huota

Mrs Rossi is an 89-year old woman with end-stage COPD. She currently resides in a nursing home in a large metropolitan city. Her husband died many years ago, and her children live far away. She often sits forward in her wheelchair leaning over the bed tray because this is the position in which she can breathe most easily. Usually she wears oxygen, 2 L via nasal cannula. One day you (student nurse) notice Mrs. Rossi lying flat on her back in bed. Her lips are blue and she says, "help... I'm suffocating... I feel like I can't get any air". You see the nasal cannula has slipped away from her nose and is dangling from the side of the bed. Based on her chart, Mrs. Rossi's drugs are albuterol/atrovent via nebulizer bid; morphine 2 mg every 6 hrs, prn, for pain; lorazepam 5 mg every 12 hr, prn, for anxiety. There is a nurse button in the room. 1. What interventions will you do as the nursing student and how will you prioritize them and why? 2. What information will you communicate to the nurse and physician caring for Mrs. Rossi? My question is as a student nurse what should I do? I know if I was a nurse I would put the nasal cannula back in her nose, lift the head of the bed up, give her medications as ordered from the physician. But as a student nurse what should I do?? Thank you for any advise.