which finding indicates pts.condition worsening with pneumonia/COPD

EricJRN, MSN, RN · Mar 25, 2007

Hint: Three of these are signs you would see chronically in a COPD patient. The other one (the right answer) is something that may be related to right heart failure.

dmedrano · Mar 25, 2007

Thanks alot!! Hey I have a couple more if you feel like answering.....

Which assessment would you instruct the nursing assistant to report immediately with a pt. that has pneumonia/COPD? Rationale?

A. incontinent of urine and stool

B. pt has lost 1# since admission

C. increased elevation of temp

D.ate only half of breakfast and lunch

Also,

which of the following interventionswould you assign to an experienced LPN?

A. draw arterial bloodgas sample

B, Administer albuterol

C. Take vital every 2 hours

D. Increase O2 to 2L per nasal cannula

I think the answer to the first one is C and the 2nd one is A, but I need rationales for these answers. Thank you to anyone that can help.

wait, one more

LPN states that this same pt is now on O2 at 2L and his sat is at 91%. what intervention should I delegate to the LPN?

A. begin a plan for discharge

B. administer lasix orally each morning

C.get a baseline wt on the pt now

D. administer IV piggy-back claforan every 6 hours

morte, LPN, LVN · Mar 25, 2007

i can see "c", but not "a".....not in their scope of practice....nor an RN outside of the ICu and i am not sure if even they do them.....

meandragonbrett · Mar 25, 2007

Thanks alot!! Hey I have a couple more if you feel like answering.....
Which assessment would you instruct the nursing assistant to report immediately with a pt. that has pneumonia/COPD? Rationale?
A. incontinent of urine and stool
B. pt has lost 1# since admission
C. increased elevation of temp
D.ate only half of breakfast and lunch
Also,
which of the following interventionswould you assign to an experienced LPN?
A. draw arterial bloodgas sample
B, Administer albuterol
C. Take vital every 2 hours
D. Increase O2 to 2L per nasal cannula
I think the answer to the first one is C and the 2nd one is A, but I need rationales for these answers. Thank you to anyone that can help.
wait, one more
LPN states that this same pt is now on O2 at 2L and his sat is at 91%. what intervention should I delegate to the LPN?
A. begin a plan for discharge
B. administer lasix orally each morning
C.get a baseline wt on the pt now
D. administer IV piggy-back claforan every 6 hours

With your first question. Look at those interventions/assessments and determine which one holds the highest priority for that particular patient. Always remember your ABCs.

Second question.....which one of those interventions follows most closely with LPN scope of practice? ABGs generally are drawn by RT or the Lab outside of the ICU (again, it depends on your facility and state). Again, remember your ABC's, which ones of these interventions would take priority? And then if you have it narrowed down to two interventions....which one should be done first? Why should it be done first?

Same thing with the 3rd question. In school, try to to read into the questions and want more information than what is there (Like, what amount of O2 is the pt normally on? What are their sats normally on this amount of O2?) Stick with your ABC's and Maslow's needs. Good luck!

dmedrano · Mar 25, 2007

Thanks, I will need it!!