Mr. Woodby, a 37-year-old male, has a productive cough, headache, and complains of chilling. When he arrives at your clinic his vital signs are: temperature 103.2 °F, pulse 86, respirations 22, and blood pressure 146/92. His oxygen saturation is 90%. The healthcare provider has ordered a sputum culture and sensitivity. (Learning Objectives 4, 6, 9,10) 1.When you return to assist Mr. Woodby in obtaining the sputum specimen, he asks why the healthcare provider is ordering this test. How do you respond? 2. Mr. Woodby expresses concern about transmitting his infection to his young children What can you teach him to help

Mr. Woodby, a 37-year-old male, has a productive cough, headache, and complains of chilling. When he arrives at your clinic his vital signs are: temperature 103.2 °F, pulse 86, respirations 22, and blood pressure 146/92. His oxygen saturation is 90%. The healthcare provider has ordered a sputum culture and sensitivity. (Learning Objectives 4, 6, 9,10) 1.When you return to assist Mr. Woodby in obtaining the sputum specimen, he asks why the healthcare provider is ordering this test. How do you respond? 2. Mr. Woodby expresses concern about transmitting his infection to his young children What can you teach him to help

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter23: Vital Signs And Measurements

Section: Chapter Questions

Problem 23.2CS

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Mr. Woodby, a 37-year-old male, has a productive cough, headache, and complains of chilling. When he arrives at your clinic his vital signs are: temperature 103.2°F, pulse 86, respirations 22, and blood pressure 146/92. His oxygen saturation is 90%. The healthcare provider has ordered a sputum culture and sensitivity. (Learning Objectives 4, 6, 9,10) Mr. Woodby, a 37-year-old male, has a productive cough, headache, and complains of chilling. When he arrives at your clinic his vital signs are: temperature 103.2°F, pulse 86, respirations 22, and blood pressure 146/92. His oxygen saturation is 90%. The healthcare provider has ordered a sputum culture and sensitivity. 1.When you return to assist Mr. Woodby in obtaining the sputum specimen, he asks why the healthcare provider is ordering this test. How do you respond? 2. Mr. Woodby expresses concern about transmitting his infection to his young children. What can you teach him to help prevent the spread of his infection?…
Patient Paquito was brought to the hospital accompanied by her wife with a chief complaint of DOB, productive cough. Vital signs: BP 140/90 mmHg , RR 22cpm, PR 90 bpm , Temp: 38.5Patient was seen and examined by Dr. Macabalug and was diagnosed with Asthma. Upon assessment, he is conscious and coherent and has mentioned that he has been experiencing easy fatigability. Upon auscultation, wheezes were noted at the lower chest and still complaining of DOB.According to the him it was his second time to be hospitalized. . He often experience colds, cough, headache and fever. And according to him he has allergies in “malalansang pagkain” such as fish, eggs, chicken, shell fish. He often takes OTC drugs to treat his illness. He was hospitalized last December 2005 due to pain in the chest area and DOB at GFND for a week. He was born in Ilagan, Isabela on the year 1941, he got married at the age of 22 at Ilagan and was blessed with 5 child and 26 grand children. He currently lives at San…
A 6-week-old male was brought into the office with a 2-day history of choking spells following a protracted (10 day) period of cold-like symptoms. The parents reported that now the infant would suddenly start coughing and could not seem to catch his breath. They became concerned today because the infant has also started vomiting shortly after these episodes. Copious mucous accompanies the coughing episodes. Upon examination his pulse and respiratory rates were elevated. His WBC was 15,500/ul with 70% lymphocytes. The nasopharyngeal swab did not grow any pathogens on routine lab culture. 16. The child is suffering from what disease? How do you know (hallmark)? Name two virulence factors for this pathogen leading to tissue damage. Why did the routine lab culture not show any results? (4
A 60-year-old man with a long history of cigarette smoking and chronic obstructive pulmonarydisease is hospitalized with increasing shortness of breath, increasing sputum production, andlow-grade fever over a three-day period. His blood pressure is 100/ 80mmHg, pulse is 110 perminute, respiratory rate is 28 per minute, temperature is 38. 2℃. The patient is mildly cyanotic. The following arterial blood gases were obtained on room air: CaO2max =20ml/dL, CaO2 =15ml/dL, PaO2，= 50mmHg, C(a-v)O2 = 4ml/dL. Questions :1.What is the most appropriate type of hypoxia for this patient?2. What are the common causes of this type hypoxia?3. What are the characteristic alterations of blood O2 in this type hypoxia?4. What is the colour of skin and mucous membranes in this type
Ms. Monstera Peru, 21 year, was brought to the hospital with chief complaint of difficulty of breathing, chest pain, fever and diarrhea. She was admitted with the diagnosis COVID-19 Confirmed. Upon assessment of the admitting nurse, Ms. Peru’s vital signs are as follows: BP = 130/90, PR = 110 bpm, RR = 25 cpm Temperature = 38.9 degrees Celsius. Ms. Peru is using accessory muscle for breathing, have flushed skin and is holding her chest as if massaging it. Ms. Peru, told the nurse that “nahihirapan akong huminga” and “mamatay na baa ko.”
Ms. Monstera Peru, 21 year, was brought to the hospital with chief complaint of difficulty of breathing, chest pain, fever and diarrhea. She was admitted with the diagnosis COVID-19 Confirmed. Upon assessment of the admitting nurse, Ms. Peru’s vital signs are as follows: BP = 130/90, PR = 110 bpm, RR = 25 cpm Temperature = 38.9 degrees Celsius. Ms. Peru is using accessory muscle for breathing, have flushed skin and is holding her chest as if massaging it. Ms. Peru, told the nurse that “nahihirapan akong huminga” and “mamatay na baa ko.” complethe the given table
Ms. Monstera Peru, 21 year, was brought to the hospital with chief complaint of difficulty of breathing, chest pain, fever and diarrhea. She was admitted with the diagnosis COVID-19 Confirmed. Upon assessment of the admitting nurse, Ms. Peru’s vital signs are as follows: BP = 130/90, PR = 110 bpm, RR = 25 cpm Temperature = 38.9 degrees Celsius. Ms. Peru is using accessory muscle for breathing, have flushed skin and is holding her chest as if massaging it. Ms. Peru, told the nurse that “nahihirapan akong huminga” and “mamatay na baa ko.” List 3 Nursing diagnosis, make a Nursing care plan. Present your nursing care plan according to priority.
A 55-year-old man presents to the ED with fever. His wife reports that he is short of breath and has been coughing up brown sputum. The client has no past medical history and is not taking any regular medication. On examination, his vital signs are as follows: AlertTemperature 38CRespiratory rate 26 breaths/min Heart rate 100 beats/minBlood pressure 90/60 mmHgOxygen saturation on room air 94% What is the client's qSOFA score? Question 13 options: a) 0 b) 1 c) 2 d) 3
READ THE FOLLOWING CASE SCENARIO. ANALYZE AND IDENTIFY THE TYPE OF (1) ASSESSMENT NEEDED, (2) THE SUBJECTIVE, AND (3) THE OBJECTIVE DATA OF EACH SCENARIO. CASE SITUATION #1: Phyllis Johnson brings her 2-year-old daughter, Lauren, to the emergency department (ED) with a fever of 103°F. Mrs. Johnson states that Lauren has had a cough and runny nose for the past 2 days and is not sleeping or eating well. Lauren is irritable, tugs at her ear, and says, "my ear hurts." Lauren's old records show that she has been treated three times over the past year for otitis media. CASE SITUATION #2: Mr. Michael is 51 years old. He was admitted two days ago with chest pain. His physician has ordered the following studies: electrocardiogram, chest x-ray, and complete blood studies including blood sugar. These studies were just posted on the chart. When you talk with him, he states, "I feel much better today- no more pain. It is a relief to get rid of the discomfort." You…
23) A patient's anxiety caused her to develop respiratory alkalosis. The nurse instructs the patient to take some slow deep breaths. 1. Explain how anxiety can lead to respiratory alkalosis. 2. What tests can be run to confirm this diagnosis? 3. Explain slow deep breaths would be effective. 4. What is the treatment plan for the patient?
.. A 3-year-old boy, Jessie Jarnes is admitted at 0700hrs for elective adenotonsillectomy on the morning of surgery. Apart from chronic symptoms relating to enlarged tonsils and adenoids he is generally fit, well, alert and communicative Medical history: He has had 2 previous anaesthetics at age of 2 and 3 years old for cautery of nose to treat epistaxis. His mother was instructed that Jessie be nil by mouth (NBM) from 12midnight, but he has had nothing since 1830 his last night. He has been taken to the playroom. where he plays Nintendo with Captain Starlight At 1045hrs Jessie's mother returns him to his room. He is drowsy, confused, cold, clammy, and sweaty. He lies curled up with severe abdominal pain. His mother rings the call bel for the nurse. Q1. What would be your next nursing actions? Q2 Explain the pathophysiological changes that causes the patient fo be cold. clammy, and Sweaty q3. identify and provide rationale for two (2) priority care for this patient?
You obtain a SAMPLE history from the health aide which is as follows: S: Terrible cough x 3 days and a temperature of 101° F. Per the health aide, the patient had reported feeling pain when taking a deep breath when she last saw him. A: Shellfish M: Lisinopril, Aspirin, Ventolin Inhaler and Furosemide. P: Hypertension, Chronic Bronchitis, and an AMI 5 years ago. L: Unknown. The health aide reports he refused to eat during her last visit. E: Unknown During your assessment of his lung sounds, you hear rales and rhonchi bi-laterally in all fields. You obtain a full set of vitals which are: RR: 24 breaths per minute, labored and shallow RR: 120 beats per minute, week and regular BP: 68 by palpation Skins: mottled, cool, and clammy Pupils: PERL (sluggish) SpO2 Reading: 92% 1. What conditions or factors lead you to label the patient as critical? 2. How are you going to manage and care for this patient? 3. Based on the history, what type of shock are you suspecting the patient is…