lobes. BP 140/70 mmhg, RR 24 cpm, Temp. 98F 02 saturation 92%. Patient is a known chronic smoker with history of Chronic Obstructive Pulmonary Disorder. Patient was admitted and was hooked to oxygen support at 2 liters per minute via nasal cannula. He was also instructed to use Incentive Spirometer, 10 times every hour during waking hours only. Aside from the initial nursing diagnosis identified, identify another actual problem that the patient may also be experiencing. Devise a teaching plan to address the client’s problem.

Basic Clinical Lab Competencies for Respiratory Care: An Integrated Approach
5th Edition
ISBN:9781285244662
Author:White
Publisher:White
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A 58-year-old male patient came to the ER with the following chief complaints: “I can only walk about 50 steps before I become short of breath”. “I use 2 pillows at night to help me breathe.” Absent cough. Diminished breath sounds in bilateral lower lobes. BP 140/70 mmhg, RR 24 cpm, Temp. 98F 02 saturation 92%. Patient is a known chronic smoker with history of Chronic Obstructive Pulmonary Disorder. Patient was admitted and was hooked to oxygen support at 2 liters per minute via nasal cannula. He was also instructed to use Incentive Spirometer, 10 times every hour during waking hours only.

  1. Aside from the initial nursing diagnosis identified, identify another actual problem that the patient may also be experiencing. Devise a teaching plan to address the client’s problem.
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