CASE STUDY - MedSurge - COPD w/
Pneumonia - Darrell Johnson LATEST
UPDATED 2024-2025 FINAL EXAM
WITH COMPLETE DETAILED
QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH RATIONALES ALREADY
A+ GRADED
62M comes to ED w/a 4 day history of
increased sputum production, change in
character of sputum, increased SOB, and
fever 101F. History of smoking 2packs/day
prior, beginning at age 14. He reports he
had asthma as a child and he's been treated
with Albuterol inhalers as an adult. Has
been hospitalized 2x w/pneumonia; the
most recent was 2 years ago.
Physical exam:
VS: 101F, P 115, R 30, BP 120/80
Respirations shallow and labored, w/use of
accessory muscles
Increased AP diameter of chest
Skin dry and warm touch, inelastic skin
turgor, fingernail clubbing.
Which assessment is most important for
nurse to complete next? - ANSWERAuscultate breath sounds
RATIONALE:
This is the highest priority because Mr.
Johnson is clearly exhibiting respiratory
distress
Which assessment finding supports pt's
diagnosis of pneumonia - ANSWER-Pulse of
110-- tachycardia is most consistent
w/infectious process, in addition pt's fever
and rapid RR are also VS findings that
indicate a problem--> infection
RATIONALE:
Tachycardia is consistent with an infectious
process. In addition, Mr. Johnson's fever
and rapid respiratory rate are also vital sign
findings that indicate a problem, such as an
infection.
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