HESI CASE STUDY -
COPD with
Pneumonia Darrell
Johnson LATEST
2024 QUESTIONS
AND CORRECT
DETAILED ANSWERS
WITH RATIONALES
|ALREADY GRADED
A+
Which assessment is most important for
the nurse to complete next? - ANSWERAuscultate breath sounds
highest priority because of respiratory
distress
Which assessment finding supports Mr.
Johnson's diagnosis of pneumonia? -
ANSWER-Pulse rate of 110
tachycardia is consistent with an
infectious process. Fever and Rapid RR
are vital sign finding indicate a problem,
such as an infection.
Based on these ABG results, which acid
base imabalance is Mr. Johnson
experiencing?
ph 7.25 low
PCO2 58
HCO2 26 low
PO2 87 - ANSWER-Respiratory acidosis
Which nursing diagnosis has the highest
priority when planning care for Mr.
Johnson? - ANSWER-Ineffective airway
clearance
adventitous breath sounds present,
tachypnea, changes of respirations,
fever, cough, which support this as
priority diagnosis. Additional priority dx
impaired gas exchange and ineffective
breathing pattern is supported by his
tachypnea, use of accessory muscles and
changes in the depth of respirations.
Which nursing action should be
implemented before administering the
prescribed Levaquin? - ANSWER-Obtain
a sputum culture
The Levaquin 500mg IVPB is supplied in
100mL of D5W to be delivered over
60min at 22gtt/min. The nurse should
set the IV pump at how many gtt/min
per hour? - ANSWER-100ml x 22 gtt
----------------------- = 36 gtt/min
60 min
The Levaquin 500mg IVPB is supplied in
100mL of D5W to be delivered over
60min at 20gtt/min. The nurse should
set the IV pump at how many gtt/min
per hour? - ANSWER-33
V x gtt factor/time (minutes)
100 mL x 20 min/60 min = 33.33 (33
rounded to whole number
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